Micro-credit, Women’s Groups, Control of Own Money: HIV-Related Negotiation Among Partnered Dominican Women

Ashburn, Kim; Kerrigan, Deanna; Sweat, Michael D.

doi:10.1007/s10461-007-9263-2

Cited by 39 publications

(41 citation statements)

References 21 publications

(20 reference statements)

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“…This finding is consistent with the findings of other reports demonstrating the benefit of using a comprehensive health care approach in implementing HIV behavioral prevention interventions [18,19], especially when the disease is stigmatized or when people have limited access to care. Given that African American men have disproportionately less health care insurance [17] and are more likely to receive health care from providers with less training compared to whites [43], a more holistic health promotion approach that includes HIV prevention may be more likely to be effective in reducing HIV sexual risk behavior among these men.…”

Section: Discussionsupporting

confidence: 92%

“…The rate of incarceration is also disproportionately high among African Americans. Incarceration reduces opportunities to earn income and thus limits opportunities to break out of the poverty cycle, which in turn affects health care [18,19]. African American men are also more likely than white men to receive delayed diagnoses and treatment for chronic diseases (including HIV infection) [20][21][22].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Efficacy of HIV/STI Behavioral Interventions for Heterosexual African American Men in the United States: A Meta-Analysis

et al. 2012

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This meta-analysis estimates the overall efficacy of HIV prevention interventions to reduce HIV sexual risk behaviors and sexually transmitted infections (STIs) among heterosexual African American men. A comprehensive search of the literature published during 1988-2008 yielded 44 relevant studies. Interventions significantly reduced HIV sexual risk behaviors and STIs. The stratified analysis for HIV sexual risk behaviors indicated that interventions were efficacious for studies specifically targeting African American men and men with incarceration history. In addition, interventions that had provision/referral of medical services, male facilitators, shorter follow-up periods, or emphasized the importance of protecting family and significant others were associated with reductions in HIV sexual risk behaviors. Meta-regression analyses indicated that the most robust intervention component is the provision/referral of medical services. Findings indicate that HIV interventions for heterosexual African American men might be more efficacious if they incorporated a range of health care services rather than HIV/STI-related services alone.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Efficacy of HIV/STI Behavioral Interventions for Heterosexual African American Men in the United States: A Meta-Analysis

et al. 2012

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“…The measures were adapted from those used in previous studies and validated in a Haitian context [10,24,32,33]. The questionnaire was translated into Haitian Creole by Haitian Fonkoze employees and was piloted with five Fonkoze clients to test for validity.…”

Section: Methodsmentioning

confidence: 99%

“…A 2007 study in the Dominican Republic did not show that receiving a microfinance loan through a local women's group was statistically associated with HIV-related negotiation [24]. The two-year IMAGE randomized trial in South Africa originally found no significant change in HIV risk indicators between control and microfinance intervention villages [25].…”

Section: Introductionmentioning

confidence: 97%

The Role of a Microfinance Program on HIV Risk Behavior Among Haitian Women

Rosenberg

Seavey

Jules³

et al. 2010

AIDS Behav

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Microfinance loans targeted at vulnerable female populations have the potential to foster female economic independence, possibly leading to the negotiation of safer sexual practices and reduced HIV risk. This study assessed the relationship between experience with microfinance loans and HIV risk behavior among 192 female clients of the Haitian microfinance organization Fonkoze. Clients with longer microfinance experience were generally found to have lower indicators of HIV risk behavior and higher indicators of relationship power compared to those with shorter experience. In particular, those with longer memberships were 72% less likely to report partner infidelity, were 3.95 times more likely to use condoms with an unfaithful partner, and had higher average general power index scores compared to those with shorter experience. This study provides evidence that long-term exposure to microfinance is associated with reduced HIV risk behavior in Haitian women and that this reduction may be partly regulated by influencing relationship power. These results suggest the need to further explore the use of microfinance as a tool to prevent the spread of HIV.

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“…Individuals recovering from illness, especially female borrowers, may need to divert loans to household expenditures or redirect loans to more profitable businesses within the family. 86,[123][124][125][126][127] We argue that the question is not, "Should PLWHA receive microfinance support?" but rather, "Which PLWHA should receive microfinance support, and what should the support include?…”

Section: Discussionmentioning

confidence: 97%

Microfinance: A General Overview and Implications for Impoverished Individuals Living with HIV/AIDS

Caldas¹,

Arteaga²,

Muñoz³

et al. 2010

Journal of Health Care for the Poor and Underserved

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Microfinance among people living with HIV/AIDS (PLWHA) faces some opposition and remains understudied. This literature review examines microfinance's evolution and impact on a variety of social and health indicators and its emerging implementation as a primary prevention tool for HIV and economic intervention for PLWHA. There is an abundance of literature supporting the apparent utility of microfinance. However, our understanding of the subject remains clouded by the heterogeneity and methodological limitations of existing impact studies, and access limitations to microfinance curbs our understanding of microfinance for this population. Existing literature suggests PLWHA could attain economic stability from microfinance and achieve successful repayment rates in some settings. The precarious socioeconomic and health issues of PLWHA pose unique challenges to minimizing loan default risk. Carefully-designed clinical studies are needed to assess whether PLWHA can be as successful with microfinance as healthy individuals.

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Micro-credit, Women’s Groups, Control of Own Money: HIV-Related Negotiation Among Partnered Dominican Women

Cited by 39 publications

References 21 publications

Efficacy of HIV/STI Behavioral Interventions for Heterosexual African American Men in the United States: A Meta-Analysis

Efficacy of HIV/STI Behavioral Interventions for Heterosexual African American Men in the United States: A Meta-Analysis

The Role of a Microfinance Program on HIV Risk Behavior Among Haitian Women

Microfinance: A General Overview and Implications for Impoverished Individuals Living with HIV/AIDS

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