What’s in a Name? A Mixed Method Study on How Young Women Who Sell Sex Characterize Male Partners and Their Use of Condoms

Busza, Joanna; Hensen, Bernadette; Birdthistle, Isolde; Chabata, Sungai T; Hargreaves, James; Floyd, Sian; Chiyaka, Tarisai; Mushati, Phillis; Cowan, Frances M

doi:10.1097/qai.0000000000002623

Cited by 2 publications

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References 40 publications

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“…Selling sex occurs along a continuum, from professional sex work to less formalized transactional relationships, and includes the exchange of sex for cash, material goods, or services such as rent [1][2][3][4]. Selling sex is associated with increased risk of acquiring HIV and other sexually transmitted infections for both those selling and purchasing it, with unequal power dynamics in negotiation of sexual exchange often making it difficult for people who sell sex to mitigate these risks.…”

Section: Introductionmentioning

confidence: 99%

HIV prevention in individuals engaged in sex work

Busza

Matambanadzo

Phiri³

et al. 2022

Current Opinion in Infectious Diseases

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Purpose of reviewPeople who sell sex remain at disproportionate risk of acquiring HIV and should be prioritized for evidencebased HIV prevention programmes delivered at sufficient scale and intensity for effectiveness. Although new biomedical tools are becoming available, many basic lessons learned early in the HIV pandemic remain salient today and need renewed attention. Recent findingsNew preexposure prophylaxis formulations, distribution systems, and delivery mechanisms are being successfully trialled and implemented, adding to well established prevention tools such as male and female condoms and lubricants. The importance of social support networks and community ownership of programmes has been consistently reaffirmed. Serious challenges remain in optimizing HIV prevention for sex workers, including providing services at the scale and intensity necessary for population level impact, addressing culturally sensitive issues of gender identity and sexual orientation, and protecting adolescents and young people who may sell sex. Pervasive social stigma, often reinforced by criminalization and police harassment, further constrain sex workers access to available services and prevention tools. SummaryMeaningful community engagement and addressing the multiple social determinants of vulnerability at individual, community, and structural levels remain at the core of preventing HIV among people involved in selling sex.

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Section: Introductionmentioning

confidence: 99%