Catálogo general VIH/sida
No estás sola: social cohesion, HIV stigma, and HIV/STI prevention among female sex workers living with HIV in Santo Domingo
Resumen
Background: Research on HIV/STI prevention interventions for female sex workers (FSW) living with HIV is limited, with almost no studies that have analyzed the role of social cohesion as a potential strategy to prevent HIV re-infection, STI infection, and onward HIV transmission in this specific population. Methods: This study examined whether social cohesion influences HIV/STI prevention behaviors among FSW living with HIV in the Dominican Republic and, if so, what may explain this relationship. We used an explanatory sequential mixed methods design with quantitative data from the cross-sectional endline survey of Abriendo Puertas (opening doors) and qualitative data from a group of 34 FSW. Abriendo Puertas was a multi-level intervention for FSW living with HIV in Santo Domingo, Dominican Republic (DR). Results: Manuscript one found that social cohesion was associated with CCU with clients and STI prevalence among the study participants. Manuscript two found that social cohesion may reduce the negative impact of stigma on CCU with clients. Additionally, results indicate the limitations of current measurement tools in assessing layered stigma related to HIV outcomes among sex workers. Finally, manuscript 3 indicated that social cohesion provided a safe psychosocial space for de-stigmatized narratives to emerge and be practiced, leading to the reconstruction of identity in positive terms and the uptake of positive health behaviors. Conclusions: Promoting social cohesion may be an important HIV/STI prevention strategy among FSW living with HIV that should be included in multi-level HIV/STI prevention, treatment, and care interventions. Findings also indicate the importance of analyzing social cohesion and various HIV/STI prevention behaviors and outcomes from multiple perspectives to develop a more holistic understanding of the social dynamics underlying health behaviors.- Tema:
Autoría:
CARRASCO, María Augusta
Autoría institucional: Johns Hopkins Bloomberg School of Public Health
Autoría institucional: Johns Hopkins Bloomberg School of Public Health
Ficha bibliográfica
- Año de publicación:
- 2016
- Publicación:
- Baltimore : [la autora]
- Descripción física:
- ix, 143 p.
- Formato:
- Libro
- Tipo de documento:
- Tesis doctoral
- Notas:
- En l aparte inferior de la cubierta. dissertation submitted to Johns Hopkins Bloomberg School of Public Health in conformity with the requirements for the degree of Doctor of Philosophy.
- Más información:
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