期刊
AIDS AND BEHAVIOR
卷 25, 期 9, 页码 2941-2950出版社
SPRINGER/PLENUM PUBLISHERS
DOI: 10.1007/s10461-021-03168-1
关键词
HIV; Depression; anxiety; Mindfulness; Stigma; Sex work
资金
- United States National Institutes of Health through the National Institute of Mental Health (NIMH) [R01 MH110158]
The study revealed that mindfulness is closely related to the mental health and HIV outcomes of female sex workers, showing the potential of tailored mindfulness interventions to improve their mental health and HIV outcomes.
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 (beta = - 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.
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