Life in the Balance: Young Female Sex Workers in Kenya Weigh the Risks of COVID-19 and HIV.
Identifieur interne : 000311 ( Main/Exploration ); précédent : 000310; suivant : 000312Life in the Balance: Young Female Sex Workers in Kenya Weigh the Risks of COVID-19 and HIV.
Auteurs : Joanne E. Mantell [États-Unis] ; Julie Franks [États-Unis] ; Maria Lahuerta [États-Unis] ; Dan Omollo [Kenya] ; Allison Zerbe [États-Unis] ; Mark Hawken [États-Unis] ; Yingfeng Wu [États-Unis] ; Doris Odera [États-Unis] ; Wafaa M. El-Sadr [États-Unis] ; Kawango Agot [Kenya]Source :
- AIDS and behavior [ 1573-3254 ] ; 2021.
Abstract
The COVID-19 pandemic has had serious health, economic and psychosocial consequences. Marginalized populations including female sex workers face the stark choice of risking exposure to SARS-CoV-2 as they engage with clients or prioritizing their health at the cost of losing a primary source of income. As part of an ongoing open-label, randomized controlled trial providing daily oral pre-exposure prophylaxis and adherence support, we interviewed 193 of 200 enrolled young female sex workers (18-24 years) in Kisumu, Kenya, about COVID-19 awareness and precautions, access to health services, and sex work during Kenya's pandemic-related lockdown. Nearly all participants were aware of COVID-19 and reported taking protective measures, but only half reported concerns about acquiring SARS-CoV-2. Night curfews and bar closures adversely affected participants' sex work business, reducing the number of clients and payment amounts from clients. Nearly 15% experienced violence from a client or regular, non-paying sex partner during the lockdown period. Participants' access to healthcare services was not disrupted.
DOI: 10.1007/s10461-020-03140-5
PubMed: 33389320
PubMed Central: PMC7778484
Affiliations:
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El-Sadr</name><affiliation wicri:level="2"><nlm:affiliation>Mailman School of Public Health, ICAP at Columbia University, New York, NY, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Mailman School of Public Health, ICAP at Columbia University, New York, NY</wicri:regionArea><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Agot, Kawango" sort="Agot, Kawango" uniqKey="Agot K" first="Kawango" last="Agot">Kawango Agot</name><affiliation wicri:level="1"><nlm:affiliation>IMPACT Research and Development Organization, Kisumu, Kenya.</nlm:affiliation><country xml:lang="fr">Kenya</country><wicri:regionArea>IMPACT Research and Development Organization, Kisumu</wicri:regionArea><wicri:noRegion>Kisumu</wicri:noRegion></affiliation></author></analytic><series><title level="j">AIDS and behavior</title><idno type="eISSN">1573-3254</idno><imprint><date when="2021" type="published">2021</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The COVID-19 pandemic has had serious health, economic and psychosocial consequences. Marginalized populations including female sex workers face the stark choice of risking exposure to SARS-CoV-2 as they engage with clients or prioritizing their health at the cost of losing a primary source of income. As part of an ongoing open-label, randomized controlled trial providing daily oral pre-exposure prophylaxis and adherence support, we interviewed 193 of 200 enrolled young female sex workers (18-24 years) in Kisumu, Kenya, about COVID-19 awareness and precautions, access to health services, and sex work during Kenya's pandemic-related lockdown. Nearly all participants were aware of COVID-19 and reported taking protective measures, but only half reported concerns about acquiring SARS-CoV-2. Night curfews and bar closures adversely affected participants' sex work business, reducing the number of clients and payment amounts from clients. Nearly 15% experienced violence from a client or regular, non-paying sex partner during the lockdown period. Participants' access to healthcare services was not disrupted.</div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">33389320</PMID><DateRevised><Year>2021</Year><Month>01</Month><Day>05</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1573-3254</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2021</Year><Month>Jan</Month><Day>02</Day></PubDate></JournalIssue><Title>AIDS and behavior</Title><ISOAbbreviation>AIDS Behav</ISOAbbreviation></Journal><ArticleTitle>Life in the Balance: Young Female Sex Workers in Kenya Weigh the Risks of COVID-19 and HIV.