Exploring “Wine Shops” as a Venue for HIV Prevention Interventions in Urban India

Sivaram, Sudha; Johnson, Sally C.; Bentley, Margaret E.; Srikrishnan, Aylur K.; Latkin, Carl A.; Go, Vivian F.; Solomon, Suniti; Celentano, David D.

doi:10.1007/s11524-007-9196-0

Cited by 21 publications

(21 citation statements)

References 24 publications

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“…This was similar to another community-based cross-sectional survey near Chennai in South India [9]. The reason for this could be that females are inhibited to disclose their alcohol use if any due to the social norms that stigmatize women drinkers and there is an extreme gender difference and prevalence among women which has consistently been estimated at <5% [22]. As per the estimates of National Survey Drug Abuse, 2004, there is an extreme gender difference and prevalence among women has consistently been estimated at <5%.…”

Section: Discussionsupporting

confidence: 80%

Alcohol Use Disorders (AUD) among Tuberculosis Patients: A Study from Chennai, South India

Suhadev

Thomas

et al. 2011

PLoS ONE

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BackgroundAlcohol Use Disorders (AUDs) among tuberculosis (TB) patients are associated with nonadherence and poor treatment outcomes. Studies from Tuberculosis Research Centre (TRC), Chennai have reported that alcoholism has been one of the major reasons for default and mortality in under the DOTS programme in South India. Hence, it is planned to conduct a study to estimate prevalence of alcohol use and AUDs among TB patients attending the corporation health centres in Chennai, India.MethodologyThis is a cross-sectional cohort study covering 10 corporation zones at Chennai and it included situational assessment followed by screening of TB patients by a WHO developed Alcohol Use Disorders Identification Test AUDIT scale. Four zones were randomly selected and all TB patients treated during July to September 2009 were screened with AUDIT scale for alcohol consumption.ResultsOut of 490 patients, 66% were males, 66% were 35 years and above, 57% were married, 58% were from the low monthly income group of 8. Age (>35 years), education (less educated), income (

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Section: Discussionsupporting

confidence: 80%

Alcohol Use Disorders (AUD) among Tuberculosis Patients: A Study from Chennai, South India

Suhadev

Thomas

et al. 2011

PLoS ONE

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“…We have reported detailed descriptions of wine shops earlier (Sivaram et al, 2007). Men visited wine shops at least thrice weekly and represented individuals from all walks of life.…”

Section: Resultsmentioning

confidence: 99%

Associations Between Social Capital and HIV Stigma in Chennai, India: Considerations for Prevention Intervention Design

Sivaram

Zelaya

Srikrishnan

et al. 2009

AIDS Education and Prevention

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Stigma against persons living with HIV/AIDS (PLHA) is a barrier to seeking prevention education, HIV testing, and care. Social capital has been reported as an important factor influencing HIV prevention and social support upon infection. In the study, we explored the associations between social capital and stigma among men and women who are patrons of wine shops or community-based alcohol outlets in Chennai. We found that reports of social capital indicators were associated with reduced fear of transmission of HIV/AIDS, lower levels of feelings of shame, blame and judgment, lower levels of personal support and perceived community support for discriminatory actions against PLHA. Specifically, when participants reported membership in formal groups, perception of high levels of collective action toward community goals, high norms of reciprocity between neighbors and residents in daily life, and presence of trusted sexually transmitted disease care providers, all levels of measures of stigma were lower. Although we defined social capital rather narrowly in this study, our findings suggest that seeking partnerships with existing organizations and involving health care providers in future interventions may be explored as a strategy in community-based prevention interventions.

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“…Briefly, CPOLs are individuals whose friends and close associates look to for advice, affirmation and counsel (Kelly, 2004). The considerable formative research that accompanied identifying and recruiting study participants in this trial found that male wine shop patrons and female sex workers who solicited clients at these venues were are highest risk for infection (Sivaram, et al, 2007;. The current study was an attempt to gain a deeper understanding of the risks of FSWs in Chennai.…”

Section: Sample and Data Collectionmentioning

confidence: 99%

Intimate partner violence is as important as client violence in increasing street-based female sex workers’ vulnerability to HIV in India

Panchanadeswaran¹,

Johnson²,

Sivaram³

et al. 2008

International Journal of Drug Policy

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150

144

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Objectives-There are no studies that examine street-based female sex workers' vulnerability to HIV from both clients and intimate partners. This study documents street-based female sex workers' experiences of client and intimate partners, examines the intersections of violence, alcohol use in condom use, and highlights survival strategies used to avert harm.Methods-Ethnographic data were collected from 49 female sex workers though focus group discussions and in-depth interviews.Results-Female sex workers experienced multifarious forms of severe client and intimate partner violence. Sexual coercion and forced group sex in the context of alcohol use posed formidable barriers for condom use negotiation. Further, traditional gender norms dictated women's inabilities to negotiate condom-use with intimate partners. However, there was evidence of adoption of successful survival strategies in the face of danger and women's positive evaluations of the benefits of sex work and their contributions to family well-being.Conclusions-Harm reduction efforts with female sex workers need to account for their vulnerability to HIV from intimate partners in addition to clients. HIV prevention programmes need to include male clients in order to reduce harm among street-based female sex workers. There is an urgent need to build on sex workers' strengths and involve them in designing individual level, community, and structural interventions that could help in reducing women's vulnerability to intimate partner violence and HIV in India.

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Exploring “Wine Shops” as a Venue for HIV Prevention Interventions in Urban India

Cited by 21 publications

References 24 publications

Alcohol Use Disorders (AUD) among Tuberculosis Patients: A Study from Chennai, South India

Alcohol Use Disorders (AUD) among Tuberculosis Patients: A Study from Chennai, South India

Associations Between Social Capital and HIV Stigma in Chennai, India: Considerations for Prevention Intervention Design

Intimate partner violence is as important as client violence in increasing street-based female sex workers’ vulnerability to HIV in India

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