Publications by authors named "Y Donastorg"

Background: Mobility is a key social determinant of health for female sex workers (FSWs). While extant research has focused on the adverse effects of mobility for FSWs, there are very few studies that have examined the multiple ways in which mobility may impact the lives of these mobile women from their perspective. This qualitative study aims to fill this gap by exploring how mobility impacts the lives, livelihoods, and HIV care and treatment from the perspectives of women living with HIV in two epidemic settings, the Dominican Republic and Tanzania.

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Female sex workers (FSW) living with HIV experience greater depression and worse HIV outcomes than people living with HIV (PLHIV) overall. Mindfulness is related to lower depression and higher ART adherence in PLHIV. Few studies have assessed these relationships among FSW, especially longitudinally.

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Background: Rejection from parents can lead transgender (trans) youth and young adults to experience poor health outcomes, while parental and sibling acceptance and support can be protective against poor health outcomes. The role of family in adult trans women's lives has been minimally investigated.

Aim: This study aimed to explore experiences of familial rejection, acceptance, and support in the lives of trans women sex workers living with HIV in the Dominican Republic.

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Article Synopsis
  • Food insecurity and HIV-related stigma can worsen health outcomes for people living with HIV, and this study aimed to explore how food security interventions impact these issues.
  • The research was conducted in two HIV clinics in the Dominican Republic, involving a pilot trial where participants received training on urban gardening and peer nutritional counseling.
  • Results showed that participants in the intervention group experienced significant reductions in internalized stigma and HIV-related discrimination, as well as some improvement in social support, suggesting that such interventions could be beneficial, although further research is needed.
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Purpose: Using an intersectionality framework, we compared stigma and HIV care and treatment outcomes across transgender and cisgender women sex workers living with HIV in the Dominican Republic (DR).

Methods: In 2018-2019, data were collected in Santo Domingo, DR, using interviewer-administered surveys among 211 cisgender women and 100 transgender women. We used -tests and chi-square tests to examine differences in sex work stigma, HIV stigma, and HIV care and treatment.

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