通过基于社区赋权的应对措施，评估和解决多米尼加共和国和坦桑尼亚的女性性工作者中艾滋病毒的社会决定因素。
Assessing and Addressing Social Determinants of HIV among Female Sex Workers in the Dominican Republic and Tanzania through Community Empowerment-Based Responses.
机构信息
Center on Health, Risk and Society, American University, 4400 Massachusetts Ave, NW, Washington, DC, 20016-8012, USA.
Instituto Dermatologico y Cirugia de la Piel, Calle Albert Thomas, 66, Santo Domingo, Dominican Republic.
出版信息
Curr HIV/AIDS Rep. 2020 Apr;17(2):88-96. doi: 10.1007/s11904-020-00485-3.
Abstract
PURPOSE OF REVIEW
This review describes social determinants of HIV in two geographic and epidemic settings, the Dominican Republic (DR) and Tanzania, among female sex workers (FSW), their influence on HIV outcomes including 90-90-90 goals, and the development and impact of tailored, context driven, community empowerment-based responses in each setting.
RECENT FINDINGS
Our review documents the significance of social determinants of HIV including sex work-related stigma, discrimination, and violence and the impact of community empowerment-based approaches on HIV incidence in Tanzania and other HIV prevention, treatment, and care outcomes, including care engagement and adherence, in the DR and Tanzania. Community empowerment approaches where FSW drive the response to HIV and strategically engage partners to target socio-structural and environmental factors can have a demonstrable impact on HIV prevention, treatment, and care outcomes. Such approaches can also support further gains towards reaching the 90-90-90 across geographies and types of epidemics.
摘要
目的综述
本综述描述了在多米尼加共和国（DR）和坦桑尼亚这两个地理和流行环境中，社会决定因素对女性性工作者（FSW）中 HIV 的影响，包括 90-90-90 目标，以及在每个环境中制定和实施的、基于具体情况和社区赋权的应对措施的发展和影响。
最近的发现
我们的综述记录了 HIV 的社会决定因素的重要性，包括与性工作相关的耻辱、歧视和暴力，以及社区赋权方法对坦桑尼亚和 DR 中 HIV 发病率以及其他 HIV 预防、治疗和护理结果（包括护理参与和坚持）的影响。FSW 推动对 HIV 的应对措施，并战略性地与合作伙伴合作，以针对社会结构和环境因素的社区赋权方法，对 HIV 的预防、治疗和护理结果可能产生显著影响。这种方法还可以支持在不同地理区域和流行类型中进一步实现 90-90-90 的目标。
相似文献
1
Assessing and Addressing Social Determinants of HIV among Female Sex Workers in the Dominican Republic and Tanzania through Community Empowerment-Based Responses.
Curr HIV/AIDS Rep. 2020 Apr;17(2):88-96. doi: 10.1007/s11904-020-00485-3.
2
Project Shikamana: Baseline Findings From a Community Empowerment-Based Combination HIV Prevention Trial Among Female Sex Workers in Iringa, Tanzania.
J Acquir Immune Defic Syndr. 2017 Jan 1;74 Suppl 1(Suppl 1):S60-S68. doi: 10.1097/QAI.0000000000001203.
3
Mindfulness, Mental Health and HIV Outcomes Among Female Sex Workers in the Dominican Republic and Tanzania.
AIDS Behav. 2021 Sep;25(9):2941-2950. doi: 10.1007/s10461-021-03168-1. Epub 2021 Jan 28.
4
HIV Stigma Mediates the Association Between Social Cohesion and Consistent Condom Use Among Female Sex Workers Living with HIV in the Dominican Republic.
Arch Sex Behav. 2018 Jul;47(5):1529-1539. doi: 10.1007/s10508-018-1186-7. Epub 2018 Apr 23.
5
Essential elements of a community empowerment approach to HIV prevention among female sex workers engaged in project Shikamana in Iringa, Tanzania.
Cult Health Sex. 2020 Apr;22(sup1):111-126. doi: 10.1080/13691058.2019.1659999. Epub 2019 Sep 9.
6
Project Shikamana: Community Empowerment-Based Combination HIV Prevention Significantly Impacts HIV Incidence and Care Continuum Outcomes Among Female Sex Workers in Iringa, Tanzania.
J Acquir Immune Defic Syndr. 2019 Oct 1;82(2):141-148. doi: 10.1097/QAI.0000000000002123.
7
Acceptability and perceptions of HIV oral self-testing across settings: A comparative qualitative study among Dominican and Tanzanian female sex workers.
Glob Public Health. 2022 Jun;17(6):870-884. doi: 10.1080/17441692.2021.1901129. Epub 2021 Mar 19.
8
"A dream come true": Perspectives on long-acting injectable antiretroviral therapy among female sex workers living with HIV from the Dominican Republic and Tanzania.
PLoS One. 2020 Jun 12;15(6):e0234666. doi: 10.1371/journal.pone.0234666. eCollection 2020.
9
Epidemic impacts of a community empowerment intervention for HIV prevention among female sex workers in generalized and concentrated epidemics.
PLoS One. 2014 Feb 6;9(2):e88047. doi: 10.1371/journal.pone.0088047. eCollection 2014.
10
Adapting the Risk Environment Framework to Understand Substance Use, Gender-Based Violence, and HIV Risk Behaviors Among Female Sex Workers in Tanzania.
