Social cohesion, social participation, and HIV related risk among female sex workers in Swaziland.

Social capital is important to disadvantaged groups, such as sex workers, as a means of facilitating internal group-related mutual aid and support as well as access to broader social and material resources. Studies among sex workers have linked higher social capital with protective HIV-related behav...

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Autores principales:	Virginia A Fonner, Deanna Kerrigan, Zandile Mnisi, Sosthenes Ketende, Caitlin E Kennedy, Stefan Baral
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2014
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/f22cf7097867478ea7415ebb550fec08
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spelling	oai:doaj.org-article:f22cf7097867478ea7415ebb550fec082021-11-18T08:34:32ZSocial cohesion, social participation, and HIV related risk among female sex workers in Swaziland.1932-620310.1371/journal.pone.0087527https://doaj.org/article/f22cf7097867478ea7415ebb550fec082014-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24498125/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203Social capital is important to disadvantaged groups, such as sex workers, as a means of facilitating internal group-related mutual aid and support as well as access to broader social and material resources. Studies among sex workers have linked higher social capital with protective HIV-related behaviors; however, few studies have examined social capital among sex workers in sub-Saharan Africa. This cross-sectional study examined relationships between two key social capital constructs, social cohesion among sex workers and social participation of sex workers in the larger community, and HIV-related risk in Swaziland using respondent-driven sampling. Relationships between social cohesion, social participation, and HIV-related risk factors were assessed using logistic regression. HIV prevalence among the sample was 70.4% (223/317). Social cohesion was associated with consistent condom use in the past week (adjusted odds ratio [AOR] = 2.25, 95% confidence interval [CI]: 1.30-3.90) and was associated with fewer reports of social discrimination, including denial of police protection. Social participation was associated with HIV testing (AOR = 2.39, 95% CI: 1.36-4.03) and using condoms with non-paying partners (AOR = 1.99, 95% CI: 1.13-3.51), and was inversely associated with reported verbal or physical harassment as a result of selling sex (AOR = 0.55, 95% CI: 0.33-0.91). Both social capital constructs were significantly associated with collective action, which involved participating in meetings to promote sex worker rights or attending HIV-related meetings/ talks with other sex workers. Social- and structural-level interventions focused on building social cohesion and social participation among sex workers could provide significant protection from HIV infection for female sex workers in Swaziland.Virginia A FonnerDeanna KerriganZandile MnisiSosthenes KetendeCaitlin E KennedyStefan BaralPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 9, Iss 1, p e87527 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Virginia A Fonner Deanna Kerrigan Zandile Mnisi Sosthenes Ketende Caitlin E Kennedy Stefan Baral Social cohesion, social participation, and HIV related risk among female sex workers in Swaziland.
description	Social capital is important to disadvantaged groups, such as sex workers, as a means of facilitating internal group-related mutual aid and support as well as access to broader social and material resources. Studies among sex workers have linked higher social capital with protective HIV-related behaviors; however, few studies have examined social capital among sex workers in sub-Saharan Africa. This cross-sectional study examined relationships between two key social capital constructs, social cohesion among sex workers and social participation of sex workers in the larger community, and HIV-related risk in Swaziland using respondent-driven sampling. Relationships between social cohesion, social participation, and HIV-related risk factors were assessed using logistic regression. HIV prevalence among the sample was 70.4% (223/317). Social cohesion was associated with consistent condom use in the past week (adjusted odds ratio [AOR] = 2.25, 95% confidence interval [CI]: 1.30-3.90) and was associated with fewer reports of social discrimination, including denial of police protection. Social participation was associated with HIV testing (AOR = 2.39, 95% CI: 1.36-4.03) and using condoms with non-paying partners (AOR = 1.99, 95% CI: 1.13-3.51), and was inversely associated with reported verbal or physical harassment as a result of selling sex (AOR = 0.55, 95% CI: 0.33-0.91). Both social capital constructs were significantly associated with collective action, which involved participating in meetings to promote sex worker rights or attending HIV-related meetings/ talks with other sex workers. Social- and structural-level interventions focused on building social cohesion and social participation among sex workers could provide significant protection from HIV infection for female sex workers in Swaziland.
format	article
author	Virginia A Fonner Deanna Kerrigan Zandile Mnisi Sosthenes Ketende Caitlin E Kennedy Stefan Baral
author_facet	Virginia A Fonner Deanna Kerrigan Zandile Mnisi Sosthenes Ketende Caitlin E Kennedy Stefan Baral
author_sort	Virginia A Fonner
title	Social cohesion, social participation, and HIV related risk among female sex workers in Swaziland.
title_short	Social cohesion, social participation, and HIV related risk among female sex workers in Swaziland.
title_full	Social cohesion, social participation, and HIV related risk among female sex workers in Swaziland.
title_fullStr	Social cohesion, social participation, and HIV related risk among female sex workers in Swaziland.
title_full_unstemmed	Social cohesion, social participation, and HIV related risk among female sex workers in Swaziland.
title_sort	social cohesion, social participation, and hiv related risk among female sex workers in swaziland.
publisher	Public Library of Science (PLoS)
publishDate	2014
url	https://doaj.org/article/f22cf7097867478ea7415ebb550fec08
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Social cohesion, social participation, and HIV related risk among female sex workers in Swaziland.

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