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"No good man will ever want me". How structural social inequality increases women's vulnerability to HIV transmission: a qualitative study from Bandung, Indonesia
Understanding the pathways that expose women to HIV transmission are vital in improving HIV prevention, especially among a "hidden" group of women without pre-established known risk for HIV. We investigated the pathways which place certain women at greater risk for HIV in a qualitative exp...
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Published in: | AIDS care 2021-08, Vol.33 (8), p.1016-1023 |
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creator | Rahmalia, Annisa Pohan, Mawar Nita Wisaksana, Rudi Laga, Marie Peeters Grietens, Koen |
description | Understanding the pathways that expose women to HIV transmission are vital in improving HIV prevention, especially among a "hidden" group of women without pre-established known risk for HIV. We investigated the pathways which place certain women at greater risk for HIV in a qualitative exploratory study with theoretical sampling using an emergent theory study design in an urban setting in Indonesia. We conducted semi-structured interviews with 47 HIV-infected women, one focus group discussion with five young women who occassionally engage in sex work, participant observation at six sex work venues and two midwife clinics, and 11 informal interviews with midwives, nurses, and obstetricians. Our research found that many women not characterized as belonging to a "high-risk group" or "key population" were nevertheless at increased risk for HIV. A history of sexual abuse, premarital sex, divorce, or involvement in sex work, often precipitated by poverty coupled with discriminatory public health policies further heightened women's exposure to HIV. While reaching at-risk populations is a key strategy in HIV prevention, a novel and more tailored approach is needed to reach more hidden categories of women with less apparent risk behavior yet considerable risk for HIV infection. |
doi_str_mv | 10.1080/09540121.2020.1801980 |
format | article |
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How structural social inequality increases women's vulnerability to HIV transmission: a qualitative study from Bandung, Indonesia</title><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><source>International Bibliography of the Social Sciences (IBSS)</source><source>Taylor and Francis:Jisc Collections:Taylor and Francis Read and Publish Agreement 2024-2025:Medical Collection (Reading list)</source><source>Sociological Abstracts</source><creator>Rahmalia, Annisa ; Pohan, Mawar Nita ; Wisaksana, Rudi ; Laga, Marie ; Peeters Grietens, Koen</creator><creatorcontrib>Rahmalia, Annisa ; Pohan, Mawar Nita ; Wisaksana, Rudi ; Laga, Marie ; Peeters Grietens, Koen</creatorcontrib><description>Understanding the pathways that expose women to HIV transmission are vital in improving HIV prevention, especially among a "hidden" group of women without pre-established known risk for HIV. We investigated the pathways which place certain women at greater risk for HIV in a qualitative exploratory study with theoretical sampling using an emergent theory study design in an urban setting in Indonesia. We conducted semi-structured interviews with 47 HIV-infected women, one focus group discussion with five young women who occassionally engage in sex work, participant observation at six sex work venues and two midwife clinics, and 11 informal interviews with midwives, nurses, and obstetricians. Our research found that many women not characterized as belonging to a "high-risk group" or "key population" were nevertheless at increased risk for HIV. A history of sexual abuse, premarital sex, divorce, or involvement in sex work, often precipitated by poverty coupled with discriminatory public health policies further heightened women's exposure to HIV. While reaching at-risk populations is a key strategy in HIV prevention, a novel and more tailored approach is needed to reach more hidden categories of women with less apparent risk behavior yet considerable risk for HIV infection.</description><identifier>ISSN: 0954-0121</identifier><identifier>EISSN: 1360-0451</identifier><identifier>DOI: 10.1080/09540121.2020.1801980</identifier><identifier>PMID: 32748628</identifier><language>eng</language><publisher>England: Taylor & Francis</publisher><subject>Abuse ; AIDS/HIV ; At risk populations ; Disease prevention ; Disease transmission ; Divorce ; Health disparities ; Health policy ; Health risks ; High risk ; HIV ; HIV transmission ; HIV vulnerability ; Human immunodeficiency virus ; Indonesia ; Interviews ; Midwives ; Nurses ; Obstetricians ; Poverty ; Premarital sex ; Prevention ; Prevention programs ; Preventive medicine ; Public health ; Qualitative research ; Risk ; Risk behavior ; Risk groups ; Risk taking ; Sex ; Sex industry ; Sexual abuse ; Sexual assault ; sexual norms ; Sexually transmitted diseases ; Social inequality ; STD ; Urban areas ; Urban environments ; Women ; Womens health ; Young women</subject><ispartof>AIDS care, 2021-08, Vol.33 (8), p.1016-1023</ispartof><rights>2020 The Author(s). 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How structural social inequality increases women's vulnerability to HIV transmission: a qualitative study from Bandung, Indonesia</title><title>AIDS care</title><addtitle>AIDS Care</addtitle><description>Understanding the pathways that expose women to HIV transmission are vital in improving HIV prevention, especially among a "hidden" group of women without pre-established known risk for HIV. We investigated the pathways which place certain women at greater risk for HIV in a qualitative exploratory study with theoretical sampling using an emergent theory study design in an urban setting in Indonesia. We conducted semi-structured interviews with 47 HIV-infected women, one focus group discussion with five young women who occassionally engage in sex work, participant observation at six sex work venues and two midwife clinics, and 11 informal interviews with midwives, nurses, and obstetricians. 