Loading…

"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...

Full description

Saved in:
Bibliographic Details
Published in:AIDS care 2021-08, Vol.33 (8), p.1016-1023
Main Authors: Rahmalia, Annisa, Pohan, Mawar Nita, Wisaksana, Rudi, Laga, Marie, Peeters Grietens, Koen
Format: Article
Language:English
Subjects:
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by cdi_FETCH-LOGICAL-c485t-5cfda7032cdbf215c556c789fba266e56004be05f20b4748eb8e4748eda57b393
cites cdi_FETCH-LOGICAL-c485t-5cfda7032cdbf215c556c789fba266e56004be05f20b4748eb8e4748eda57b393
container_end_page 1023
container_issue 8
container_start_page 1016
container_title AIDS care
container_volume 33
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
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_crossref_primary_10_1080_09540121_2020_1801980</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2555795682</sourcerecordid><originalsourceid>FETCH-LOGICAL-c485t-5cfda7032cdbf215c556c789fba266e56004be05f20b4748eb8e4748eda57b393</originalsourceid><addsrcrecordid>eNp9kc1uEzEUhS0EoiHwCCCrLGBBwh3PeH66AiogkSrYAFvL47lTufLYrX8yyuvwpDhNyoIFq2v5fufcax9CXhawLqCF99DxCgpWrBmwfNVC0bXwiCyKsoYVVLx4TBYHZnWAzsizEG4AMlrDU3JWsqZqa9YuyO_zb45eOzfQSVo6a2Mo7tDTWdpIJzxf042baYg-qZi8NDQ4pXPRFu-SNDru81F5lAEDnd2E9k2gu2Qsetnr-350dLP9RaOXNkw6BO3sBZX0KJdR7zD7p2FPR-8m-knaIdnrd3RrB2cxaPmcPBmlCfjiVJfk55fPPy43q6vvX7eXH69Wqmp5XHE1DrKBkqmhH1nBFee1atpu7CWra-Q1QNUj8JFBX-XnY9_ifR0kb_qyK5fk7dH31ru7hCGKvK1CY6RFl4JgVQll05V5xpK8_ge9ccnbvJ1gnPOm43XLMsWPlPIuBI-juPV6kn4vChCHEMVDiOIQojiFmHWvTu6pn3D4q3pILQMfjoC2o_OTnJ03g4hyb5wf8zcrHUT5_xl_AGbArR4</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2555795682</pqid></control><display><type>article</type><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</title><source>Applied Social Sciences Index &amp; 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 &amp; 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). Published by Informa UK Limited, trading as Taylor &amp; Francis Group 2020</rights><rights>2020 The Author(s). Published by Informa UK Limited, trading as Taylor &amp; Francis Group. This work is licensed under the Creative Commons Attribution – Non-Commercial – No Derivatives License http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c485t-5cfda7032cdbf215c556c789fba266e56004be05f20b4748eb8e4748eda57b393</citedby><cites>FETCH-LOGICAL-c485t-5cfda7032cdbf215c556c789fba266e56004be05f20b4748eb8e4748eda57b393</cites><orcidid>0000-0001-8154-2765</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27922,27923,30997,33221,33772</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32748628$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rahmalia, Annisa</creatorcontrib><creatorcontrib>Pohan, Mawar Nita</creatorcontrib><creatorcontrib>Wisaksana, Rudi</creatorcontrib><creatorcontrib>Laga, Marie</creatorcontrib><creatorcontrib>Peeters Grietens, Koen</creatorcontrib><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</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. 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><subject>Abuse</subject><subject>AIDS/HIV</subject><subject>At risk populations</subject><subject>Disease prevention</subject><subject>Disease transmission</subject><subject>Divorce</subject><subject>Health disparities</subject><subject>Health policy</subject><subject>Health risks</subject><subject>High risk</subject><subject>HIV</subject><subject>HIV transmission</subject><subject>HIV vulnerability</subject><subject>Human immunodeficiency virus</subject><subject>Indonesia</subject><subject>Interviews</subject><subject>Midwives</subject><subject>Nurses</subject><subject>Obstetricians</subject><subject>Poverty</subject><subject>Premarital