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"You know that we travel a lot": Mobility narratives among female sex workers living with HIV in Tanzania and the Dominican Republic.
Hendrickson, Zoé M; De Jesus, Maria; Barrington, Clare; Cole, S Wilson; Kennedy, Caitlin E; Sisson, Laura Nicole; Uzzi, Mudia; Donastorg, Yeycy; Perez, Martha; Gomez, Hoisex; Mbwambo, Jessie; Likindikoki, Samuel; Kerrigan, Deanna L.
Afiliación
  • Hendrickson ZM; Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States of America.
  • De Jesus M; Department of Behavioral and Community Health Sciences, University of Pittsburgh School of Public Health, Pittsburgh, Pennsylvania, United States of America.
  • Barrington C; School of International Service, American University, Washington, DC, United States of America.
  • Cole SW; Department of Health Behavior, University of North Carolina at Chapel Hill Gillings School of Global Public Health, Chapel Hill, North Carolina, United States of America.
  • Kennedy CE; Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States of America.
  • Sisson LN; Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States of America.
  • Uzzi M; Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States of America.
  • Donastorg Y; Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States of America.
  • Perez M; Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States of America.
  • Gomez H; Instituto Dermatologico y Cirugia de la Piel, Santo Domingo, Dominican Republic.
  • Mbwambo J; Instituto Dermatologico y Cirugia de la Piel, Santo Domingo, Dominican Republic.
  • Likindikoki S; Instituto Dermatologico y Cirugia de la Piel, Santo Domingo, Dominican Republic.
  • Kerrigan DL; Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
PLOS Glob Public Health ; 4(7): e0003355, 2024.
Article en En | MEDLINE | ID: mdl-38968203
ABSTRACT
Female sex workers (FSW) are highly mobile, which may result in reduced access to and use of health services and increased risk for poor health outcomes, particularly for those living with HIV. Mobility includes spatial, temporal, and social elements that are not fully captured by quantitative measures. We conducted two rounds of in-depth interviews with FSW living with HIV in Iringa, Tanzania (n = 20), and Santo Domingo, Dominican Republic (n = 20), to describe mobility experiences and compare mobility narratives across settings. We integrated a thematic analysis of all interviews with a narrative analysis of a subset of 10 information-rich interviews (five in each country) with women who had recently traveled, for sex work or another reason, outside of their hometown. Across narratives, FSW living with HIV traveled locally or to seasonal destinations, for short and long periods. Social factors influencing mobility included economic drivers; risk of arrest, harassment, or violence; anonymity and/or familiarity; social relationships; and clients' mobility. Spatial, temporal, and social factors intersected in unique ways in FSW's mobility experiences, yet distinct mobility typologies were evident across settings and destinations. Together, mobility narratives of FSW living with HIV can inform quantitative research on mobility typologies in Tanzania, the Dominican Republic, and elsewhere. With the potential for economic circumstances, climate change, and other emergencies to increase people's mobility around the world, researchers and practitioners can learn from the lived experiences of FSW to inform whether and how to tailor and improve the accessibility of HIV care and treatment interventions based on spatial, temporal, and social characteristics of mobility.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE País/Región como asunto: Caribe ingles / Dominica / Republica dominicana Idioma: En Revista: PLOS Glob Public Health Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE País/Región como asunto: Caribe ingles / Dominica / Republica dominicana Idioma: En Revista: PLOS Glob Public Health Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos