Adapting the Risk Environment Framework to Understand Substance Use, Gender-Based Violence, and HIV Risk Behaviors Among Female Sex Workers in Tanzania

AIDS and Behavior
Anna M LeddyD Kerrigan

Abstract

Female sex workers (FSWs) in sub-Saharan Africa are disproportionately affected by HIV and gender-based violence (GBV). Substance use overlaps with these co-occurring epidemics to further increase FSWs' risk for negative health outcomes. We explored the relationship between substance use, GBV, and consistent condom use utilizing baseline data from a cohort of 496 FSWs in Tanzania. Results demonstrate high levels of alcohol use and GBV, and low levels of consistent condom use. Frequent intoxication during sex work was associated with increased odds of recent GBV (aOR 1.64, 95% CI 1.07, 2.49; p value 0.02) and reduced odds of consistent condom use with clients (aOR 0.58, 95% CI 0.37, 0.92; p-value 0.02). We adapt the risk environment framework to contextualize our findings in the social and structural context and to gain insight into intervention approaches to address the intersecting challenges of substance use, GBV, and HIV among FSWs in Tanzania and similar settings.

References

Dec 18, 2001·Research in Nursing & Health·B E BergerF R Lashley
Feb 13, 2003·American Journal of Epidemiology·James A HanleyJanet E Forrester
Nov 20, 2004·Emerging Infectious Diseases·Audrey E PettiforNancy S Padian
Mar 17, 2007·Health Education Research·Deanna KerriganChristopher Castle
Jan 12, 2008·The International Journal on Drug Policy·Subadra PanchanadeswaranDavid Celentano
Oct 11, 2008·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Becky L GenbergUNKNOWN NIMH Project Accept Study Team (HPTN 043)
Jan 17, 2009·The International Journal on Drug Policy·Tim Rhodes
Sep 19, 2009·American Journal of Public Health·Sheri A LippmanDeanna Kerrigan
Jan 22, 2010·Alcohol and Alcoholism : International Journal of the Medical Council on Alcoholism·Qing LiBonita Stanton
Dec 12, 2012·American Journal of Reproductive Immunology : AJRI·Kristin L Dunkle, Michele R Decker
Mar 15, 2014·American Journal of Public Health·Kathleen N DeeringKate Shannon
Apr 12, 2014·Sexually Transmitted Diseases·Fatoumata K TounkaraMichel Alary
Jul 26, 2014·Lancet·Michele R DeckerChris Beyrer
Jul 26, 2014·Lancet·Chris BeyrerSteffanie A Strathdee
Sep 10, 2014·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Kelly L LʼEngleDebra H Weiner
Oct 2, 2014·Culture, Health & Sexuality·Sarah W BeckhamDeanna L Kerrigan
Nov 6, 2014·Journal of the International AIDS Society·Abigail M HatcherClaudia García-Moreno

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Citations

Jan 29, 2021·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Joanna BuszaFrances M Cowan
Aug 25, 2021·Health Care for Women International·Shirley J SempleThomas L Patterson

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