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Published in: Journal of Immigrant and Minority Health 1/2013

01-02-2013 | Original Paper

Knowledge, Attitude and Behavioral Intention to Act Regarding HIV Infection and Prevention in Immigrants from the Former Soviet Union in Germany: A Comparative Study with the Native Population

Authors: Laura Kuznetsov, Uwe Matterne, Alexander Crispin, Thomas Ruzicka, Stefan A. Zippel, Alexander V. Kuznetsov

Published in: Journal of Immigrant and Minority Health | Issue 1/2013

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Abstract

In Germany, immigrants from Former Soviet Union (FSU) countries represent one of the largest immigrant groups. Some FSU countries face the highest HIV prevalence in the region of Eastern Europe and Central Asia. However, the HIV knowledge, attitude and behavioral intent have not been investigated in FSU immigrants compared to the native population yet. A cross-sectional anonymous survey among 1,205 FSU immigrants and 435 native Germans (aged 18–65 years) in Bavaria. Data analysis from the participating 435 (36 %) immigrants and 334 (76.8 %) natives showed that the immigrants were less knowledgeable (p < .001) about HIV transmission (median score 8 vs. 9, ranged from 0 to 10) and HIV prevention (4 vs. 5, ranged from 0 to 6) than the native Germans, especially with regard to HIV transmission during anal (67 vs. 79.1 %; OR = 1.86 [1.32–2.62]) and oral (49.7 vs. 61.8 %; OR = 1.63 [1.21–2.20]) intercourse and showed a high misconception rate. Age and education were associated with knowledge about sexual HIV transmission; male gender, age and education with HIV prevention by single-use of needles/syringes. In case of a suspected HIV contraction, fewer immigrants would request a test; in case of a confirmed HIV diagnosis fewer would use a condom or inform their sexual partner(s). This first comparative study indicates an urgent need for HIV/AIDS education among FSU immigrants.
Literature
2.
go back to reference OECD, Organisation for Economic Co-Operation and Development: Recent trends in international migration in Asia and Central and Eastern Europe. In: Trends in international migration. Continuous reporting system on migration. Annual report, 2002 edition. OECD; 2003. p. 70–84. OECD, Organisation for Economic Co-Operation and Development: Recent trends in international migration in Asia and Central and Eastern Europe. In: Trends in international migration. Continuous reporting system on migration. Annual report, 2002 edition. OECD; 2003. p. 70–84.
5.
go back to reference Haug S. Socio-demographic attributes, professional structures and family network of Jewish refugees. Working papers 8/2007, Federal Department for Migration and Refugees; 2007. Haug S. Socio-demographic attributes, professional structures and family network of Jewish refugees. Working papers 8/2007, Federal Department for Migration and Refugees; 2007.
8.
go back to reference Kuznetsov AV, Matterne U, Zippel SA, Kouznetsov L. HIV infection and immigrants from the former Soviet Union in Germany: knowledge, attitudes, behavior, and prevention strategies. In: Berhardt LV, editor. Advances in medicine and biology. New York: Nova Science Publ. Inc; 2011. p. 133–57. Kuznetsov AV, Matterne U, Zippel SA, Kouznetsov L. HIV infection and immigrants from the former Soviet Union in Germany: knowledge, attitudes, behavior, and prevention strategies. In: Berhardt LV, editor. Advances in medicine and biology. New York: Nova Science Publ. Inc; 2011. p. 133–57.
9.
go back to reference RKI, Robert Koch Insitute. HIV infections and AIDS diseases in Germany. Epidem Bull. 2010;22:205–20. RKI, Robert Koch Insitute. HIV infections and AIDS diseases in Germany. Epidem Bull. 2010;22:205–20.
10.
