“Amar te Duele” (“Love Hurts”): Sexual Relationship Power, Intimate Partner Violence, Depression Symptoms and HIV Risk Among Female Sex Workers Who Use Drugs and Their Non-commercial, Steady Partners in Mexico

Ulibarri, Monica D.; Roesch, Scott C.; Rangel, Gudelia; Staines, Hugo; Amaro, Hortensia; Strathdee, Steffanie A.

doi:10.1007/s10461-014-0772-5

Cited by 43 publications

(43 citation statements)

References 48 publications

(56 reference statements)

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“…Consistent with previous research, low relationship power, greater fear of abuse when negotiating condoms, and high partner dependence were associated with a greater proportion of episodes of unprotected sex with a steady partner (6, 14, 28, 29). These results confirm the importance of attending to relationship factors such as power, fear, and dependence in addition to the experiences of violence in heterosexual relationships and the impact they have on condom use in steady relationships.…”

Section: Discussionsupporting

confidence: 87%

Relationship Factors and Condom Use Among Women with a History of Intimate Partner Violence

et al. 2015

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Women who experience intimate partner violence (IPV) are at increased risk for HIV infection. To further the understanding of the dyadic factors that impact condom use among women, we investigated the impact of three relationship factors (i.e., power, fear, and dependence) on the association between HIV-related information, motivation, and behavioral skills [constructs from the Information-Motivation-Behavioral Skills (IMB) model] and condom use among abused women. Data from 133 urban, low-income women recruited from several community-based agencies (e.g., domestic violence agencies, women’s health organizations, hospitals, Department of Health and Human Services, and Family Court) showed that these women experienced high levels of IPV and that relationship power, fear of abuse, and partner dependence were all associated with condom use. Multivariable models revealed that fear of abuse and partner dependence moderated that association between IMB constructs and condom use but relationship power did not. Results highlight the critical need to incorporate strategies to address relationship factors in HIV prevention programs with abused women.

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Section: Discussionsupporting

confidence: 87%

Relationship Factors and Condom Use Among Women with a History of Intimate Partner Violence

et al. 2015

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“…Our data indicated that an extremely high proportion (52.4%) of the participants has the potential to develop or experience depression disorder which was higher than that reported in studies from Sydney, Australia (33.3%, female street-based sex workers) [11], Guangxi, China (39%, female injection drug user who are sex workers) [14], Tijuana and Ciudad Juarez, Mexico (11.8%, female sex workers who use drugs) [21], but lower than studies from Nepal (82.4%, female sex workers) [13]. Previous studies indicated that FSWs with mental health problems were more likely to have suicide ideation and attempt [11–14] and FSWs with high level of depression symptoms were less likely to use condom consistently or properly [8] which made them at high risk of HIV/STDs infection.…”

Section: Discussionmentioning

confidence: 96%

“…Another study focused on FSWs in China also observed that primary violence was a constant source of stress and more detrimental effects such as alcohol intoxication and suicidal behavior [15]. In China, partners of FSWs may be financially reliant on FSWs [21]. Future intervention program should involve primary sex partner of FSWs.…”

Section: Discussionmentioning

confidence: 99%

“…FSWs may have barrier to use condoms with their primary sex partner as it may affect the intimacy of the relationship or as an implication of mistrust [22]. They may also see condom use as a way of distinguishing work-related sexual relationship from personal relationship [21]. FSWs tend not to use a condom during sexual intercourse with their primary sex partners.…”

Section: Discussionmentioning

confidence: 99%

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Depression and HIV Risk Behaviors among Female Sex Workers in Guangdong, China: A Multicenter Cross-Sectional Study

