‘We Talk, We Do Not Have Shame’: Addressing Stigma by Reconstructing Identity through Enhancing Social Cohesion among Female Sex Workers Living with HIV in the Dominican Republic

Citation

Carrasco, Maria Augusta; Barrington, Clare; Kennedy, Caitlin E.; Perez, Martha; Donastorg, Yeycy A.; & Kerrigan, Deanna L. (2017). 'We Talk, We Do Not Have Shame': Addressing Stigma by Reconstructing Identity through Enhancing Social Cohesion among Female Sex Workers Living with HIV in the Dominican Republic. Culture, Health & Sexuality, 19(5), 543-556. PMCID: PMC7285388

Abstract

This study explores social cohesion as a strategy used by female sex workers to address layered HIV and sex work-related stigma. Data derive from a thematic analysis of 23 in-depth interviews and 2 focus groups with female sex workers living with HIV enrolled in a multi-level HIV/STI prevention, treatment and care intervention in Santo Domingo, Dominican Republic. Drawing on Foucault's conceptualisation of modern power, discipline and resistance, we argue that social cohesion provides the psychosocial space (of trust, solidarity and mutual aid) to subvert oppressive societal norms, enabling the reconstruction of identity. Among study participants, identity reconstruction happened through the production, repetition and performance of new de-stigmatised narratives that emerged and were solidified through collective interaction. Findings highlight that enabling the collective reconstruction of identity through social cohesion - rather than solely attempting to change individual beliefs - is a successful approach to addressing stigma.

URL

http://dx.doi.org/10.1080/13691058.2016.1242779

Reference Type

Journal Article

Year Published

2017

Journal Title

Culture, Health & Sexuality

Author(s)

Carrasco, Maria Augusta
Barrington, Clare
Kennedy, Caitlin E.
Perez, Martha
Donastorg, Yeycy A.
Kerrigan, Deanna L.

PMCID

PMC7285388

ORCiD

Barrington - 0000-0001-7802-4051