2023-09-28 14:46:10 +00:00
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abstract: 'Introduction: Cisgender and transgender woman sex workers (CWSWs and
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TWSWs, respectively) are key populations in Malaysia with higher
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HIV-prevalence than that of the general population. Given the impact
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economic instability can have on HIV transmission in these populations,
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novel HIV prevention interventions that reduce poverty may reduce HIV
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incidence and improve linkage and retention to care for those already
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living with HIV. We examine the feasibility of a microfinance-based HIV
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prevention intervention among CWSW and TWSWs in Greater Kuala Lumpur,
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Malaysia.
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Methods: We conducted 35 in-depth interviews to examine the
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acceptability of a microfinance-based HIV prevention intervention,
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focusing on: (1) participants'' readiness to engage in other occupations
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and the types of jobs in which they were interested in; (2) their level
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of interest in the components of the potential intervention, including
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training on financial literacy and vocational education; and (3)
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possible barriers and facilitators to the successful completion of the
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intervention. Using grounded theory as a framework of analysis,
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transcripts were analysed through Nvivo 11.
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Results: Participants were on average 41 years old, slightly less than
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half (48\%) were married, and more than half (52\%) identified as
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Muslim. Participants express high motivation to seek employment in other
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professions as they perceived sex work as not a ``proper job{''''} with
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opportunities for career growth but rather as a short-term option
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offering an unstable form of income. Participants wanted to develop
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their own small enterprise. Most participants expressed a high level of
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interest in microfinance intervention and training to enable them to
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enter a new profession. Possible barriers to intervention participation
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included time, stigma, and a lack of resources.
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Conclusion: Findings indicate that a microfinance intervention is
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acceptable and desirable for CWSWs and TWSWs in urban Malaysian contexts
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as participants reported that they were ready to engage in alternative
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forms of income generation.'
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affiliation: 'Wickersham, JA (Corresponding Author), Yale Univ, Sch Med, Dept Internal
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Med, Sect Infect Dis,AIDS Program, New Haven, CT 06510 USA.
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Lall, Priya; Saifi, Rumana; Azmi, Nuruljannah Nor; Pillai, Veena; Kamarulzaman,
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Adeeba; Wickersham, Jeffrey A., Univ Malaya, Dept Med, Fac Med, Ctr Excellence Res
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AIDS, Kuala Lumpur, Malaysia.
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Shaw, Stacey A., Brigham Young Univ, Dept Social Work, Provo, UT 84602 USA.
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Sherman, Susan G., Johns Hopkins Univ, Sch Publ Hlth, Dept Hlth Behav \& Soc, Baltimore,
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MD USA.
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El-Bassel, Nabila, Columbia Univ, Sch Social Work, Social Intervent Grp, New York,
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NY USA.
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Kamarulzaman, Adeeba; Wickersham, Jeffrey A., Yale Univ, Sch Med, Dept Internal
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Med, Sect Infect Dis,AIDS Program, New Haven, CT 06510 USA.'
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article-number: '21723'
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author: Lall, Priya and Shaw, Stacey A. and Saifi, Rumana and Sherman, Susan G. and
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Azmi, Nuruljannah Nor and Pillai, Veena and El-Bassel, Nabila and Kamarulzaman,
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Adeeba and Wickersham, Jeffrey A.
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author-email: jeffrey.wickersham@yale.edu
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author_list:
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- family: Lall
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given: Priya
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- family: Shaw
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given: Stacey A.
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- family: Saifi
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given: Rumana
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- family: Sherman
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given: Susan G.
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- family: Azmi
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given: Nuruljannah Nor
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- family: Pillai
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given: Veena
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- family: El-Bassel
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given: Nabila
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- family: Kamarulzaman
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given: Adeeba
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- family: Wickersham
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given: Jeffrey A.
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da: '2023-09-28'
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doi: 10.7448/IAS.20.1.21723
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eissn: 1758-2652
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files: []
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journal: JOURNAL OF THE INTERNATIONAL AIDS SOCIETY
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keywords: HIV; transgender women; cisgender women; sex work; microfinance
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keywords-plus: 'HIV RISK BEHAVIOR; DRUG-USE; INJECT DRUGS; MAK-NYAH; PREVENTION; HEALTH;
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PREVALENCE; CHALLENGES; VALIDITY; PEOPLE'
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language: English
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month: AUG 2
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number-of-cited-references: '47'
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orcid-numbers: 'SAIFI, RUMANA AKHTER/0000-0001-9114-4728
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Lall, Priya/0000-0002-5313-4278'
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papis_id: 22e1894aa7107d2560dc32c6fba37cc5
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ref: Lall2017acceptabilitymicrofi
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researcherid-numbers: 'SAIFI, RUMANA AKHTER/HPD-8522-2023
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'
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times-cited: '12'
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title: Acceptability of a microfinance-based empowerment intervention for transgender
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and cisgender women sex workers in Greater Kuala Lumpur, Malaysia
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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:000407295600001
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usage-count-last-180-days: '0'
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usage-count-since-2013: '28'
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volume: '20'
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web-of-science-categories: Immunology; Infectious Diseases
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year: '2017'
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