Open AccessMindfulness, Mental Health and HIV Outcomes Among Female Sex Workers in the Dominican Republic and Tanzania
Author(s) -
Deanna Kerrigan,
Tahilin Sanchez Karver,
Clare Barrington,
Yeycy Donastorg,
Martha Pérez,
Hoisex Gómez,
Jessie Mbwambo,
Samuel Likindikoki,
Wendy Davis,
S. Wilson Beckham,
Andrea Mantsios,
Noya Galai,
Erica Sibinga
Publication year - 2021
Publication title -
aids and behavior
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.994
H-Index - 106
eISSN - 1573-3254
pISSN - 1090-7165
DOI - 10.1007/s10461-021-03168-1
Subject(s) - medicine , tanzania , mental health , public health , demography , odds ratio , odds , mindfulness , psychological intervention , logistic regression , psychiatry , clinical psychology , nursing , sociology , environmental science , environmental planning
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.