Unpacking the ‘structural’ in a structural approach for HIV prevention among female sex workers
A case study from China
Bibliographic Data
| ID | 15540377 |
|---|---|
| Authors | Yingying Huang (0000-0003-0297-2420, corresponding author), Kathryn E Muessig (0000-0002-8522-3240, University of North Carolina at Chapel Hill), Ning Zhang (0000-0002-6318-6303), Suzanne Maman (0000-0003-4048-1585, University of North Carolina at Chapel Hill) |
| Year | 2015 |
| Volume | 10 |
| Issue | 7 |
| Pages | 852-866 |
| Publication date | 2015-03-05 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Global Public Health (JOURNAL) |
| Journal identifiers | ISSN: 1744-1692 • E-ISSN: 1744-1706 |
| Publisher | Taylor & Francis (PUBLISHER • GB) |
| DOI | 10.1080/17441692.2015.1014823 |
| PMID | 25742611 |
| PMCID | PMC4509851 |
| OpenAlex | W2069090731 |
| Language | EN |
| References cited | 25 |
Interventions for HIV prevention among female sex workers (FSWs) in China focus on HIV/sexually transmitted infection (STI) and individual behaviour change. An occupational health framework facilitates intervention across an array of health issues FSWs face including HIV/STI, violence, reproductive health, stigma and substance use. Through a case study of a community-based Jiaozhou (JZ) FSW programme, we developed a conceptual framework incorporating global discussions of structural approaches to HIV prevention with the specific social and structural contexts identified among FSWs in China. Based on ethnographic fieldwork between August 2010 and May 2013, we describe the evolution of this programme to its current occupational health focus and unpack the intervention strategies. We describe the critical features of the programme that have fostered success among FSWs including high-quality clinical services provided within a welcoming setting, responsive outreach work through staff and trained FSW peers, interpersonal and community-level engagement aimed at changing the local social and structural environments of sex work and tailored health education materials. This intervention differs from other projects in China by adopting a more holistic approach to FSW health that incorporates social issues. It also demonstrates the feasibility of structural interventions among FSWs even within an environment that has strong anti-prostitution policies
Environmental health · Family medicine · Focus group · Human immunodeficiency virus (HIV · Intervention (counseling · Outreach · Political science · Politics · Population · Psychiatry · Psychological intervention · Reproductive health · Sex work · Sociology · Stigma (botany · Structural violence · HIV, Drug Use, Sexual Risk · Medicine · Nursing · Psychology · Sex work and related issues · Sexuality, Behavior, and Technology
Behavioural strategies to reduce HIV transmission
Sex-work harm reduction
Structural approaches to HIV prevention
Addressing social drivers of HIV/Aids for the long-term response
Evolution of China's response to HIV/Aids
Burden of HIV among female sex workers in low-income and middle-income countries
Structural Interventions for HIV Prevention in the United States
HIV/Aids Risk Among Brothel-Based Female Sex Workers in China
Dangerous Pleasures
HIV/STI prevention interventions targeting FSWs in China
Understanding the diversity of male clients of sex workers in China and the implications for HIV prevention programmes
Occupational safety and HIV risk among female sex workers in China
An integrated individual, community, and structural intervention to reduce HIV/STI risks among female sex workers in China
The influence of power, poverty and agency in the negotiation of condom use for female sex workers in mainland China
Empowering sex workers in India to reduce vulnerability to HIV and sexually transmitted diseases
The necessary contradictions of 'community-led' health promotion
Incarcerated sex workers and HIV prevention in China
Can sex workers regulate police? Learning from an HIV prevention project for sex workers in southern India
| Highly cited | No |
|---|