ArticleAIDS and behavior2018
Adapting the Risk Environment Framework to Understand Substance Use, Gender-Based Violence, and HIV Risk Behaviors Among Female Sex Workers in Tanzania.
Article in AIDS and behavior, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed.
- Essential elements of a community empowerment approach to HIV prevention among female sex workers engaged in project Shikamana in Iringa, Tanzania.Culture, health & sexuality · 2020Trial
- Project Shikamana: Community Empowerment-Based Combination HIV Prevention Significantly Impacts HIV Incidence and Care Continuum Outcomes Among Female Sex Workers in Iringa, Tanzania.Journal of acquired immune deficiency syndromes (1999) · 2019Trial
- Social determinants of hazardous alcohol use in a Ugandan population cohort.Global health action · 2025Article
- Exploring the Interplay of Social and Physical Factors in Risk Dynamics and Transitions Across the Life-Course of Female Sex Workers in Blantyre, Malawi: A Longitudinal Narrative Study.AIDS and behavior · 2025Article
- Spatial epidemiology of nonfatal overdose in a community-based cohort of marginalized women in Vancouver, British Columbia (2014-2022).Drug and alcohol dependence · 2025Article
- Improving measures of context in process evaluations: development and use of the Context Tracker tool.Trials · 2024Article
- Violence Against Women Who Sell Sex in Eastern and Southern Africa: A Scoping Review.Trauma, violence & abuse · 2024Article
- Sexual practices, their influencers, and utilization of HIV services among female sex workers in Mombasa County, Kenya.The Pan African medical journal · 2024Article
- Epidemiology of alcohol use and alcohol use disorder among female sex workers in Mbeya City, Tanzania.PLOS global public health · 2024Article
- Human rights and HIV: rhetoric or determinants?BMJ global health · 2023Article
- Sexualized Substance Use among Female Sex Workers in Iran: Findings from a Nationwide Survey.Substance use & misuse · 2023Article
- Alcohol use and associated risk factors among female sex workers in low- and middle-income countries: A systematic review and meta-analysis.PLOS global public health · 2023Article
- Article
- Exploring the dynamics of the quality of HIV care experienced by female sex workers living in the Dominican Republic.PLOS global public health · 2023Article
- Harmful Alcohol Use and Associated Socio-Structural Factors among Female Sex Workers Initiating HIV Pre-Exposure Prophylaxis in Dar es Salaam, Tanzania.International journal of environmental research and public health · 2022Article
- Article
- Development of the Experiences of Sex Work Stigma Scale Using Item Response Theory: Implications for Research on the Social Determinants of HIV.AIDS and behavior · 2021Article
- Mindfulness, Mental Health and HIV Outcomes Among Female Sex Workers in the Dominican Republic and Tanzania.AIDS and behavior · 2021Article
- Article
- Female Sex Workers' Experiences of Violence and Substance Use on the Haitian, Dominican Republic Border.Annals of global health · 2020Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
Female sex workers (FSWs) in sub-Saharan Africa are disproportionately affected by HIV and gender-based violence (GBV). Substance use overlaps with these co-occurring epidemics to further increase FSWs' risk for negative health outcomes. We explored the relationship between substance use, GBV, and consistent condom use utilizing baseline data from a cohort of 496 FSWs in Tanzania. Results demonstrate high levels of alcohol use and GBV, and low levels of consistent condom use. Frequent intoxication during sex work was associated with increased odds of recent GBV (aOR 1.64, 95% CI 1.07, 2.49; p value 0.02) and reduced odds of consistent condom use with clients (aOR 0.58, 95% CI 0.37, 0.92; p-value 0.02). We adapt the risk environment framework to contextualize our findings in the social and structural context and to gain insight into intervention approaches to address the intersecting challenges of substance use, GBV, and HIV among FSWs in Tanzania and similar settings.
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