Deanna Kerrigan1, Yeycy Donastorg2, Clare Barrington3, Martha Perez2, Hoisex Gomez2, Jessie Mbwambo4, Samuel Likindikoki4, Andrea Mantsios5, S Wilson Beckham6, Anna Leddy7, Tahilin Sanchez Karver5, Noya Galai6,8, Wendy W Davis5. 1. Center on Health, Risk and Society, American University, 4400 Massachusetts Ave, NW, Washington, DC, 20016-8012, USA. Kerrigan@american.edu. 2. Instituto Dermatologico y Cirugia de la Piel, Calle Albert Thomas, 66, Santo Domingo, Dominican Republic. 3. Department of Health Behavior, UNC, Gillings School of Global Public Health, Chapel Hill, NC, 27599, USA. 4. Muhimibili University of Health and Allied Sciences, 9 United Nations Road, P.O. Box 65001, Dar es Salaam, Tanzania. 5. Center on Health, Risk and Society, American University, 4400 Massachusetts Ave, NW, Washington, DC, 20016-8012, USA. 6. Bloomberg School of Public Health, Johns Hopkins University, 615 N. Wolfe Street, Baltimore, MD, 21205, USA. 7. School of Medicine, University of California, San Francisco, San Francisco, CA, 94143, USA. 8. Department of Statistics, University of Haifa, Mt Carmel, Haifa, Israel.
Abstract
PURPOSE OF REVIEW: This review describes social determinants of HIV in two geographic and epidemic settings, the Dominican Republic (DR) and Tanzania, among female sex workers (FSW), their influence on HIV outcomes including 90-90-90 goals, and the development and impact of tailored, context driven, community empowerment-based responses in each setting. RECENT FINDINGS: Our review documents the significance of social determinants of HIV including sex work-related stigma, discrimination, and violence and the impact of community empowerment-based approaches on HIV incidence in Tanzania and other HIV prevention, treatment, and care outcomes, including care engagement and adherence, in the DR and Tanzania. Community empowerment approaches where FSW drive the response to HIV and strategically engage partners to target socio-structural and environmental factors can have a demonstrable impact on HIV prevention, treatment, and care outcomes. Such approaches can also support further gains towards reaching the 90-90-90 across geographies and types of epidemics.
PURPOSE OF REVIEW: This review describes social determinants of HIV in two geographic and epidemic settings, the Dominican Republic (DR) and Tanzania, among female sex workers (FSW), their influence on HIV outcomes including 90-90-90 goals, and the development and impact of tailored, context driven, community empowerment-based responses in each setting. RECENT FINDINGS: Our review documents the significance of social determinants of HIV including sex work-related stigma, discrimination, and violence and the impact of community empowerment-based approaches on HIV incidence in Tanzania and other HIV prevention, treatment, and care outcomes, including care engagement and adherence, in the DR and Tanzania. Community empowerment approaches where FSW drive the response to HIV and strategically engage partners to target socio-structural and environmental factors can have a demonstrable impact on HIV prevention, treatment, and care outcomes. Such approaches can also support further gains towards reaching the 90-90-90 across geographies and types of epidemics.
Entities:
Keywords:
Community empowerment; HIV; Sex work; Social determinants; Stigma; Violence
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