</ArticleTitle><ELocationID EIdType="doi" ValidYN="Y">10.1007/s10461-020-03140-5</ELocationID><Abstract><AbstractText>The COVID-19 pandemic has had serious health, economic and psychosocial consequences. Marginalized populations including female sex workers face the stark choice of risking exposure to SARS-CoV-2 as they engage with clients or prioritizing their health at the cost of losing a primary source of income. As part of an ongoing open-label, randomized controlled trial providing daily oral pre-exposure prophylaxis and adherence support, we interviewed 193 of 200 enrolled young female sex workers (18-24 years) in Kisumu, Kenya, about COVID-19 awareness and precautions, access to health services, and sex work during Kenya's pandemic-related lockdown. Nearly all participants were aware of COVID-19 and reported taking protective measures, but only half reported concerns about acquiring SARS-CoV-2. Night curfews and bar closures adversely affected participants' sex work business, reducing the number of clients and payment amounts from clients. Nearly 15% experienced violence from a client or regular, non-paying sex partner during the lockdown period. Participants' access to healthcare services was not disrupted.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Mantell</LastName><ForeName>Joanne E</ForeName><Initials>JE</Initials><Identifier Source="ORCID">http://orcid.org/0000-0002-0748-5974</Identifier><AffiliationInfo><Affiliation>New York State Psychiatric Institute and Department of Psychiatry, Columbia University Irving Medical Center, New York, NY, USA. jem57@cumc.columbia.edu.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Franks</LastName><ForeName>Julie</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Mailman School of Public Health, ICAP at Columbia University, New York, NY, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lahuerta</LastName><ForeName>Maria</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Mailman School of Public Health, ICAP at Columbia University, New York, NY, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Omollo</LastName><ForeName>Dan</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>IMPACT Research and Development Organization, Kisumu, Kenya.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Zerbe</LastName><ForeName>Allison</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Mailman School of Public Health, ICAP at Columbia University, New York, NY, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hawken</LastName><ForeName>Mark</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Mailman School of Public Health, ICAP at Columbia University, New York, NY, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wu</LastName><ForeName>Yingfeng</ForeName><Initials>Y</Initials><AffiliationInfo><Affiliation>Mailman School of Public Health, ICAP at Columbia University, New York, NY, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Odera</LastName><ForeName>Doris</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Mailman School of Public Health, ICAP at Columbia University, New York, NY, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>El-Sadr</LastName><ForeName>Wafaa M</ForeName><Initials>WM</Initials><AffiliationInfo><Affiliation>Mailman School of Public Health, ICAP at Columbia University, New York, NY, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Agot</LastName><ForeName>Kawango</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>IMPACT Research and Development Organization, Kisumu, Kenya.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>R01MH110051</GrantID><Acronym>MH</Acronym><Agency>NIMH NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>P30 MH43520</GrantID><Acronym>MH</Acronym><Agency>NIMH NIH HHS</Agency><Country>United States</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2021</Year><Month>01</Month><Day>02</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>AIDS Behav</MedlineTA><NlmUniqueID>9712133</NlmUniqueID><ISSNLinking>1090-7165</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><OtherAbstract Type="Publisher" Language="spa"><AbstractText Label="RESUMEN" NlmCategory="UNASSIGNED">La pandemia de COVID-19 puede tener graves consecuencias sanitarias, económicas y psicosociales. Poblaciones marginadas como las mujeres trabajadoras sexuales se enfrentan a la dura elección de arriesgarse a exponerse al SARS-CoV-2 mientras interactúan con los clientes o priorizar su salud a riesgo de perder su principal fuente de ingresos. Como parte de un ensayo controlado aleatorio abierto en curso que proporcionaba profilaxis pre-exposición (PrEP) oral diaria y