Mindfulness, Mental Health and HIV Outcomes Among Female Sex Workers in the Dominican Republic and Tanzania.

Journal: AIDS and behavior

Volume: 25

Issue: 9

Year of Publication: 2021

Affiliated Institutions:  Department of Prevention and Community Health, Milken Institute School of Public Health, George Washington University, Washington, D.C., USA. Department of Health, Behavior, and Society, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA. Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, USA. HIV Vaccine Trials Research Unit, Instituto Dermatologico y Cirugia de la Piel, Santo Domingo, Dominican Republic. Department of Psychiatry, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania. Public Health Innovation and Action, New York, NY, USA. armantsios@gmail.com. Department of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA. Department of Pediatrics, School of Medicine, Johns Hopkins University, Baltimore, MD, USA.

Abstract summary 

We examined the relationship between mindfulness, mental health and HIV outcomes among female sex workers (FSW) from the Dominican Republic (DR) (n = 201) and Tanzania (n = 208) using cross-sectional survey and biologic data. We employed stratified multivariate linear and logistic regression. Depression was associated with lower odds of ART adherence in the DR (AOR 0.25, 95% CI: 0.08-0.78) and of viral suppression in Tanzania (AOR 0.49, 95% CI: 0.24-0.97). In both countries, mindfulness was associated with lower odds of moderate to severe depression (AOR 0.82, 95% CI: 0.76-0.88 for the DR; AOR 0.85, 95% CI: 0.77-0.95 for Tanzania). In the DR, mindfulness was associated with lower odds of anxiety (AOR 0.83, 95% CI: 0.77-0.89), lower HIV stigma (β = - 0.28 per unit change, 95% CI: - 0.37 to - 0.19) and greater odds of viral suppression (AOR 1.09, 95% CI: 1.02-1.15). Findings demonstrate the potential of tailored mindfulness interventions to improve mental health and HIV outcomes among FSW.

Authors & Co-authors:  Kerrigan Deanna D Karver Tahilin Sanchez TS Barrington Clare C Donastorg Yeycy Y Perez Martha M Gomez Hoisex H Mbwambo Jessie J Likindikoki Samuel S Davis Wendy W Wilson Beckham S S Mantsios Andrea A Galai Noya N Sibinga Erica E

Study Outcome 

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Statistics
Citations :  Shannon K, Crago AL, Baral SD, Bekker LG, Kerrigan D, Decker MR, et al.The global response and unmet actions for HIV and sex workers. Lancet. 2018;392(10148):698–710.
Authors :  13
Identifiers
Doi : 10.1007/s10461-021-03168-1
SSN : 1573-3254
Study Population
Female
Mesh Terms
Cross-Sectional Studies
Other Terms
Depression/anxiety;HIV;Mindfulness;Sex work;Stigma
Study Design
Cross Sectional Study
Study Approach
Country of Study
Tanzania
Publication Country
United States