Shen

Zou

Huang

et al. 2016

BioMed Research International

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Background. Our study aimed to assess the burden of depression and evaluate factors associated with depression and status of HIV risk behaviors among female sex workers (FSWs) in Guangdong, China. Method. We recruited FSWs from massage parlors, saunas, restaurants, hotels, hair salons, and streets in Guangdong, China, in 2014. Information on demographic characteristics, HIV testing history, and sexual behaviors was collected using a questionnaire. A blood sample was collected to test for HIV, syphilis, and HCV. A participant was defined as being depressed if she obtained 6 points or above using the 12-item General Health Questionnaire. Results. Among the 653 participants, 41.7% were 21–30 years old and 43.6% married. Overall, 52.4% were found to be depressed. FSWs who had correct syphilis related knowledge [aOR = 1.45; 95% CI: 1.04–2.03] and had primary sex partner (1.63, 1.14–2.33) were more likely to be depressed. FSWs who did not use a condom during their last sex with the primary sex partner were less likely to be depressed (0.47, 0.31–0.71). Conclusion. Our study observed high level of depression and HIV risk behaviors among Chinese FSWs. Future interventions should integrate mental health services in comprehensive interventions to prevent depression among Chinese FSWs.

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“…Among sex workers in low- and middle-income countries, including those who identify as male, female, and transgender, experiencing violence is associated with an increase in HIV risk (S. Baral et al, 2012; S. Baral et al, 2014; S. D. Baral et al, 2015; Dunkle et al, 2013; Oldenburg et al, 2015; Oldenburg, Perez-Brumer, et al, 2014; Ulibarri et al, 2015). Previous studies have posited that violence can reduce a sex worker's ability to negotiate or control an encounter with a client, and their ability to use a condom with a client (Oldenburg, Perez-Brumer, et al, 2014; Ulibarri et al, 2015). Further, if a sex worker insists on using a condom, a client may turn violent and force the sex worker to have sex without a condom (Harcourt & Donovan, 2005).…”

Section: Discussionmentioning

confidence: 99%

Transactional sex and the challenges to safer sexual behaviors: a study among male sex workers in Chennai, India

et al. 2016

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Male sex workers (MSW) are a significant but invisible population in India who are at risk for HIV/STI. Few studies from India have documented HIV risk factors and motivations for sex work in this population. Between 2013 and 2014, a community-based convenience sample of 100 MSW in Chennai (south India) completed a baseline risk assessment as part of a behavioral intervention. Participants were ≥18 years, and reported current sex work. We report medians and proportions, and Wilcoxon-Mann-Whitney and chi-square tests are used to examine differences between sex work and sexual behavior measures by income source. Participants were engaged in sex work for 5.0 years (IQR=2.3-10.0), and earned 3,000 (IQR=2000-8000) Rupees (<50 USD) per month from sex work. Sixty-four percent reported ever testing for HIV and 20.2% for any STI. The most common reasons for starting sex work were money (83.0) and pleasure (56.0%). Participants reported 8.0 (IQR=3.0-15.0) male clients and 7 (IQR=4.0-15.0) condomless anal sex acts with male clients in the past month. Compared to participants with an additional source of income, those whose only source of income was sex work reported more male clients in the past month (10.0 vs. 6.0, p=0.017), as well as more condomless anal sex acts with male clients (8.0 vs. 5.0, p=0.008). Nearly 70.0% were offered more money not to use a condom during sex with a client, and 74.2% reported accepting more money not to use a condom. Three-quarters reported having experienced difficulty using condoms with clients. MSW in India engage in high levels of sexual risk for HIV/STIs. Money appears to be a driving factor for engaging in sex work and condomless sex with clients. HIV prevention interventions with MSW should focus on facilitating skills that will support their ability to negotiate sexual safety in the context of monetary disincentives.

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“Amar te Duele” (“Love Hurts”): Sexual Relationship Power, Intimate Partner Violence, Depression Symptoms and HIV Risk Among Female Sex Workers Who Use Drugs and Their Non-commercial, Steady Partners in Mexico

Cited by 43 publications

References 48 publications

Relationship Factors and Condom Use Among Women with a History of Intimate Partner Violence

Relationship Factors and Condom Use Among Women with a History of Intimate Partner Violence

Depression and HIV Risk Behaviors among Female Sex Workers in Guangdong, China: A Multicenter Cross-Sectional Study

Transactional sex and the challenges to safer sexual behaviors: a study among male sex workers in Chennai, India

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