apoyo para la adherencia, entrevistamos a 193 de 200 las mujeres trabajadoras sexuales jóvenes (de 18 a 24 años) en Kisumu, Kenia, sobre su conocimiento y precauciones frente al COVID-19, acceso a servicios de salud, y trabajo sexual durante el confinamiento por la pandemia en Kenia. Casi todas las participantes conocían el COVID-19 y reportaron que tomaron medidas de protección, pero sólo la mitad dijeron estar preocupadas por infectarse con el SARS-CoV-2. Los toques de queda nocturnos y los cierres de bares afectaron negativamente al negocio del trabajo sexual, reduciendo el número de clientes y la cantidad que recibieron de los clientes. Casi el 15% experimentó violencia por parte de un cliente o por una pareja sexual habitual que no paga durante el periodo de confinamiento. El acceso de las participantes a los servicios de salud no se vio interrumpido.</AbstractText></OtherAbstract><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">COVID-19</Keyword><Keyword MajorTopicYN="N">Female sex workers</Keyword><Keyword MajorTopicYN="N">Kenya</Keyword><Keyword MajorTopicYN="N">Pre-exposure prophylaxis</Keyword><Keyword MajorTopicYN="N">SARS-CoV-2</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>12</Month><Day>14</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2021</Year><Month>1</Month><Day>3</Day><Hour>20</Hour><Minute>39</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2021</Year><Month>1</Month><Day>4</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2021</Year><Month>1</Month><Day>4</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>aheadofprint</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">33389320</ArticleId><ArticleId IdType="doi">10.1007/s10461-020-03140-5</ArticleId><ArticleId IdType="pii">10.1007/s10461-020-03140-5</ArticleId><ArticleId IdType="pmc">PMC7778484</ArticleId></ArticleIdList><ReferenceList><Reference><Citation>J Clin Nurs. 2020 Jul;29(13-14):2047-2049</Citation><ArticleIdList><ArticleId IdType="pubmed">32281158</ArticleId></ArticleIdList></Reference><Reference><Citation>AIDS Care. 2006 Oct;18(7):739-49</Citation><ArticleIdList><ArticleId IdType="pubmed">16971283</ArticleId></ArticleIdList></Reference><Reference><Citation>Lancet. 2015 Jan 10;385(9963):172-85</Citation><ArticleIdList><ArticleId IdType="pubmed">25059938</ArticleId></ArticleIdList></Reference><Reference><Citation>AIDS Behav. 2020 Jul 11;:</Citation><ArticleIdList><ArticleId IdType="pubmed">32654021</ArticleId></ArticleIdList></Reference><Reference><Citation>Glob Public Health. 2020 Oct;15(10):1430-1442</Citation><ArticleIdList><ArticleId IdType="pubmed">32816628</ArticleId></ArticleIdList></Reference><Reference><Citation>BMJ. 2020 May 7;369:m1867</Citation><ArticleIdList><ArticleId IdType="pubmed">32381484</ArticleId></ArticleIdList></Reference><Reference><Citation>Sex Transm Dis. 2019 Aug;46(8):556-562</Citation><ArticleIdList><ArticleId IdType="pubmed">31295225</ArticleId></ArticleIdList></Reference></ReferenceList></PubmedData></pubmed><affiliations><list><country><li>Kenya</li><li>États-Unis</li></country><region><li>État de New York</li></region></list><tree><country name="États-Unis"><region name="État de New York"><name sortKey="Mantell, Joanne E" sort="Mantell, Joanne E" uniqKey="Mantell J" first="Joanne E" last="Mantell">Joanne E. Mantell</name></region><name sortKey="El Sadr, Wafaa M" sort="El Sadr, Wafaa M" uniqKey="El Sadr W" first="Wafaa M" last="El-Sadr">Wafaa M. El-Sadr</name><name sortKey="Franks, Julie" sort="Franks, Julie" uniqKey="Franks J" first="Julie" last="Franks">Julie Franks</name><name sortKey="Hawken, Mark" sort="Hawken, Mark" uniqKey="Hawken M" first="Mark" last="Hawken">Mark Hawken</name><name sortKey="Lahuerta, Maria" sort="Lahuerta, Maria" uniqKey="Lahuerta M" first="Maria" last="Lahuerta">Maria Lahuerta</name><name sortKey="Odera, Doris" sort="Odera, Doris" uniqKey="Odera D" first="Doris" last="Odera">Doris Odera</name><name sortKey="Wu, Yingfeng" sort="Wu, Yingfeng" uniqKey="Wu Y" first="Yingfeng" last="Wu">Yingfeng Wu</name><name sortKey="Zerbe, Allison" sort="Zerbe, Allison" uniqKey="Zerbe A" first="Allison" last="Zerbe">Allison Zerbe</name></country><country name="Kenya"><noRegion><name sortKey="Omollo, Dan" sort="Omollo, Dan" uniqKey="Omollo D" first="Dan" last="Omollo">Dan Omollo</name></noRegion><name sortKey="Agot, Kawango" sort="Agot, Kawango" uniqKey="Agot K" first="Kawango" last="Agot">Kawango Agot</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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