go back to reference Amirkhanian YA, Kelly JA, Issayev DD. AIDS knowledge, attitudes, and behaviour in Russia: results of a population-based, random-digit telephone survey in St Petersburg. Int J STD AIDS. 2001;12:50–7.PubMedCrossRef Amirkhanian YA, Kelly JA, Issayev DD. AIDS knowledge, attitudes, and behaviour in Russia: results of a population-based, random-digit telephone survey in St Petersburg. Int J STD AIDS. 2001;12:50–7.PubMedCrossRef
11.
go back to reference Babikian T, Freier MC, Hopkins GL, et al. An assessment of HIV/AIDS risk in higher education students in Yerevan, Armenia. AIDS Behav. 2004;8:47–61.PubMedCrossRef Babikian T, Freier MC, Hopkins GL, et al. An assessment of HIV/AIDS risk in higher education students in Yerevan, Armenia. AIDS Behav. 2004;8:47–61.PubMedCrossRef
12.
go back to reference Goodwin R, Kozlova A, Kwiatkowska A, et al. Social representations of HIV/AIDS in Central and Eastern Europe. Soc Sci Med. 2003;56:373–1384. Goodwin R, Kozlova A, Kwiatkowska A, et al. Social representations of HIV/AIDS in Central and Eastern Europe. Soc Sci Med. 2003;56:373–1384.
13.
go back to reference Atlani L, Caraël M, Brunet JB, et al. Social change and HIV in the former USSR: the making of a new epidemic. Soc Sci Med. 2000;50:1547–56.PubMedCrossRef Atlani L, Caraël M, Brunet JB, et al. Social change and HIV in the former USSR: the making of a new epidemic. Soc Sci Med. 2000;50:1547–56.PubMedCrossRef
14.
go back to reference Kalichman SC, Kelly JA, Sikkema KJ, et al. The emerging AIDS crisis in Russia: review of enabling factors and prevention needs. Int J STD AIDS. 2000;11:71–5.PubMedCrossRef Kalichman SC, Kelly JA, Sikkema KJ, et al. The emerging AIDS crisis in Russia: review of enabling factors and prevention needs. Int J STD AIDS. 2000;11:71–5.PubMedCrossRef
15.
go back to reference Amirkhanian YA, Kelly JA, Kirsanova AV, et al. HIV risk behaviour pattern, predictors, and sexually transmitted diseases prevalence in the social network of young men who have sex with men in St. Petersburg, Russia. Int J STD AIDS. 2006;17:50–6.PubMedCrossRef Amirkhanian YA, Kelly JA, Kirsanova AV, et al. HIV risk behaviour pattern, predictors, and sexually transmitted diseases prevalence in the social network of young men who have sex with men in St. Petersburg, Russia. Int J STD AIDS. 2006;17:50–6.PubMedCrossRef
16.
go back to reference Balabanova Y, Coker R, Atun RA, Drobniewski F. Stigma and HIV infection in Russia. AIDS Care. 2006;18:846–52.PubMedCrossRef Balabanova Y, Coker R, Atun RA, Drobniewski F. Stigma and HIV infection in Russia. AIDS Care. 2006;18:846–52.PubMedCrossRef
17.
go back to reference Wall M, Tkatchenko-Schmidt E, Renton A. Sexual behaviour in Russia: who exhibits a higher risk? Evidence from longitudinal date. Int J STD AIDS. 2006;17:756–63.CrossRef Wall M, Tkatchenko-Schmidt E, Renton A. Sexual behaviour in Russia: who exhibits a higher risk? Evidence from longitudinal date. Int J STD AIDS. 2006;17:756–63.CrossRef
18.
go back to reference Takacs J, Amirkhanian YA, Kelly JA, et al. Condoms are reliable but I am not: a qualitative analysis of AIDS-related beliefs and attitudes of young heterosexual adults in Budapest, Hungary, and St. Petersburg, Russia. Cent Eur J Public Health. 2006;14:59–66.PubMed Takacs J, Amirkhanian YA, Kelly JA, et al. Condoms are reliable but I am not: a qualitative analysis of AIDS-related beliefs and attitudes of young heterosexual adults in Budapest, Hungary, and St. Petersburg, Russia. Cent Eur J Public Health. 2006;14:59–66.PubMed
19.
go back to reference Amirkhanian YA, Kelly JA, Takacs J, et al. HIV/STD prevalence, risk behaviour, and substance use pattern and predictors in Russian and Hungarian sociocentric social networks of men who have sex with men. AIDS Educ Prev. 2009;21:266–79.PubMedCrossRef Amirkhanian YA, Kelly JA, Takacs J, et al. HIV/STD prevalence, risk behaviour, and substance use pattern and predictors in Russian and Hungarian sociocentric social networks of men who have sex with men. AIDS Educ Prev. 2009;21:266–79.PubMedCrossRef
20.
