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Decision-Making at the Intersection of Risk and Pleasure: A Qualitative Inquiry with Trans Women Engaged in Sex Work in Lima, Peru.
Naz-McLean, Sarah; Clark, Jesse L; Reisner, Sari L; Prenner, Joshua C; Weintraub, Brendan; Huerta, Leyla; Salazar, Ximena; Lama, Javier R; Mayer, Kenneth H; Perez-Brumer, Amaya.
Afiliação
  • Naz-McLean S; Department of Medicine, Division of Infectious Diseases, Brigham and Women's Hospital, 181 Longwood Ave, Boston, MA, 02115, USA. snaz-mclean@bwh.harvard.edu.
  • Clark JL; Department of Medicine, Division of Infectious Diseases, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA, USA.
  • Reisner SL; Department of Medicine, Division of Infectious Diseases, Brigham and Women's Hospital, 181 Longwood Ave, Boston, MA, 02115, USA.
  • Prenner JC; Harvard T.H. Chan School of Public Health, Boston, MA, USA.
  • Weintraub B; The Fenway Institute, Fenway Health, Boston, MA, USA.
  • Huerta L; Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
  • Salazar X; Patient Centered Outcomes Research Institute, Washington, DC, USA.
  • Lama JR; Féminas, Lima, Peru.
  • Mayer KH; , Lima, Peru.
  • Perez-Brumer A; Asociación Civil Impacta Salud Y Educación, Lima, Peru.
AIDS Behav ; 26(3): 843-852, 2022 Mar.
Article em En | MEDLINE | ID: mdl-34436712
To inform culturally relevant HIV prevention interventions, we explore the complexity of sex work among Peruvian transgender women. In 2015, we conducted twenty in-depth interviews and demographic surveys with transgender women in Lima, Peru to examine how transgender women enact individual- and community-level resistance strategies within a context of pervasive marginalization. Although 40% self-identified as "sex workers," 70% recently exchanged sex for money. Participants described nuanced risk-benefit analyses surrounding paid sexual encounters. Classification of clients as "risky" or "rewarding" incorporated issues of health, violence, and pleasure. Interviews highlighted context-informed decision-making (rejecting disrespectful clients, asserting condom use with specific partner types) demonstrating that motivations were not limited to HIV prevention or economic renumeration, but considered safety, health, attraction, gender validation, hygiene, and convenience. These findings underscore the complex risk assessments employed by Peruvian trans women. These individual-level decision-making and context-specific health promotion strategies represent critical frameworks for HIV prevention efforts.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Infecções por HIV / Pessoas Transgênero Tipo de estudo: Etiology_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Limite: Female / Humans País/Região como assunto: America do sul / Peru Idioma: En Revista: AIDS Behav Assunto da revista: CIENCIAS DO COMPORTAMENTO / SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS) Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Infecções por HIV / Pessoas Transgênero Tipo de estudo: Etiology_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Limite: Female / Humans País/Região como assunto: America do sul / Peru Idioma: En Revista: AIDS Behav Assunto da revista: CIENCIAS DO COMPORTAMENTO / SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS) Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Estados Unidos