scholarly journals Substance Abuse, Treatment Needs and Access Among Female Sex Workers and Non-Sex Workers in Pretoria, South Africa

2016 ◽  
pp. 77-93 ◽  
Keyword(s):  
South Africa ◽  
Substance Abuse ◽  
Substance Abuse Treatment ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Treatment Needs ◽  
Female Sex ◽  
Abuse Treatment

Linking female sex workers with substance abuse treatment

2004 ◽  
Vol 27 (3) ◽  
pp. 233-239 ◽  
Author(s):  
Larry A. Nuttbrock ◽  
Andrew Rosenblum ◽  
Stephen Magura ◽  
Cherie Villano ◽  
Joyce Wallace
Keyword(s):  
Substance Abuse ◽  
Substance Abuse Treatment ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Female Sex ◽  
Abuse Treatment

scholarly journals Intersections of Sex Work, Mental Ill-Health, IPV and Other Violence Experienced by Female Sex Workers: Findings from a Cross-Sectional Community-Centric National Study in South Africa

2021 ◽  
Vol 18 (22) ◽  
pp. 11971
Author(s):  
Rachel Jewkes ◽  
Minja Milovanovic ◽  
Kennedy Otwombe ◽  
Esnat Chirwa ◽  
Khuthadzo Hlongwane ◽  
...  
Keyword(s):  
Mental Health ◽  
South Africa ◽  
Substance Abuse ◽  
Food Insecurity ◽  
Childhood Trauma ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Poor Mental Health ◽  
Cross Sectional ◽  
Female Sex

Female sex workers (FSWs) are at increased risk of mental health problems, including mood disorders and substance abuse, and we need to understand the origins of these to treat and prevent them, and particularly understand how the context in which they sell sex impacts their mental health. We conducted a multi-stage, community-centric, cross-sectional survey of 3005 FSWs linked to SW programmes in twelve sites across all nine provinces of South Africa. We interviewed adult women who had sold sex in the preceding six months, who were recruited via SW networks. We found that FSWs have very poor mental health as 52.7% had depression and 53.6% has post-traumatic stress disorder (PTSD). The structural equation model showed direct pathways from childhood trauma and having HIV+ status to mental ill-health. Indirect pathways were mediated by food insecurity, controlling partners, non-partner rape, harmful alcohol use, substance use to cope with SW, indicators of the circumstances of SW, i.e., selling location (on streets, in taverns and brothels), frequency of selling and experiencing SW stigma. All paths from childhood trauma had final common pathways from exposure to gender-based violence (non-partner rape or intimate partner violence) to mental ill-health, except for one that was mediated by food insecurity. Thus, FSWs’ poor mental health risk was often mediated by their work location and vulnerability to violence, substance abuse and stigma. The potential contribution of legal reform to mitigate the risks of violence and mental ill-health are inescapable. Treatment of mental ill-health and substance abuse should be an essential element of FSW programmes.

scholarly journals Sexual IPV and non-partner rape of female sex workers: findings of a cross-sectional community-centric national study in South Africa

2021 ◽  
pp. 100012
Author(s):  
Rachel Jewkes ◽  
Kennedy Otwombe ◽  
Kristin Dunkle ◽  
Minja Milovanovic ◽  
Khuthadzo Hlongwane ◽  
...  
Keyword(s):  
South Africa ◽  
Sex Workers ◽  
Female Sex Workers ◽  
National Study ◽  
Cross Sectional ◽  
Female Sex

Occupational barriers to accessing and adhering to antiretroviral therapy for female sex workers living with HIV in South Africa

2020 ◽  
Vol 77 (2) ◽  
pp. 100-106 ◽  
Author(s):  
Lauren E Parmley ◽  
Carly A Comins ◽  
Katherine Young ◽  
Mfezi Mcingana ◽  
Deliwe Rene Phetlhu ◽  
...  
Keyword(s):  
South Africa ◽  
Antiretroviral Therapy ◽  
Coping Strategies ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Hiv Disclosure ◽  
Female Sex ◽  
Adherence Support ◽  
Wage Loss ◽  
Living With Hiv

ObjectivesWhile female sex workers (FSW) are nearly 14 times more likely to be living with HIV than non-FSW, less than 40% of FSW living with HIV are on antiretroviral therapy (ART). We sought to understand how the work environment influences ART access and adherence for FSW in preparation for the Siyaphambili trial.MethodsFSW living with HIV (n=24) and key informants (n=15) were recruited to participate in semistructured in-depth interviews using maximum variation and snowball sampling, respectively. FSW were recruited on key variants including type of sex work venue, primary work time and history of ART use. Data were collected between September and November 2017 in Durban, South Africa. Interviews were audio-recorded, transcribed and translated. Data were then coded applying grounded theory in Atlas.ti.ResultsFSW experienced occupational barriers to adherence including work-related migration, substance use and theft of ART on the job. Fear of wage loss due to HIV disclosure to clients and brothel managers prevented some FSW from accessing ART at their clinic and taking medications while working. FSW employed coping strategies to overcome barriers including sharing ART with colleagues, carrying small supplies of ART and visiting the clinic prior to appointments for ART refills. Further, some FSW received adherence support from colleagues who were also living with HIV.ConclusionsConsidering these occupational pressures on FSW and supporting positive coping strategies are important when designing and implementing HIV treatment programmes. Findings suggest strengthening social cohesion and supporting differentiated care efforts to improve HIV outcomes among FSW living with HIV.

scholarly journals HIV Risk Behavior Among Methamphetamine Users Entering Substance Abuse Treatment in Cape Town, South Africa

2016 ◽  
Vol 20 (10) ◽  
pp. 2387-2397 ◽  
Author(s):  
Christina S. Meade ◽  
Ryan R. Lion ◽  
Daniella M. Cordero ◽  
Melissa H. Watt ◽  
John A. Joska ◽  
...  
Keyword(s):  
South Africa ◽  
Substance Abuse ◽  
Substance Abuse Treatment ◽  
Risk Behavior ◽  
Hiv Risk ◽  
Cape Town ◽  
Hiv Risk Behavior ◽  
Abuse Treatment

scholarly journals Identifying the substance abuse treatment needs of caregivers involved with child welfare

2013 ◽  
Vol 45 (1) ◽  
pp. 118-125 ◽  
Author(s):  
Emmeline Chuang ◽  
Rebecca Wells ◽  
John Bellettiere ◽  
Theodore P. Cross
Keyword(s):  
Substance Abuse ◽  
Child Welfare ◽  
Substance Abuse Treatment ◽  
Treatment Needs ◽  
Abuse Treatment
Sign in / Sign up

Export Citation Format

Share Document