TY - JOUR
T1 - HIV prevention among women in low- and middle-income countries
T2 - Intervening upon contexts of heightened HIV risk
AU - Strathdee, Steffanie A.
AU - Wechsberg, Wendee M.
AU - Kerrigan, Deanna L.
AU - Patterson, Thomas L.
PY - 2013/3
Y1 - 2013/3
N2 - Women's vulnerability to HIV infection is influenced by contextual factors in the risk environment that operate at multiple levels (i.e., physical, social, economic, policy). We present three case studies that illustrate combination approaches to HIV prevention among women who are at heightened risk for infection, especially sex workers, in low- and middle-income countries (LMICs). Lessons learned from these case studies are consistent with international literature promoting interventions that combine sexual risk reduction, condom promotion, and improved access to sexually transmitted infection (STI) treatment in the context of structural interventions, including policy change and empowerment of sex workers to reduce their vulnerability to HIV/STIs. We suggest avenues for future research and new intervention targets as well as a more nuanced approach to understanding the structural and social vulnerability of women to HIV infection in these settings.
AB - Women's vulnerability to HIV infection is influenced by contextual factors in the risk environment that operate at multiple levels (i.e., physical, social, economic, policy). We present three case studies that illustrate combination approaches to HIV prevention among women who are at heightened risk for infection, especially sex workers, in low- and middle-income countries (LMICs). Lessons learned from these case studies are consistent with international literature promoting interventions that combine sexual risk reduction, condom promotion, and improved access to sexually transmitted infection (STI) treatment in the context of structural interventions, including policy change and empowerment of sex workers to reduce their vulnerability to HIV/STIs. We suggest avenues for future research and new intervention targets as well as a more nuanced approach to understanding the structural and social vulnerability of women to HIV infection in these settings.
KW - Gender inequality
KW - Interventions
KW - Sex workers
KW - Violence
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U2 - 10.1146/annurev-publhealth-031912-114411
DO - 10.1146/annurev-publhealth-031912-114411
M3 - Article
C2 - 23297666
AN - SCOPUS:84875465477
SN - 0163-7525
VL - 34
SP - 301
EP - 316
JO - Annual review of public health
JF - Annual review of public health
ER -