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How structural social inequality increases women's vulnerability to HIV transmission: a qualitative study from Bandung, Indonesia</title><author>Rahmalia, Annisa ; Pohan, Mawar Nita ; Wisaksana, Rudi ; Laga, Marie ; Peeters Grietens, Koen</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c485t-5cfda7032cdbf215c556c789fba266e56004be05f20b4748eb8e4748eda57b393</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Abuse</topic><topic>AIDS/HIV</topic><topic>At risk populations</topic><topic>Disease prevention</topic><topic>Disease transmission</topic><topic>Divorce</topic><topic>Health disparities</topic><topic>Health policy</topic><topic>Health risks</topic><topic>High risk</topic><topic>HIV</topic><topic>HIV transmission</topic><topic>HIV vulnerability</topic><topic>Human immunodeficiency virus</topic><topic>Indonesia</topic><topic>Interviews</topic><topic>Midwives</topic><topic>Nurses</topic><topic>Obstetricians</topic><topic>Poverty</topic><topic>Premarital sex</topic><topic>Prevention</topic><topic>Prevention programs</topic><topic>Preventive medicine</topic><topic>Public health</topic><topic>Qualitative research</topic><topic>Risk</topic><topic>Risk behavior</topic><topic>Risk groups</topic><topic>Risk taking</topic><topic>Sex</topic><topic>Sex industry</topic><topic>Sexual abuse</topic><topic>Sexual assault</topic><topic>sexual norms</topic><topic>Sexually transmitted diseases</topic><topic>Social inequality</topic><topic>STD</topic><topic>Urban areas</topic><topic>Urban environments</topic><topic>Women</topic><topic>Womens health</topic><topic>Young women</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rahmalia, Annisa</creatorcontrib><creatorcontrib>Pohan, Mawar Nita</creatorcontrib><creatorcontrib>Wisaksana, Rudi</creatorcontrib><creatorcontrib>Laga, Marie</creatorcontrib><creatorcontrib>Peeters Grietens, Koen</creatorcontrib><collection>Taylor & Francis Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Social Services Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>International Bibliography of the Social Sciences (IBSS)</collection><collection>Technology Research Database</collection><collection>Sociological Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>International Bibliography of the Social Sciences</collection><collection>Engineering Research Database</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>International Bibliography of the Social Sciences</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>AIDS care</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rahmalia, Annisa</au><au>Pohan, Mawar Nita</au><au>Wisaksana, Rudi</au><au>Laga, Marie</au><au>Peeters Grietens, Koen</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>"No good man will ever want me". How structural social inequality increases women's vulnerability to HIV transmission: a qualitative study from Bandung, Indonesia</atitle><jtitle>AIDS care</jtitle><addtitle>AIDS Care</addtitle><date>2021-08-03</date><risdate>2021</risdate><volume>33</volume><issue>8</issue><spage>1016</spage><epage>1023</epage><pages>1016-1023</pages><issn>0954-0121</issn><eissn>1360-0451</eissn><abstract>Understanding the pathways that expose women to HIV transmission are vital in improving HIV prevention, especially among a "hidden" group of women without pre-established known risk for HIV. We investigated the pathways which place certain women at greater risk for HIV in a qualitative exploratory study with theoretical sampling using an emergent theory study design in an urban setting in Indonesia. We conducted semi-structured interviews with 47 HIV-infected women, one focus group discussion with five young women who occassionally engage in sex work, participant observation at six sex work venues and two midwife clinics, and 11 informal interviews with midwives, nurses, and obstetricians. Our research found that many women not characterized as belonging to a "high-risk group" or "key population" were nevertheless at increased risk for HIV. A history of sexual abuse, premarital sex, divorce, or involvement in sex work, often precipitated by poverty coupled with discriminatory public health policies further heightened women's exposure to HIV. While reaching at-risk populations is a key strategy in HIV prevention, a novel and more tailored approach is needed to reach more hidden categories of women with less apparent risk behavior yet considerable risk for HIV infection.</abstract><cop>England</cop><pub>Taylor & Francis</pub><pmid>32748628</pmid><doi>10.1080/09540121.2020.1801980</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0001-8154-2765</orcidid><oa>free_for_read</oa></addata></record> |
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source | Applied Social Sciences Index & Abstracts (ASSIA); International Bibliography of the Social Sciences (IBSS); Taylor and Francis:Jisc Collections:Taylor and Francis Read and Publish Agreement 2024-2025:Medical Collection (Reading list); Sociological Abstracts |
subjects | Abuse AIDS/HIV At risk populations Disease prevention Disease transmission Divorce Health disparities Health policy Health risks High risk HIV HIV transmission HIV vulnerability Human immunodeficiency virus Indonesia Interviews Midwives Nurses Obstetricians Poverty Premarital sex Prevention Prevention programs Preventive medicine Public health Qualitative research Risk Risk behavior Risk groups Risk taking Sex Sex industry Sexual abuse Sexual assault sexual norms Sexually transmitted diseases Social inequality STD Urban areas Urban environments Women Womens health Young women |
title | "No good man will ever want me". How structural social inequality increases women's vulnerability to HIV transmission: a qualitative study from Bandung, Indonesia |
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