2023-09-28 14:46:10 +00:00
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abstract: 'Economic hardship is a driver of entry into sex work, which is
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associated with high HIV risk. Yet, little is known about economic abuse
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in women employed by sex work (WESW) and its relationship to uptake of
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HIV prevention and financial support services. This study used
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cross-sectional baseline data from a multisite, longitudinal clinical
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trial that tests the efficacy of adding economic empowerment to
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traditional HIV risk reduction education on HIV incidence in 542 WESW.
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Mixed effects logistic and linear regressions were used to examine
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associations in reported economic abuse by demographic characteristics,
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sexual behaviors, HIV care-seeking, and financial care-seeking. Mean age
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was 31.4 years. Most WESW were unmarried (74\%) and had less than
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primary school education (64\%). 48\% had savings, and 72\% had debt.
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93\% reported at least one economic abuse incident. Common incidents
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included being forced to ask for money (80\%), having financial
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information kept from them (61\%), and being forced to disclose how
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money was spent (56\%). WESW also reported partners/relatives spending
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money needed for bills (45\%), not paying bills (38\%), threatening them
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to quit their job(s) (38\%), and using physical violence when earning
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income (24\%). Married/partnered WESW (OR = 2.68, 95\% CI:1.60-4.48),
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those with debt (OR = 1.70, 95\% CI:1.04-2.77), and those with sex-work
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bosses (OR = 1.90, 95\% CI:1.07-3.38) had higher economic abuse.
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Condomless sex (beta = +4.43, p < .05) was higher among WESW
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experiencing economic abuse, who also had lower odds of initiating PrEP
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(OR = .39, 95\% CI:.17-.89). WESW experiencing economic abuse were also
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more likely to ask for cash among relatives (OR = 2.36, 95\%
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CI:1.13-4.94) or banks (OR = 2.12, 95\% CI:1.11-4.03). The high
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prevalence of HIV and economic abuse in WESW underscores the importance
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of integrating financial empowerment in HIV risk reduction interventions
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for WESW, including education about economic abuse and strategies to
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address it. Programs focusing on violence against women should also
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consider economic barriers to accessing HIV prevention services.'
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affiliation: 'Mayo-Wilson, LJ (Corresponding Author), Univ N Carolina, Gillings Sch
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Global Publ Hlth, 170 Rosenau Hall, Chapel Hill, NC 27599 USA.
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Jennings Mayo-Wilson, Larissa, Univ N Carolina, Gillings Sch Global Publ Hlth, 170
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Rosenau Hall, Chapel Hill, NC 27599 USA.
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Jennings Mayo-Wilson, Larissa, Johns Hopkins Univ, Sch Nursing, Commun Global \&
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Publ Hlth Div, Baltimore, MD USA.
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Yen, Bing-Jie; Wright, Brittanni N., Indiana Univ, Dept Appl Hlth Sci, Ctr Sexual
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Hlth Promot, Sch Publ Hlth, Bloomington, IN USA.
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Nabunya, Proscovia; Bahar, Ozge Sensoy; Kiyingi, Joshua; Nabayinda, Josephine; Ssewamala,
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Fred M., Washington Univ St Louis, Brown Sch, St Louis, MO USA.
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Nabunya, Proscovia; Bahar, Ozge Sensoy; Kiyingi, Joshua; Mwebembezi, Abel; Nabayinda,
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Josephine; Ssewamala, Fred M., Int Ctr Child Hlth \& Dev, Masaka, Uganda.
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Filippone, Prema L.; Witte, Susan S., Columbia Sch Social Work, New York, NY USA.
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Mwebembezi, Abel, Reach Youth Uganda, Kampala, Uganda.
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Kagaayi, Joseph, Rakai Hlth Sci Program, Kalisizo, Uganda.
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Tozan, Yesim, New York Univ, Coll Global Publ Hlth, New York, NY USA.'
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article-number: 08862605221093680
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author: Jennings Mayo-Wilson, Larissa and Yen, Bing-Jie and Nabunya, Proscovia and
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Bahar, Ozge Sensoy and Wright, Brittanni N. and Kiyingi, Joshua and Filippone, Prema
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L. and Mwebembezi, Abel and Kagaayi, Joseph and Tozan, Yesim and Nabayinda, Josephine
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and Witte, Susan S. and Ssewamala, Fred M.
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author-email: larissajmw@gmail.com
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author_list:
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- family: Jennings Mayo-Wilson
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given: Larissa
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- family: Yen
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given: Bing-Jie
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- family: Nabunya
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given: Proscovia
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- family: Bahar
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given: Ozge Sensoy
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- family: Wright
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given: Brittanni N.
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- family: Kiyingi
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given: Joshua
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- family: Filippone
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given: Prema L.
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- family: Mwebembezi
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given: Abel
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- family: Kagaayi
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given: Joseph
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- family: Tozan
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given: Yesim
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- family: Nabayinda
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given: Josephine
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- family: Witte
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given: Susan S.
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- family: Ssewamala
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given: Fred M.
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da: '2023-09-28'
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doi: 10.1177/08862605221093680
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earlyaccessdate: MAY 2022
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eissn: 1552-6518
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files: []
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issn: 0886-2605
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journal: JOURNAL OF INTERPERSONAL VIOLENCE
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keywords: 'HIV; sexual risk behaviors; economic abuse; female sex workers;
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violence; Uganda'
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keywords-plus: 'INTIMATE PARTNER VIOLENCE; CONDOM USE; RISK-FACTORS; INSECURITY;
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BEHAVIORS; SCALE; MEN'
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language: English
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month: JAN
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number: 1-2
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number-of-cited-references: '47'
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orcid-numbers: 'Jennings Mayo-Wilson, Larissa/0000-0001-9349-2283
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Wright, Brittanni/0000-0003-2051-8205'
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pages: NP1920-NP1949
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papis_id: 08496794daaa85b27091818b16fe95f2
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ref: Jenningsmayowilson2023economicabuse
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researcherid-numbers: 'DSILVA, BROOKE/HCI-4879-2022
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'
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times-cited: '0'
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title: 'Economic Abuse and Care-seeking Practices for HIV and Financial Support Services
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in Women Employed by Sex Work: A Cross-Sectional Baseline Assessment of a Clinical
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Trial Cohort in Uganda'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000796226800001
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usage-count-last-180-days: '3'
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usage-count-since-2013: '10'
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volume: '38'
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web-of-science-categories: Criminology \& Penology; Family Studies; Psychology, Applied
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year: '2023'
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