Relationships Between Stigma and Intimate Partner Violence Among Female Sex Workers Living With HIV: Social and Economic Exclusion

Rock, Amelia; Reyes, H. Luz McNaughton; Go, Vivian F.; Maman, Suzanne; Pérez, Martha; Donastorg, Yeycy; Kerrigan, Deanna; Barrington, Clare

doi:10.1177/10778012221127722

Cited by 4 publications

(2 citation statements)

References 104 publications

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“…It has been reported that disclosure to family members improves ART adherence through social support and self-efficacy [ 17 ]. They may also have mental health issues, experience violence, and report substance use (alcohol use and drug use); these factors may also be associated with poor adherence [ 18 – 22 ]. Thus, many of these of the issues related to adherence in key population may be inter-related.…”

Section: Introductionmentioning

confidence: 99%

Barriers and facilitators for adherence to antiretroviral therapy, and strategies to address the barriers in key populations, Mumbai–A qualitative study

Acharya,

Parthasarathy,

Karanjkar

et al. 2024

PLoS ONE

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Background Even though quantitative studies have described barriers to anti-retroviral therapy (ART), a more exploratory approach will provide in-depth information on these issues, and potential suggestions to address these issues at individual as well as structural level. We designed this qualitative study to examine the barriers and facilitators for antiretroviral therapy adherence in key population (KP) in Mumbai, India. We also wanted to understand the strategies adopted by these groups and get suggestions to improve adherence to ART. Methods This is a qualitative analysis of seven focus group discussions (FGDs) conducted with four KP subgroups in Mumbai. We conducted two FGDs each with female sex workers (FSW), men who have sex with men (MSM), male-to-female transgendered people/Hijras (TGH) each, and one FGD with people who inject drugs (IDU). We transcribed the audio-recorded electronic records of these FGDs. We also added the notes of the observers on the group dynamics to the transcribed data. We used the Framework Approach to analyse these data. Results Some experiences–such as side effects to ART medicines–were common across groups. However, incarceration as a reason for stopping ART was reported by FSWs but not by other KPs. Friends and family (including Guru) are important support systems for HIV infected individuals and adherence to ART. Stigma and discrimination by community members and general community prevent regular access of ART centres and other health care facilities. Additional factors which led to missed doses were mental health issues, alcohol use, and misplacing the ART tablets during police raids or during robbery attempts at the cruising sites. Since a common source of discrimination among peers and the community was the presence of ‘Green book’ (or their treatment book); the key population wanted the AIDS program to change it to digital cards so that labelling one as ‘HIV positive’ for being seen with the book can be avoided. Conclusions The qualitative study helped us explore the barriers to ART among key population and the community provided specific suggestions to address them. In addition to Key Population centric enhanced adherence counselling, some administrative guidelines and procedures may need to be altered to improve adherence to ART in these populations.

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Section: Introductionmentioning

confidence: 99%

Barriers and facilitators for adherence to antiretroviral therapy, and strategies to address the barriers in key populations, Mumbai–A qualitative study

Acharya,

Parthasarathy,

Karanjkar

et al. 2024

PLoS ONE

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“…A range of adverse health and social consequences related to alcohol use has also been recorded in FSWs. These consequences include an increased risk of STIs, poor mental health outcomes, physical health problems, social stigmatization, violence, and victimization (Beksinska et al., 2023 ; Rock et al., 2022 ).…”

Section: Introductionmentioning

confidence: 99%

Lifetime and past‐month alcohol use and related factors among female sex workers in Iran

Rasouli,

Zareie,

Gouya

et al. 2023

Brain and Behavior

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ObjectiveAlcohol use is more common among female sex workers (FSWs). This study assessed the prevalence of lifetime and past‐month alcohol use and related factors among FSWs in Iran.MethodsWe conducted a cross‐sectional survey among 1464 women from 8 major cities in Iran. Behavioral data were collected by trained interviewers and conducted face‐to‐face in a private room. Weighted analysis was used to determine the lifetime and past‐month alcohol use prevalence. Univariate and multivariate logistic regression was used to investigate the association between alcohol use and independent variables.ResultsThe most alcohol used in lifetime and past‐month (weekly, less than once a week, and daily) in FSWs was 52.7% (12.25%, 12.94%, and 1.83%), respectively. In the final model, factors that were independently associated with alcohol use included the 31–40 years (AOR = 2.41, 95% CI: 1.13–5.15), education level of diploma (AOR = 2.43, 95% CI: 1.31–4.51), history of lifetime drug use (AOR = 2.79, 95% CI: 2.01–3.89), history of lifetime group sex (AOR = 2.07, 95% CI: 1.41–3.03), history of intentional abortion (AOR = 1.42, 95% CI: 1.06–1.92), six or more sexual clients in the last month (AOR = 3.25, 95% CI: 1.80–5.87), history of lifetime anal sex (AOR = 2.47, 95% CI: 1.82‐3.35), and FSWs the married, temporarily married, and living with partner were positively associated with lifetime alcohol use.ConclusionAlcohol use is prevalent among FSWs in Iran. Further prevention programs are needed to address and reduce harms associated with alcohol use among this vulnerable population in Iran. Designing intervention programs, it is suggested to consider other variables affecting alcohol use in FSWs.

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Individual and Collective Forms of Stigma Resistance: Pathways Between HIV and Sex Work Stigma and Viral Suppression Among Female Sex Workers in the Dominican Republic

Kerrigan,

Barrington,

Donastorg

et al. 2023

AIDS Behav

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Relationships Between Stigma and Intimate Partner Violence Among Female Sex Workers Living With HIV: Social and Economic Exclusion

Cited by 4 publications

References 104 publications

Barriers and facilitators for adherence to antiretroviral therapy, and strategies to address the barriers in key populations, Mumbai–A qualitative study

Barriers and facilitators for adherence to antiretroviral therapy, and strategies to address the barriers in key populations, Mumbai–A qualitative study

Lifetime and past‐month alcohol use and related factors among female sex workers in Iran

Individual and Collective Forms of Stigma Resistance: Pathways Between HIV and Sex Work Stigma and Viral Suppression Among Female Sex Workers in the Dominican Republic

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