sex</subject><subject>Prevention</subject><subject>Prevention programs</subject><subject>Preventive medicine</subject><subject>Public health</subject><subject>Qualitative research</subject><subject>Risk</subject><subject>Risk behavior</subject><subject>Risk groups</subject><subject>Risk taking</subject><subject>Sex</subject><subject>Sex industry</subject><subject>Sexual abuse</subject><subject>Sexual assault</subject><subject>sexual norms</subject><subject>Sexually transmitted diseases</subject><subject>Social inequality</subject><subject>STD</subject><subject>Urban areas</subject><subject>Urban environments</subject><subject>Women</subject><subject>Womens health</subject><subject>Young women</subject><issn>0954-0121</issn><issn>1360-0451</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>0YH</sourceid><sourceid>7QJ</sourceid><sourceid>8BJ</sourceid><sourceid>BHHNA</sourceid><recordid>eNp9kc1uEzEUhS0EoiHwCCCrLGBBwh3PeH66AiogkSrYAFvL47lTufLYrX8yyuvwpDhNyoIFq2v5fufcax9CXhawLqCF99DxCgpWrBmwfNVC0bXwiCyKsoYVVLx4TBYHZnWAzsizEG4AMlrDU3JWsqZqa9YuyO_zb45eOzfQSVo6a2Mo7tDTWdpIJzxf042baYg-qZi8NDQ4pXPRFu-SNDru81F5lAEDnd2E9k2gu2Qsetnr-350dLP9RaOXNkw6BO3sBZX0KJdR7zD7p2FPR-8m-knaIdnrd3RrB2cxaPmcPBmlCfjiVJfk55fPPy43q6vvX7eXH69Wqmp5XHE1DrKBkqmhH1nBFee1atpu7CWra-Q1QNUj8JFBX-XnY9_ifR0kb_qyK5fk7dH31ru7hCGKvK1CY6RFl4JgVQll05V5xpK8_ge9ccnbvJ1gnPOm43XLMsWPlPIuBI-juPV6kn4vChCHEMVDiOIQojiFmHWvTu6pn3D4q3pILQMfjoC2o_OTnJ03g4hyb5wf8zcrHUT5_xl_AGbArR4</recordid><startdate>20210803</startdate><enddate>20210803</enddate><creator>Rahmalia, Annisa</creator><creator>Pohan, Mawar Nita</creator><creator>Wisaksana, Rudi</creator><creator>Laga, Marie</creator><creator>Peeters Grietens, Koen</creator><general>Taylor &amp; Francis</general><general>Taylor &amp; Francis Ltd</general><scope>0YH</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7QL</scope><scope>7T2</scope><scope>7T7</scope><scope>7U3</scope><scope>7U9</scope><scope>8BJ</scope><scope>8FD</scope><scope>BHHNA</scope><scope>C1K</scope><scope>FQK</scope><scope>FR3</scope><scope>H94</scope><scope>JBE</scope><scope>K9.</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>P64</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-8154-2765</orcidid></search><sort><creationdate>20210803</creationdate><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</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 &amp; Francis Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index &amp; 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 &amp; Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing &amp; 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 &amp; 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>
fulltext fulltext
identifier ISSN: 0954-0121
ispartof AIDS care, 2021-08, Vol.33 (8), p.1016-1023
issn 0954-0121
1360-0451
language eng
recordid cdi_crossref_primary_10_1080_09540121_2020_1801980
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
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-10T06%3A13%3A20IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=%22No%20good%20man%20will%20ever%20want%20me%22.%20How%20structural%20social%20inequality%20increases%20women's%20vulnerability%20to%20HIV%20transmission:%20a%20qualitative%20study%20from%20Bandung,%20Indonesia&rft.jtitle=AIDS%20care&rft.au=Rahmalia,%20Annisa&rft.date=2021-08-03&rft.volume=33&rft.issue=8&rft.spage=1016&rft.epage=1023&rft.pages=1016-1023&rft.issn=0954-0121&rft.eissn=1360-0451&rft_id=info:doi/10.1080/09540121.2020.1801980&rft_dat=%3Cproquest_cross%3E2555795682%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c485t-5cfda7032cdbf215c556c789fba266e56004be05f20b4748eb8e4748eda57b393%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2555795682&rft_id=info:pmid/32748628&rfr_iscdi=true