TY - JOUR
T1 - Assessing and Addressing Social Determinants of HIV among Female Sex Workers in the Dominican Republic and Tanzania through Community Empowerment-Based Responses
AU - Kerrigan, Deanna
AU - Donastorg, Yeycy
AU - Barrington, Clare
AU - Perez, Martha
AU - Gomez, Hoisex
AU - Mbwambo, Jessie
AU - Likindikoki, Samuel
AU - Mantsios, Andrea
AU - Beckham, S. Wilson
AU - Leddy, Anna
AU - Karver, Tahilin Sanchez
AU - Galai, Noya
AU - Davis, Wendy W.
N1 - Publisher Copyright:
© 2020, Springer Science+Business Media, LLC, part of Springer Nature.
PY - 2020/4/1
Y1 - 2020/4/1
N2 - 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. Summary: 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.
AB - 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. Summary: 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.
KW - Community empowerment
KW - HIV
KW - Sex work
KW - Social determinants
KW - Stigma
KW - Violence
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U2 - 10.1007/s11904-020-00485-3
DO - 10.1007/s11904-020-00485-3
M3 - Review article
C2 - 32072467
AN - SCOPUS:85079881121
SN - 1548-3568
VL - 17
SP - 88
EP - 96
JO - Current HIV/AIDS reports
JF - Current HIV/AIDS reports
IS - 2
ER -