ArticleQualitative health research2013
Structural factors that increase HIV/STI vulnerability among indigenous people in the Peruvian amazon.
Article in Qualitative health research, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.
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Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 41 citations in OpenAlex.
- Network Meta-Analytical Investigations of the Performance of HIV Combination Prevention Strategies for Indigenous Populations.Viruses · 2025Pooled it
- Implementation Science for HIV Prevention and Treatment in Indigenous Communities: a Systematic Review and Commentary.Current HIV/AIDS reports · 2024Pooled it
- Article
- "Journal of homosexuality · 2025Article
- Article
- Prevalence of HIV-1 infection and associated characteristics in a Brazilian indigenous population: a cross-sectional study.Lancet regional health. Americas · 2023Article
- Factors influencing adherence to anti-retroviral therapy in amazonian indigenous people living with HIV/AIDS.BMC public health · 2023Article
- A review of transactional sex for natural resources: Under-researched, overstated, or unique to fishing economies?Global public health · 2019Review
- HIV and syphilis in the context of community vulnerability among indigenous people in the Brazilian Amazon.International journal for equity in health · 2017Article
- The extractive industry in Latin America and the Caribbean: health impact assessment as an opportunity for the health authority.International journal of public health · 2017Review
- Point-of-care screening for syphilis and HIV in the borderlands: challenges in implementation in the Brazilian Amazon.BMC health services research · 2015Article
- Health, healthcare access, and use of traditional versus modern medicine in remote Peruvian Amazon communities: a descriptive study of knowledge, attitudes, and practices.The American journal of tropical medicine and hygiene · 2015Article
- High prevalence of human T-lymphotropic virus infection in indigenous women from the peruvian Amazon.PloS one · 2013Article
- What is known about sexual and reproductive health in Latin American and Caribbean mining contexts? A systematic scoping review.Public health reviewsArticle
- ¿Somos iguales? Using a structural violence framework to understand gender and health inequities from an intersectional perspective in the Peruvian Amazon.Global health actionArticle
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 2 countries.
Funding
Abstract
We examined structural factors-social, political, economic, and environmental-that increase vulnerability to HIV among indigenous people in the Peruvian Amazon. Indigenous adults belonging to 12 different ethnic groups were purposively recruited in four Amazonian river ports and 16 indigenous villages. Qualitative data revealed a complex set of structural factors that give rise to environments of risk where health is constantly challenged. Ferryboats that cross Amazonian rivers are settings where unprotected sex-including transactional sex between passengers and boat crew and commercial sex work-often take place. Population mobility and mixing also occurs in settings like the river docks, mining sites, and other resource extraction camps, where heavy drinking and unprotected sex work are common. Multilevel, combination prevention strategies that integrate empirically based interventions with indigenous knowledge are urgently needed, not only to reduce vulnerability to HIV transmission, but also to eliminate the structural determinants of indigenous people's health.
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