{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T09:57:00Z","timestamp":1753869420549,"version":"3.41.2"},"reference-count":37,"publisher":"Wiley","issue":"S3","license":[{"start":{"date-parts":[[2024,7,19]],"date-time":"2024-07-19T00:00:00Z","timestamp":1721347200000},"content-version":"vor","delay-in-days":18,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Int AIDS Soc."],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>The \u201cMigrants\u2019 Approached Self\u2010Learning Intervention in HIV\/AIDS for Tajiks\u201d (MASLIHAT) recruits and trains Tajik labour migrants who inject drugs as peer educators (PEs) in delivering HIV prevention information and encouragement to adopt risk\u2010reduction norms and practices within their diaspora social networks while reducing their own HIV risk.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The MASLIHAT intervention was tested in Moscow in a cluster\u2010randomized controlled trial with 12 recruitment sites assigned to either the MASLIHAT intervention or an equal\u2010time peer\u2010educator training focused on other health conditions (TANSIHAT). From October 2021 to April 2022, 140 male Tajik migrants who inject drugs were recruited as PEs to attend the 5\u2010session MASLIHAT training or the TANSIHAT non\u2010HIV comparison condition. Each participant in both groups recruited two network members (NMs) who inject drugs with the intent to share with them the information and positive strategies for change they had learned (<jats:italic>n<\/jats:italic> = 280). All PEs and NMs (<jats:italic>n<\/jats:italic> = 420) participated in baseline and follow\u2010up interviews at 3\u2010month intervals for 1 year. All received HIV counselling and testing. Modified mixed effects Poisson regressions tested for group differences in injection practices, sexual risk behaviours and heavy alcohol use over time.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>At baseline, across both groups, 75% of participants reported receptive syringe sharing (RSS), 42% reported condomless sex and 20% reported binge drinking at least once a month. In contrast to TANSIHAT where HIV risk behaviours remained the same, significant intervention effects that were sustained over the 12 months were observed for receptive syringe and ancillary equipment sharing among both MASLIHAT PEs and NMs (<jats:italic>p<\/jats:italic> &lt; 0.0001). Significant declines in the prevalence of sexual risk behaviours were also associated with the MASLIHAT intervention (<jats:italic>p<\/jats:italic> &lt; 0.01), but not the comparison condition. Binge alcohol use was not affected in either condition; the MASLIHAT intervention had a transitory effect on drinking frequency that dissipated after 9 months.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The MASLIHAT peer\u2010education intervention proved highly effective in reducing HIV\u2010related injection risk behaviour, and moderately effective in reducing sexual risk behaviour among both PEs and NMs. Network\u2010based peer education is an important tool for HIV prevention among people who inject drugs, especially in environments that are not amenable to community\u2010based harm reduction.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jia2.26310","type":"journal-article","created":{"date-parts":[[2024,7,19]],"date-time":"2024-07-19T08:15:26Z","timestamp":1721376926000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Changes in risk behaviour following a network peer education intervention for HIV prevention among male Tajik migrants who inject drugs in Moscow: a cluster\u2010randomized controlled trial"],"prefix":"10.1002","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7238-5240","authenticated-orcid":false,"given":"Mary Ellen","family":"Mackesy\u2010Amiti","sequence":"first","affiliation":[{"name":"School of Public Health University of Illinois Chicago  Chicago Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mahbatsho","family":"Bahromov","sequence":"additional","affiliation":[{"name":"PRISMA Research Center  Dushanbe Tajikistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Judith A.","family":"Levy","sequence":"additional","affiliation":[{"name":"School of Public Health University of Illinois Chicago  Chicago Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonbek","family":"Jonbekov","sequence":"additional","affiliation":[{"name":"PRISMA Research Center  Dushanbe Tajikistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Casey M.","family":"Luc","sequence":"additional","affiliation":[{"name":"School of Public Health University of Illinois Chicago  Chicago Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,7,19]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.18356\/9789210019798"},{"volume-title":"Prevention Gap Report","year":"2016","author":"UNAIDS","key":"e_1_2_12_3_1"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0b013e3181728a9e"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/COH.0000000000000573"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-012-0183-4"},{"volume-title":"Epidemiological Factsheet: Tajikistan","year":"2010","author":"World Health Organization (WHO)","key":"e_1_2_12_7_1"},{"volume-title":"Opiate flows through Northern Afghanistan and Centre Asia: a threat assessment","year":"2012","author":"United Nations Office on Drugs and Crime","key":"e_1_2_12_8_1"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugpo.2014.05.004"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-021-03431-5"},{"key":"e_1_2_12_11_1","unstructured":"HIV\/AIDS Prevention Research Synthesis Project.Compendium of Evidence\u2010Based Interventions and Best Practices for HIV Prevention. 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