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Enablers of and barriers to ART adherence among female sex workers in mid-western Uganda: a qualitative study.
AIDS Res Ther
January 2025
Department of Nursing, Faculty of Heath Sciences, Mountains of the Moon University, P.O. Box 837, Fort Portal City, Uganda.
Introduction: Female sex workers (FSWs) in Uganda experience numerous barriers to antiretroviral therapy (ART) adherence. We used the planned behavior theory to help explore the enablers and barriers to ART adherence among FSWs. Understanding the barriers to ART adherence may help contribute to the development of interventions to improve ART adherence among the FSWs.
View Article and Find Full Text PDFPrioritization of ethical concerns regarding HIV molecular epidemiology by public health practitioners and researchers.
BMC Public Health
May 2024
Department of Biomedical Informatics, The Ohio State University College of Medicine, 1800 Cannon Drive, Columbus, OH, 43016, USA.
Background: HIV molecular epidemiology (HIV ME) can support the early detection of emerging clusters of new HIV infections by combining HIV sequence data routinely obtained during the clinical treatment of people living with HIV with behavioral, geographic, and sociodemographic information. While information about emerging clusters promises to facilitate HIV prevention and treatment efforts, the use of this data also raises several ethical concerns. We sought to assess how those working on the frontlines of HIV ME, specifically public health practitioners (PHPs) and researchers, prioritized these issues.
View Article and Find Full Text PDFChildhood Sexual Abuse by Women of Boys Who Go On to Sexually Offend: Review and Critical Analysis.
Curr Psychiatry Rep
March 2024
Forensic Psychiatry Program, St. Joseph's Healthcare Hamilton, West 5th Campus, 100 West 5th Street, Hamilton, ON, L8N 3K7, Canada.
Purpose Of Review: Sexual offending perpetrated by women has historically been overlooked and understudied, and the potentially unique impact of that abuse is even more so.
Recent Findings: Women who have sexually offended against children typically do so against older boys, use little or no forms of force or coercion during the abuse, and are unlikely to be prosecuted or sentenced following the abuse. Boys whom women have sexually abused are unlikely to report or disclose the abuse that they have experienced, perhaps because social structures surrounding sexual abuse of boys by women are designed to minimize, excuse, or even encourage such sexual contact.
So many harms, so little benefit: a global review of the history and harms of HIV criminalisation.
Lancet HIV
January 2023
HIV Justice Network, Amsterdam, Netherlands.
Since the early years of HIV, many jurisdictions have criminalised HIV non-disclosure, potential or perceived exposure, and transmission. Many of these laws and prosecutions are without a scientific basis and reflect an inaccurate understanding of HIV-related risk and harm. Numerous studies of HIV criminal prosecutions show that women, sex workers, racial minorities, gay and bisexual men, transgender people, immigrants, and Indigenous people are disproportionately charged and convicted, often resulting in long custodial sentences.
View Article and Find Full Text PDFHIV Disclosure-Professional Body Guidelines, the Law and the Boundaries of Medical Advice.
Med Law Rev
August 2021
North Cumbria Integrated Care NHSFT, Pillars Building, Cumberland Infirmary, Infirmary Street, Carlisle, CA2 7HY, UK.
This article examines the current BHIVA/BASHH guidelines on the disclosure of HIV+ status in the context of sexual activity. It assesses whether the guidance provided on how to avoid criminal prosecution accurately reflects the prevailing position in law. Given that aspects of the guidance related to non-disclosure of HIV infection in the context of low or negligible risk are as yet untested in UK law, it is argued that there is some uncertainty as to whether the professional body guidelines and the law can be reconciled with each other.
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