1. Migrant-Related Stressors and HIV Risk Behavior Among Labor Migrants from Low and Middle Income Countries
Lynn Murphy Michalopoulos, PhD
9th International AIDS Society Conference on HIV Science
Columbia University School of Social Work
Global Health and Mental Health Unit of the Social Intervention Group
July 24, 2017

2. Conflicts of Interests
I have no conflicts of interests to disclose

3. Conceptual Model to Explain Trauma, psychosocial outcomes and HIV among labor migrants from LMIC (adapted from Miller, 1999)
Key piece missing here---mobility and linkage to care--adherence

4. Zambia is 2nd largest producer of copper; also though landlocked 300,000 rely on fishing industry in the country for employment

7. Male Truck Drivers and Female Fish Traders in Zambia
Aim 1: determine labor migrant-related stressors, psychosocial problems, and HIV risk behaviors experienced among labor migrants in Zambia
Aim 2: examine the relationship between self-identified labor migration-related stressors and HIV risk behavior among labor migrants in Zambia
Michalopoulos et al., 2016; Afr J of AIDS Research
Michalopoulos et al., 2017; BMC Women’s Health

8. Male Truck Driver Demographics N=15
Age
M=46.6 (SD=13.32) range 27-68
Marital Status
Married
Single
N=13
N=2
Education Completed
M= grade 8;
range= grade 4-grade 12
Number of years as a truck driver
M=8.63 (SD=8.14);
range= 2-29 years
Endorsed sex with sex workers or migrant women
Yes: N=10
No: N=2
Refused to answer: N=3

9. Female Fish Trader Demographics N=32
Demographic Variable
Semi-Structured Interviews
Focus Group Discussion
Total Sample
N=20
N=12
Age
M=40.7 years
(range=23-63 yrs.)
M=32.2 years
(range=17-55 yrs.)
Marital Status
Married
N=9
N=5
Divorced
N=4
N=1
Widowed
N=6
Single
N/A
N=2
Unknown
Education Completed
M=grade 7
(range= no education-grade 10)
(range = grade 5-grade 11)
Number of Children
M=4.4 (range 0-7)
Number of Years as a Fish Trader
M=16.6 (range 5-35 yrs)
HIV Status
HIV-
N=14
HIV+
HIV status unknown

13. Conceptual Model to Explain Trauma, psychosocial outcomes and HIV among labor migrants from LMIC (adapted from Miller, 1999)
Complex relationship where this might not fit with every labor migrant population from LMIC---specific contextual needs of each population –more research is needed to disentangle the pathways form trauma to HIV risk and infection and should include needs of those already infected in terms of linkage to care and impact of mental health substance use

14. Funding
HIV Intervention Science Training Program for Underrepresented New Investigators (HISTP) at the Columbia School of Social Work through the National Institute of Mental Health (R25 NIMH: Nabila El-Bassel)
Provost’s Grants Program for Junior Faculty who Contribute to the Diversity Goals of the University at Columbia University
Columbia Population Research Center/International Organization for Migration