go back to reference Todd CS, Alibayeva G, Khakimov MM, et al. Prevalence and correlates of condom use and HIV testing among female sex workers in Tashkent, Uzbekistan: implications for HIV transmission. AIDS Behav. 2007;11:435–42.PubMedCrossRef Todd CS, Alibayeva G, Khakimov MM, et al. Prevalence and correlates of condom use and HIV testing among female sex workers in Tashkent, Uzbekistan: implications for HIV transmission. AIDS Behav. 2007;11:435–42.PubMedCrossRef
21.
go back to reference Chariyeva Z, Colaco R, Maman S. HIV risk perceptions, knowledge and behaviours among female sex workers in two cities in Turkmenistan. Global Public Health. 2011;6:181–92.PubMedCrossRef Chariyeva Z, Colaco R, Maman S. HIV risk perceptions, knowledge and behaviours among female sex workers in two cities in Turkmenistan. Global Public Health. 2011;6:181–92.PubMedCrossRef
22.
go back to reference Busza JR, Balakireva OM, Teltschik A, et al. Street-based adolescents at high risk of HIV in Ukraine. J Epidemiol Community Health. 2011;65:1166–70.PubMedCrossRef Busza JR, Balakireva OM, Teltschik A, et al. Street-based adolescents at high risk of HIV in Ukraine. J Epidemiol Community Health. 2011;65:1166–70.PubMedCrossRef
23.
go back to reference Pinkerton SD, Dyatlov RV, DiFranceisco W, et al. HIV/AIDS knowledge and attitudes in STD clinic attendees in St. Petersburg, Russia. AIDS Behav. 2003;7:221–8.PubMedCrossRef Pinkerton SD, Dyatlov RV, DiFranceisco W, et al. HIV/AIDS knowledge and attitudes in STD clinic attendees in St. Petersburg, Russia. AIDS Behav. 2003;7:221–8.PubMedCrossRef
24.
go back to reference Benotsch EG, Pinkerton SD, Dyatlov RV, et al. HIV risk behavior in male and female Russian sexually transmitted disease clinic patients. Int J Behav Med. 2006;13:26–33.PubMedCrossRef Benotsch EG, Pinkerton SD, Dyatlov RV, et al. HIV risk behavior in male and female Russian sexually transmitted disease clinic patients. Int J Behav Med. 2006;13:26–33.PubMedCrossRef
25.
go back to reference Ksobiech K, Somlai AM, Kelly JA, et al. Demographic characteristics, treatment history, drug risk behaviors, and condom use attitudes for U.S. and Russian injection drug users: the need for targeted sexual risk behavior interventions. AIDS Behav. 2005;9:111–20.PubMedCrossRef Ksobiech K, Somlai AM, Kelly JA, et al. Demographic characteristics, treatment history, drug risk behaviors, and condom use attitudes for U.S. and Russian injection drug users: the need for targeted sexual risk behavior interventions. AIDS Behav. 2005;9:111–20.PubMedCrossRef
26.
go back to reference Amirkhanian YA, Kuznetsova AV, Kelly JA, et al. Male labor migrants in Russia: HIV risk behavior levels, contextual factors, and prevention needs. J Immigr Minor Health. 2011;13:919–28.PubMedCrossRef Amirkhanian YA, Kuznetsova AV, Kelly JA, et al. Male labor migrants in Russia: HIV risk behavior levels, contextual factors, and prevention needs. J Immigr Minor Health. 2011;13:919–28.PubMedCrossRef
27.
go back to reference Kouznetsov L, Kuznetsov AV, Wienecke R, Zippel SA. AIDS awareness among German resettlers from the former Soviet Union: it is time for an immigrant-specific HIV prevention. Eur J Public Health. 2007;17:403–4.PubMedCrossRef Kouznetsov L, Kuznetsov AV, Wienecke R, Zippel SA. AIDS awareness among German resettlers from the former Soviet Union: it is time for an immigrant-specific HIV prevention. Eur J Public Health. 2007;17:403–4.PubMedCrossRef
28.
go back to reference Kouznetsov L, Kuznetsov AV, Niedermeier A, et al. HIV/AIDS and ethnic German resettlers from the former Soviet Union. Preliminary findings about attitudes and knowledge. Präv Gesundheitsf. 2009;4:272–8.CrossRef Kouznetsov L, Kuznetsov AV, Niedermeier A, et al. HIV/AIDS and ethnic German resettlers from the former Soviet Union. Preliminary findings about attitudes and knowledge. Präv Gesundheitsf. 2009;4:272–8.CrossRef
29.
