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

Citation

Kerrigan, Deanna L.; Karver, Tahilin Sanchez; Barrington, Clare; Donastorg, Yeycy A.; Perez, Martha; Gomez, Hoisex; Mbwambo, Jessie K.; Likindikoki, Samuel; Davis, Wendy W.; & Wilson Beckham, S., et al. (Online ahead of print). Mindfulness, Mental Health and HIV Outcomes among Female Sex Workers in the Dominican Republic and Tanzania. AIDS and Behavior.

Abstract

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.

URL

http://dx.doi.org/10.1007/s10461-021-03168-1

Reference Type

Journal Article

Article Type

Regular

Year Published

Online ahead of print

Journal Title

AIDS and Behavior

Author(s)

Kerrigan, Deanna L.
Karver, Tahilin Sanchez
Barrington, Clare
Donastorg, Yeycy A.
Perez, Martha
Gomez, Hoisex
Mbwambo, Jessie K.
Likindikoki, Samuel
Davis, Wendy W.
Wilson Beckham, S.
Mantsios, Andrea R.
Galai, Noya
Sibinga, Erica

Continent/Country

Dominican Republic
Tanzania