Evidence map›Paper›PMID 40778225›Full record

ArticleChildren and youth services review2025

The Intersection of Caregiving and Financial Vulnerability: Empowerment Barriers for Women in Sex Work.

Massy Mutumba, Ozge Sensoy-Bahar, Proscovia Nabunya, Susan Witte, Jennifer Nattabi, Edward Nsubuga, Josephine Nabayinda, Joshua Kiyingi, Fred M Ssewamala

Abstract read
In one paragraph

Article in Children and youth services review, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Massy MutumbaUniversity of Michigan School of Nursing.
Ozge Sensoy-BaharWashington University in St. Louis.
Proscovia NabunyaWashington University in St. Louis.
Susan WitteColumbia University.
Jennifer NattabiWashington University in St. Louis.
Edward NsubugaWashington University in St. Louis.
Josephine NabayindaWashington University in St. Louis.
Joshua KiyingiWashington University in St. Louis.
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

This study explores the factors that shape the savings behaviors of women engaged in sex work (WESW) in southwestern Uganda, with a particular focus on the intersection of caregiving responsibilities and economic vulnerability. Drawing on qualitative data from the Kyaterekera study-an intervention that combined economic empowerment strategies (savings, financial literacy, and mentorship) with HIV risk reduction-we examine how WESW navigate financial decision-making in the context of structural and social constraints. While participants demonstrated motivation and resilience in pursuing financial stability, they encountered significant and intersecting barriers, including fluctuating income, caregiving demands, gendered norms, and the absence of formal social support systems. Findings reveal that caregiving is not merely a personal role but a structurally marginalized identity that shapes economic behavior in profound ways as these caregiving responsibilities intersect with factors such as marital status, household composition, and urban-rural location to produce differentiated financial challenges. Despite these constraints, participants engaged in strategic saving to meet essential needs, respond to emergencies, and invest in long-term goals such as homeownership and their children's education. These insights underscore the importance of adopting an intersectional approach to economic empowerment-one that accounts for the diverse and overlapping realities of WESW. Tailored interventions that integrate financial literacy, peer mentoring, and potentially self-help groups can more effectively address both individual and structural barriers. By centering caregiving within economic empowerment strategies, programs can better support the long-term financial autonomy and well-being of WESW and their families.

Indexed as

economic vulnerabilityHIV risk reductionMicrofinancesocial support

Identifiers

PMID40778225
PMCPMC12327086

What OpenQuestion holds

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Registered trials

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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.