go back to reference Kouznetsov L, Kuznetsov AV, Zippel SA. Risky sexual behaviour, taboo of HIV/AIDS and HIV-prevention topics: interviews with HIV-positive immigrants from the Former Soviet Union. Int J STD AIDS. 2008;19:71–2.PubMedCrossRef Kouznetsov L, Kuznetsov AV, Zippel SA. Risky sexual behaviour, taboo of HIV/AIDS and HIV-prevention topics: interviews with HIV-positive immigrants from the Former Soviet Union. Int J STD AIDS. 2008;19:71–2.PubMedCrossRef
30.
go back to reference Likatavicius G, Van de Laar MJW: HIV and AIDS in the European Union, 2009. Euro Surveill 2010; 15(48). Likatavicius G, Van de Laar MJW: HIV and AIDS in the European Union, 2009. Euro Surveill 2010; 15(48).
31.
go back to reference Dietz B. German resettlers in Germany. Absence of a political concept for integration and resources’ cutting put the integration at risk. Z Migration Soz Arbeit. 1997;1:58–61. Dietz B. German resettlers in Germany. Absence of a political concept for integration and resources’ cutting put the integration at risk. Z Migration Soz Arbeit. 1997;1:58–61.
32.
go back to reference Schoeps JH. [Russian-Jewish immigrants in Germany: hopes, problems and integration efforts]. In: Frieling G, editor. Adult education and ethnic minorities: an international overview of the situation and perspectives. Münster: Agenda Verlag; 1997. p. 140–52. Schoeps JH. [Russian-Jewish immigrants in Germany: hopes, problems and integration efforts]. In: Frieling G, editor. Adult education and ethnic minorities: an international overview of the situation and perspectives. Münster: Agenda Verlag; 1997. p. 140–52.
34.
go back to reference Kessler J. Jewish immigration since, 1990. Conclusions of a study with 4,000 Jewish migrants from the former Soviet Union in Berlin. Z Migration Soz Arbeit. 1990;1997(1):40–7. Kessler J. Jewish immigration since, 1990. Conclusions of a study with 4,000 Jewish migrants from the former Soviet Union in Berlin. Z Migration Soz Arbeit. 1990;1997(1):40–7.
35.
36.
go back to reference Bochow M, Wright MT, Lange M. Gay men and AIDS. Risk management in times of social normalisation of an infectious disease. A survey on behalf of the Federal Centre for Health Education. AIDS-Forum DAH, Deutsche AIDS-Hilfe e.V., Berlin; 2004. Bochow M, Wright MT, Lange M. Gay men and AIDS. Risk management in times of social normalisation of an infectious disease. A survey on behalf of the Federal Centre for Health Education. AIDS-Forum DAH, Deutsche AIDS-Hilfe e.V., Berlin; 2004.
40.
go back to reference Kelley K, Clark B, Brown V, Sitzia J. Good practice in the conduct and reporting of survey research. Int J Qual Health Care. 2003;15:261–6.PubMedCrossRef Kelley K, Clark B, Brown V, Sitzia J. Good practice in the conduct and reporting of survey research. Int J Qual Health Care. 2003;15:261–6.PubMedCrossRef
41.
go back to reference Kon I, Riordan J. Sex and Russian society. Bloomington, IN: Indiana University Press; 1993. Kon I, Riordan J. Sex and Russian society. Bloomington, IN: Indiana University Press; 1993.
42.
go back to reference Kuznetsov AV, Wiseman M, Ruzicka T, et al. Short risk behaviour knowledge index for HIV average risk population of sexual active age in Munich, Germany. Cent Eur J Public Health. 2011;19:79–83.PubMed Kuznetsov AV, Wiseman M, Ruzicka T, et al. Short risk behaviour knowledge index for HIV average risk population of sexual active age in Munich, Germany. Cent Eur J Public Health. 2011;19:79–83.PubMed
Metadata
Title
Knowledge, Attitude and Behavioral Intention to Act Regarding HIV Infection and Prevention in Immigrants from the Former Soviet Union in Germany: A Comparative Study with the Native Population
Authors
Laura Kuznetsov
Uwe Matterne
Alexander Crispin
Thomas Ruzicka
Stefan A. Zippel
Alexander V. Kuznetsov
Publication date
01-02-2013
Publisher
Springer US
Published in
Journal of Immigrant and Minority Health / Issue 1/2013
Print ISSN: 1557-1912
Electronic ISSN: 1557-1920
DOI
https://doi.org/10.1007/s10903-012-9671-x

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