Kate Shannon1, Shira M Goldenberg, Kathleen N Deering, Steffaine A Strathdee. 1. aGender and Sexual Health Initiative, British Columbia Centre for Excellence in HIV/AIDS bDepartment of Medicine, University of British Columbia, Vancouver, British Columbia, Canada cGlobal Health Sciences, University of California San Diego School of Medicine, San Diego, USA.
Abstract
PURPOSE OF REVIEW: This article reviews the current state of the epidemiological literature on female sex work and HIV from the past 18 months. We offer a conceptual framework for structural HIV determinants and sex work that unpacks intersecting structural, interpersonal, and individual biological and behavioural factors. RECENT FINDINGS: Our review suggests that despite the heavy HIV burden among female sex workers (FSWs) globally, data on the structural determinants shaping HIV transmission dynamics have only begun to emerge. Emerging research suggests that factors operating at macrostructural (e.g., migration, stigma, criminalized laws), community organization (e.g., empowerment) and work environment levels (e.g., violence, policing, access to condoms HIV testing, HAART) act dynamically with interpersonal (e.g., dyad factors, sexual networks) and individual biological and behavioural factors to confer risks or protections for HIV transmission in female sex work. SUMMARY: Future research should be guided by a Structural HIV Determinants Framework to better elucidate the complex and iterative effects of structural determinants with interpersonal and individual biological and behavioural factors on HIV transmission pathways among FSWs, and meet critical gaps in optimal access to HIV prevention, treatment, and care for FSWs globally.
PURPOSE OF REVIEW: This article reviews the current state of the epidemiological literature on female sex work and HIV from the past 18 months. We offer a conceptual framework for structural HIV determinants and sex work that unpacks intersecting structural, interpersonal, and individual biological and behavioural factors. RECENT FINDINGS: Our review suggests that despite the heavy HIV burden among female sex workers (FSWs) globally, data on the structural determinants shaping HIV transmission dynamics have only begun to emerge. Emerging research suggests that factors operating at macrostructural (e.g., migration, stigma, criminalized laws), community organization (e.g., empowerment) and work environment levels (e.g., violence, policing, access to condoms HIV testing, HAART) act dynamically with interpersonal (e.g., dyad factors, sexual networks) and individual biological and behavioural factors to confer risks or protections for HIV transmission in female sex work. SUMMARY: Future research should be guided by a Structural HIV Determinants Framework to better elucidate the complex and iterative effects of structural determinants with interpersonal and individual biological and behavioural factors on HIV transmission pathways among FSWs, and meet critical gaps in optimal access to HIV prevention, treatment, and care for FSWs globally.
Authors: Kathleen N Deering; Mark W Tyndall; Jean Shoveller; Stephen Moses; James F Blanchard; Souradet Shaw; Banadakoppa M Ramesh; Shajy Isac; Marie-Claude Boily Journal: Sex Transm Dis Date: 2010-11 Impact factor: 2.830
Authors: Angela M Robertson; Jennifer L Syvertsen; Hortensia Amaro; Gustavo Martinez; M Gudelia Rangel; Thomas L Patterson; Steffanie A Strathdee Journal: J Sex Res Date: 2013-05-09
Authors: Kathleen N Deering; Avni Amin; Jean Shoveller; Ariel Nesbitt; Claudia Garcia-Moreno; Putu Duff; Elena Argento; Kate Shannon Journal: Am J Public Health Date: 2014-03-13 Impact factor: 9.308
Authors: B M Ramesh; Tara S H Beattie; Isac Shajy; Reynold Washington; Latta Jagannathan; Sushena Reza-Paul; James F Blanchard; Stephen Moses Journal: Sex Transm Infect Date: 2010-02 Impact factor: 3.519
Authors: Andrea K Blanchard; Haranahalli Lakkappa Mohan; Maryam Shahmanesh; Ravi Prakash; Shajy Isac; Banadakoppa Manjappa Ramesh; Parinita Bhattacharjee; Vandana Gurnani; Stephen Moses; James F Blanchard Journal: BMC Public Health Date: 2013-03-16 Impact factor: 3.295
Authors: Jennifer L Syvertsen; Angela Robertson Bazzi; Gustavo Martinez; M Gudelia Rangel; Monica D Ulibarri; Kirkpatrick B Fergus; Hortensia Amaro; Steffanie A Strathdee Journal: Am J Public Health Date: 2015-06-11 Impact factor: 9.308
Authors: Julie Sou; Kate Shannon; Jane Li; Paul Nguyen; Steffanie A Strathdee; Jean Shoveller; Shira M Goldenberg Journal: Sex Transm Dis Date: 2015-06 Impact factor: 2.830
Authors: Kate Shannon; Anna-Louise Crago; Stefan D Baral; Linda-Gail Bekker; Deanna Kerrigan; Michele R Decker; Tonia Poteat; Andrea L Wirtz; Brian Weir; Marie-Claude Boily; Jenny Butler; Steffanie A Strathdee; Chris Beyrer Journal: Lancet Date: 2018-07-20 Impact factor: 79.321