Abstract
Purpose of Review: This review describes social determinants of HIV in two geographic and epidemic settings, the Dominican Republic (DR) and Tanzania, among female sex workers (FSW), their influence on HIV outcomes including 90-90-90 goals, and the development and impact of tailored, context driven, community empowerment-based responses in each setting. Recent Findings: Our review documents the significance of social determinants of HIV including sex work-related stigma, discrimination, and violence and the impact of community empowerment-based approaches on HIV incidence in Tanzania and other HIV prevention, treatment, and care outcomes, including care engagement and adherence, in the DR and Tanzania. Summary: Community empowerment approaches where FSW drive the response to HIV and strategically engage partners to target socio-structural and environmental factors can have a demonstrable impact on HIV prevention, treatment, and care outcomes. Such approaches can also support further gains towards reaching the 90-90-90 across geographies and types of epidemics.
Original language | English |
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Pages (from-to) | 88-96 |
Number of pages | 9 |
Journal | Current HIV/AIDS Reports |
Volume | 17 |
Issue number | 2 |
DOIs | |
State | Published - 1 Apr 2020 |
Bibliographical note
Publisher Copyright:© 2020, Springer Science+Business Media, LLC, part of Springer Nature.
Keywords
- Community empowerment
- HIV
- Sex work
- Social determinants
- Stigma
- Violence
- Epidemics
- Tanzania/epidemiology
- Humans
- Dominican Republic/epidemiology
- Social Determinants of Health/statistics & numerical data
- Empowerment
- Incidence
- Violence/statistics & numerical data
- Adult
- Female
- Social Stigma
- HIV Infections/epidemiology
- Sex Workers/psychology
ASJC Scopus subject areas
- Infectious Diseases
- Virology