Migration and Mobility: Correlates of Recent HIV Testing Among Substance Using Female Sex Workers at the Mexico–Guatemala Border

Rocha-Jiménez, Teresita; Morales-Miranda, Sonia; Fernández-Casanueva, Carmen; Silverman, Jay G.; Zúñiga, María Luisa; Goldenberg, Shira M.; Crespo, Noé C.; Brouwer, Kimberly C.

doi:10.1007/s10461-021-03501-8

Cited by 3 publications

(1 citation statement)

References 47 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Research in China also suggested that HIV infection rates were higher among mobile populations [29], the prevalence of HIV-1 among Burmese injecting drug users (Yunnan-mIDUs) living in Yunnan was 19.0% [30]. Migration and mobility were often connected to vulnerability factors such as substance use, social exclusion and stigma, lack of access to health care or social security services, which could increase the chances of HIV transmission [31]. Potential risk factors for infectious diseases may interact with each other and ultimately increase the risk of disease, and further exploration of the pathways of action of these risk factors is warranted.…”

Section: Introductionmentioning

confidence: 99%

Pathways of effects of adverse childhood experiences on infectious diseases among border drug-use adults: A Structural Equation Modeling

Zhang,

He,

et al. 2023

Preprint

View full text Add to dashboard Cite

Background Injection of drug abuse could result in infectious disease, and adverse childhood experiences (ACEs) possibly are associated with infectious disease. However, there is a paucity of literature on a direct or indirect relationship between ACEs, injection of drug use and infectious disease. We thus identified the pathway of influence of ACEs in adulthoods and injection of drug use on infectious disease by structural equation models (SEM). Methods A cross-sectional study was conducted by respondent driving sampling and consecutive sampling among adult drug users in southwest of China in 2021. R software 4.2.1 was used to conduct descriptive, univariate, and SEM analysis. Results There were 404 participants in total, with an average age of 34 and most males (98.3%) and minorities (79.6%). 95.5% of respondents experienced ACEs with 46.6% of reporting 4 or more ACEs. Correlations in SEM showed that infectious disease was directly positively affected by injection of drug use (β = 0.184), and directly negatively affected by ACEs (β=-0.188). Age(β = 0.029), Ethnic(β=-0.021), Education(β = 0.019), Gender(β = 0.022), Sex partners (β=-0.017), and ACEs (β=-0.029) had indirect effects on infectious disease. Conclusions ACEs could be a direct or indirect predictor for infectious disease in adulthood, injection of drug use could be a risk factor and moderate other factors of infection of infectious disease. Strategies for creating a positive home environment, minimizing traumatic or stressful childhood experiences, and increasing awareness of the risks associated with drug injection use are all ways to lower the chance of contracting infectious diseases.

show abstract

Section: Introductionmentioning

confidence: 99%

Pathways of effects of adverse childhood experiences on infectious diseases among border drug-use adults: A Structural Equation Modeling

Zhang,

He,

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

Who Asks About HIV/STI Status?: An Analysis of Women Who Sell Sex and Inject Drugs

Allen

White²,

Nestadt³

et al. 2022

AIDS Behav

View full text Add to dashboard Cite

Mobility paradoxes: disruptors, benefits, and agency among mobile female sex workers living with HIV in the Dominican Republic and Tanzania

De Jesus,

Hendrickson,

Rivara

et al. 2024

BMC Global Public Health

View full text Add to dashboard Cite

Background Mobility is a key social determinant of health for female sex workers (FSWs). While extant research has focused on the adverse effects of mobility for FSWs, there are very few studies that have examined the multiple ways in which mobility may impact the lives of these mobile women from their perspective. This qualitative study aims to fill this gap by exploring how mobility impacts the lives, livelihoods, and HIV care and treatment from the perspectives of women living with HIV in two epidemic settings, the Dominican Republic and Tanzania. Methods We conducted two rounds of in-depth interviews with 12 Dominican women and 12 Tanzanian women who were 18 years plus, had an HIV-positive diagnosis, and reported having exchanged sex for money in the last month. We utilized thematic analysis with a focus on intra- and intercomparisons to observe patterns within and across the two contexts. Results We identified a salient pattern of three thematic “mobility paradoxes,” which related to both disruptors and benefits of sex work mobility: (1) uncertainty versus autonomy: while sex work mobility often took place in contexts of vulnerability, which often led to women experiencing violence, it simultaneously benefitted women by allowing them to choose where they stayed and make plans on their terms; (2) financial insecurity versus profitability: although participants sometimes made less money than expected when they traveled for sex work, there was a powerful economic benefit for mobile women as it increased their likelihood of profitability; and (3) disorder and interruptions versus strategy and social support in HIV care and treatment: participants reported that they were sometimes inconsistent with their HIV appointments and medications when they traveled for sex work. On the other hand, mobility contributed to participants often becoming more strategic and creative in their HIV care and treatment and relying on one another for support. Conclusions Findings indicate that sex work mobility is a nuanced, complex, and paradoxical phenomenon. Implications include the development of strengths-based and community empowerment mobile health initiatives tailored to mitigate disruptors of mobility while maximizing benefits for this population.

show abstract

Migration and Mobility: Correlates of Recent HIV Testing Among Substance Using Female Sex Workers at the Mexico–Guatemala Border

Cited by 3 publications

References 47 publications

Pathways of effects of adverse childhood experiences on infectious diseases among border drug-use adults: A Structural Equation Modeling

Pathways of effects of adverse childhood experiences on infectious diseases among border drug-use adults: A Structural Equation Modeling

Who Asks About HIV/STI Status?: An Analysis of Women Who Sell Sex and Inject Drugs

Mobility paradoxes: disruptors, benefits, and agency among mobile female sex workers living with HIV in the Dominican Republic and Tanzania

Contact Info

Product

Resources

About