AIDS Behav. 2018 Oct;22(10):3296-3306. doi: 10.1007/s10461-018-2156-8.
引用本文的文献
1
Modeling health literacy intentions: a structural equation analysis of community residents' willingness to acquire infectious disease specific health literacy.
BMC Public Health. 2025 Aug 12;25(1):2734. doi: 10.1186/s12889-025-23842-6.
2
Trans Equity Project: a multicomponent intervention to improve HIV prevention and care continua outcomes among men and women of transgender experience.
HIV Res Clin Pract. 2025 Dec;26(1):2515806. doi: 10.1080/25787489.2025.2515806. Epub 2025 Jun 19.
3
"'Corona' was bigger than AIDS": exploring how female sex workers with HIV navigated HIV care and treatment during the onset of COVID-19 in the Dominican Republic and Tanzania.
Cult Health Sex. 2025 Apr 23:1-16. doi: 10.1080/13691058.2025.2493132.
4
Impact of COVID-19 on key populations and people living with HIV: recommendations and sociopolitical responses from the EPIC community research program in Latin America.
BMC Public Health. 2025 Mar 12;25(1):971. doi: 10.1186/s12889-025-22017-7.
5
Stigmas experienced by sexual and gender minority people with HIV in the Dominican Republic: a qualitative study.
Ann Behav Med. 2025 Jan 4;59(1). doi: 10.1093/abm/kaae073.
6
Mobility paradoxes: disruptors, benefits, and agency among mobile female sex workers living with HIV in the Dominican Republic and Tanzania.
BMC Glob Public Health. 2024 Jan 16;2(1):5. doi: 10.1186/s44263-023-00032-3.
7
"Successful Living" Among Adolescents With HIV in Sub-Saharan Africa: An Evolutionary Concept Analysis.
J Assoc Nurses AIDS Care. 2024;35(5):376-387. doi: 10.1097/JNC.0000000000000485.
8
HIV treatment cascade among female sex workers in Ethiopia: Assessment against the UNAIDS 90-90-90 targets.
PLoS One. 2023 Dec 13;18(12):e0294991. doi: 10.1371/journal.pone.0294991. eCollection 2023.
9
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.
AIDS Behav. 2024 Jan;28(1):357-366. doi: 10.1007/s10461-023-04169-y. Epub 2023 Sep 19.
10
Comparing typologies of violence exposure and associations with syndemic health outcomes among cisgender and transgender female sex workers living with HIV in the Dominican Republic.
PLoS One. 2023 Sep 11;18(9):e0291314. doi: 10.1371/journal.pone.0291314. eCollection 2023.
本文引用的文献
1
Identifying Opportunities for Collaboration Across the Social Sciences to Reach the 10-10-10: A Multilevel Approach.
J Acquir Immune Defic Syndr. 2019 Dec 1;82 Suppl 2(2):S118-S123. doi: 10.1097/QAI.0000000000002170.
2
The first 90: the gateway to prevention and care: opening slowly, but not for all.
Curr Opin HIV AIDS. 2019 Nov;14(6):486-493. doi: 10.1097/COH.0000000000000590.
3
Project Shikamana: Community Empowerment-Based Combination HIV Prevention Significantly Impacts HIV Incidence and Care Continuum Outcomes Among Female Sex Workers in Iringa, Tanzania.
J Acquir Immune Defic Syndr. 2019 Oct 1;82(2):141-148. doi: 10.1097/QAI.0000000000002123.
4
Essential elements of a community empowerment approach to HIV prevention among female sex workers engaged in project Shikamana in Iringa, Tanzania.
Cult Health Sex. 2020 Apr;22(sup1):111-126. doi: 10.1080/13691058.2019.1659999. Epub 2019 Sep 9.
5
The arc of HIV epidemics in sub-Saharan Africa: new challenges with concentrating epidemics in the era of 90-90-90.
Curr Opin HIV AIDS. 2019 Sep;14(5):354-365. doi: 10.1097/COH.0000000000000569.
6
How does hard-to-reach status affect antiretroviral therapy adherence in the HIV-infected population? Results from a meta-analysis of observational studies.
BMC Public Health. 2019 Jun 20;19(1):789. doi: 10.1186/s12889-019-7135-0.
7
Work-related mobility and experiences of gender-based violence among female sex workers in Iringa, Tanzania: a cross-sectional analysis of baseline data from Project Shikamana.
BMJ Open. 2018 Oct 4;8(9):e022621. doi: 10.1136/bmjopen-2018-022621.
8
The global response and unmet actions for HIV and sex workers.
Lancet. 2018 Aug 25;392(10148):698-710. doi: 10.1016/S0140-6736(18)31439-9. Epub 2018 Jul 20.
9
Adapting the Risk Environment Framework to Understand Substance Use, Gender-Based Violence, and HIV Risk Behaviors Among Female Sex Workers in Tanzania.
AIDS Behav. 2018 Oct;22(10):3296-3306. doi: 10.1007/s10461-018-2156-8.
10
'You already drank my beer, I can decide anything': using structuration theory to explore the dynamics of alcohol use, gender-based violence and HIV risk among female sex workers in Tanzania.
Cult Health Sex. 2018 Dec;20(12):1409-1423. doi: 10.1080/13691058.2018.1438667. Epub 2018 Mar 16.
Zotero 插件