Evidence map›Paper›PMID 38883774›Full record

ArticleResearch square2024

Crossroads of Choice: A qualitative study of the factors influencing decisions to transition from sex work among women engaged in sex work in Southern Uganda.

Jennifer Nattabi, Ozge Sensoy Bahar, Josephine Nabayinda, Proscovia Nabunya, Joshua Kiyingi, Samuel Kizito, Flavia Namuwonge, Edward Nsubuga, Susan S Witte, Fred M Ssewamala

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In one paragraph

Article in Research square, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Jennifer NattabiWashington University in St. Louis.
Ozge Sensoy BaharWashington University in St. Louis.
Josephine NabayindaWashington University in St. Louis.
Proscovia NabunyaWashington University in St. Louis.
Joshua KiyingiWashington University in St. Louis.
Samuel KizitoWashington University in St. Louis.
Flavia NamuwongeWashington University in St. Louis.
Edward NsubugaWashington University in St. Louis.
Susan S WitteColumbia University.
Fred M SsewamalaWashington University in St. Louis.

Funding

Kyaterekera Project: A Combination Intervention Addressing Sexual Risk-Taking Behaviors Among Vulnerable Women in UgandaR01MH116768 · NIMH · WASHINGTON UNIVERSITY · PI SSEWAMALA, FRED M, WITTE, SUSAN S · 2018 to 2022
$3.1M
NIMH NIH HHS R01 MH116768
6 · The paper itself

Abstract

Background: Women Engaged in commercial Sex Work (WESW) are exposed to behavioral, biological, and structural factors that exacerbate their risk to HIV infection and other sexually transmitted infections. While commercial sex work may appear voluntary, WESW are more likely to be constrained to selling sex due to limited viable alternatives. To effectively support this vulnerable group of women, it is critical to understand factors that facilitate and impede their decisions to transition from sex work into other careers or jobs. The current study explored women's decision to transition from sex work into other careers or jobs. Methods: Semi-structured in-depth interviews were conducted with 53 WESW aged 20-47 enrolled within a larger study-Kyaterekera study, a randomized clinical trial (N = 542) implemented in 19 HIV hotspots in the Southern region of Uganda. Participants were selected based on their intervention attendance (high/medium/low attendance). The interviews were conducted in Luganda the widely spoken language in the study area to explore the factors influencing women's decisions to from transition from sex work to other jobs or careers. The main interview question used for this study was, Results: Participants reported three primary types of decisions, including considering leaving sex work, deciding to leave, and continuing sex work. The emerging themes from the interviews were categorized into individual and structural level facilitators and barriers to leave sex work. Individual level factors included issues of stigma, discrimination, and aging as factors that facilitated women's decision to leave sex work. At the structural level, factors which include interpersonal stigma and discrimination (from immediate family and community members), physical and sexual violence and income related factors were identified as facilitators and barriers to leaving sex work. Conclusion: Our study highlights the complex decision-making processes among WESW as they navigate transitions to alternative jobs or careers. By advocating for multifaceted interventions and policies tailored to the diverse challenges faced by WESW, our study contributes to a more informed approach to supporting their transition out of sex work.

Indexed as

Commercial sex workSub-Saharan AfricaTransition from sex workUgandaWomen Engaged in Sex Work

Identifiers

PMID38883774
PMCPMC11177997

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.