Mindfulness, Mental Health and HIV Outcomes Among Female Sex Workers in the Dominican Republic and Tanzania.
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. Depres...
| Publicado en: | AIDS & Behavior Vol. 25; no. 9; pp. 2941 - 2951 |
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| Autores principales: | , , , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Sep2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=151976461&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 151976461 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10907165 G1T jtl: AIDS & Behavior issn: 10907165 maglogo: N pubinfo: dt: Sep2021 vid: 25 iid: 9 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 151976461 148397944 151976461 151976461 10.1007/s10461-021-03168-1 151976461 ppf: 2941 ppct: 10 formats: fmt: @attributes: type: P tig: atl: Mindfulness, Mental Health and HIV Outcomes Among Female Sex Workers in the Dominican Republic and Tanzania. aug: au: Kerrigan, Deanna Karver, Tahilin Sanchez Barrington, Clare Donastorg, Yeycy Perez, Martha Gomez, Hoisex Mbwambo, Jessie Likindikoki, Samuel Davis, Wendy Wilson Beckham, S. Mantsios, Andrea Galai, Noya Sibinga, Erica affil: Department of Prevention and Community Health, Milken Institute School of Public Health, George Washington University, Washington, D.C., USA sug: subj: Mindfulness Mental Health HIV Infections Drug Therapy Treatment Outcomes Sex Work Dominican Republic Sex Work Tanzania Women Psychosocial Factors Human Tanzania Dominican Republic Cross Sectional Studies Multivariate Analysis Linear Regression Logistic Regression Descriptive Statistics Confidence Intervals Depression Anxiety Medication Compliance Anti-Retroviral Agents Therapeutic Use Stigma Viral Load ab: 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. Resumen: Examinamos la relación entre la atención plena, la salud mental y los resultados del VIH entre las trabajadoras sexuales (TRSX) de la República Dominicana (RD) (n = 201) y Tanzania (n = 208) utilizando una encuesta transversal y datos biológicos. Empleamos regresión lineal multivariada estratificada y regresión logística. La depresión se asoció con menores probabilidades de adherencia al terapia antiretroviral (TAR) en la República Dominicana (AOR 0.25, IC del 95%: 0.08–0.78) y de supresión viral en Tanzania (AOR 0.49, IC del 95%: 0.24–0.97). En ambos países, la atención plena se asoció con menores probabilidades de depresión moderada a grave (AOR 0.82, IC del 95%: 0.76–0.88 para la República Dominicana; AOR 0.85, IC del 95%: 0.77–0.95 para Tanzania). En la República Dominicana, la atención plena se asoció con menores probabilidades de ansiedad (AOR 0.83, IC del 95%: 0.77–0.89), menor estigma del VIH (β = − 0.28 por unidad de cambio, IC del 95%: − 0.37 to − 0.19) y mayores probabilidades de supresión viral (AOR 1.09, 95% CI: 1.02–1.15). Los hallazgos demuestran el potencial de las intervenciones de atención plena para mejorar la salud mental y los resultados del VIH entre las TRSX. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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