Does asset ownership influence sexual risk-taking behaviors among women engaged in sex work in Southern Uganda? A mediation analysis.
Does asset ownership influence sexual risk-taking behaviors among women engaged in sex work in Southern Uganda? A mediation analysis.
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DOI：
10.1186/s12905-022-02129-7
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发表时间：
2022-12-22
影响因子：
2.5
通讯作者：
Fred, M. Ssewamala
中科院分区：
文献类型：
--
作者：
Nabayinda, Josephine;Kiyingi, Joshua;Kizito, Samuel;Nsubuga, Edward;Nabunya, Proscovia;Bahar, Ozge Sensoy;Magorokosho, Natasja;Nattabi, Jennifer;Witte, Susan;Fred, M. Ssewamala
经济脆弱性影响从事商业性工作的妇女进一步从事危险的性行为，因为她们往往有多个顾客，并为经济利益从事无保护的性行为。本研究探讨了资产所有权的直接和间接的影响，在乌干达南部，一个非常脆弱的妇女群体在感染艾滋病毒和其他性传播感染的高风险之间的WESW的性冒险行为。我们使用了来自Kyaterekera研究的基线数据，这是一项由NIH资助的研究，在乌干达南部19个艾滋病毒热点地区的18-55岁的WESW中进行。结构方程模型被用来研究直接，间接和总的影响，资产定义为所有权的物质和金融资源的性冒险行为之间WESW。结果表明，资产所有权与抑郁症的减少有关（β = − 0.096 [95% CI − 0.191，− 0.001]，p = 0.050）和获得医疗保健的机会增加（β = 0.174 [95% CI 0.072，0.275]，p = 0.001）。我们还发现，获得医疗服务的机会增加与性冒险行为减少有关（β = − 0.107 [95% CI − 0.210，− 0.004]，p = 0.041）。我们观察到，通过获得医疗服务，资产和性冒险行为之间存在特定的间接影响（β =-0.019 [95% CI-0.040，-0.002]，p = 0.05）。中介贡献了资产所有权对性冒险行为总影响的31%。据我们所知，这是为数不多的研究，以检查在乌干达南部的WESW之间的性冒险行为的资产所有权的影响。这项研究的结果表明，增加获得经济资源的机会可能会降低饮水、环卫和安全工人为获得更高收入而从事无保护性行为的风险，从而限制艾滋病毒在这一人群中的传播。研究结果还表明，资产所有权可能使妇女能够获得医疗保健服务。
Economic vulnerability influences women engaged in commercial sex work (WESW) to further engage in sexual risk behaviors, as they often have multiple customers and engage in unprotected sex for financial gains. This study examined asset ownership’s direct and indirect impact on sexual risk-taking behaviors among WESW in Southern Uganda, a very vulnerable group of women at high risk for contracting HIV and other STIs. We used baseline data from the Kyaterekera study, an NIH-funded study among WESW aged 18–55 across 19 HIV hotspots in Southern Uganda. Structural equation modeling was used to examine the direct, indirect, and total effects of assets—defined as ownership of physical and financial resources—on sexual risk-taking behaviors among WESW. Results showed that asset ownership was associated with a decrease in depression (β = − 0.096 [95% CI − 0.191, − 0.001], p = 0.050) and increased access to medical care (β = 0.174 [95% CI 0.072, 0.275], p = 0.001).We also found that an increase in access to medical care was associated with decreased sexual risk-taking behaviors (β = − 0.107 [95% CI − 0.210, − 0.004], p = 0.041). We observed a specific indirect effect between assets and sexual risk-taking behaviors through access to medical care (β = − 0.019 [95% CI − 0.040, − 0.002], p = 0.05). Mediation contributed 31% of the total effects of asset ownership on sexual risk-taking behaviors. To our knowledge, this is among the few studies to examine the impact of asset ownership on sexual risk-taking behaviors among WESW in Southern Uganda. Findings from this study indicate that increasing access to economic resources may reduce the risk of WESW engaging in unprotected sex for higher income, which limits the spread of HIV among this population. The results also indicate that asset ownership may allow women to access healthcare services.
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影响因子：
7.6
作者：
Ismayilova, Leyla;Ssewamala, Fred M.;Karimli, Leyla
通讯作者：
Karimli, Leyla
影响因子：
1.4
作者：
Musisi S;Wagner GJ;Ghosh-Dastidar B;Nakasujja N;Dickens A;Okello E
通讯作者：
Okello E
影响因子：
56.3
作者：
Baral, Stefan;Beyrer, Chris;Kerrigan, Deanna
通讯作者：
Kerrigan, Deanna
DOI：
10.1196/annals.1425.013
发表时间：
2008-01-01
期刊：
REDUCING THE IMPACT OF POVERTY ON HEALTH AND HUMAN DEVELOPMENT: SCIENTIFIC APPROACHES
影响因子：
--
作者：
Krishnan, Suneeta;Dunbar, Megan S.;Padian, Nancy S.
通讯作者：
Padian, Nancy S.
影响因子：
12.7
作者：
Ssewamala FM;Han CK;Neilands TB;Ismayilova L;Sperber E
通讯作者：
Sperber E