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

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

Research output: Contribution to journalArticlepeer-review

10 Scopus citations

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.

Original languageEnglish
Pages (from-to)2941-2950
Number of pages10
JournalAIDS and Behavior
Volume25
Issue number9
DOIs
StatePublished - 1 Sep 2021
Externally publishedYes

Keywords

  • Depression/anxiety
  • HIV
  • Mindfulness
  • Sex work
  • Stigma

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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