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Mindfulness,Mental Health and HIV Outcomes Among Female Sex Workers in the Dominican Republic and Tanzania |
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| Authors: | Kerrigan Deanna Karver Tahilin Sanchez Barrington Clare Donastorg Yeycy Perez Martha Gomez Hoisex Mbwambo Jessie Likindikoki Samuel Davis Wendy Wilson Beckham S. Mantsios Andrea Galai Noya Sibinga Erica |
| Affiliation: | 1.Department of Prevention and Community Health, Milken Institute School of Public Health, George Washington University, Washington, D.C., USA ;2.Department of Health, Behavior, and Society, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA ;3.Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, USA ;4.HIV Vaccine Trials Research Unit, Instituto Dermatologico y Cirugia de la Piel, Santo Domingo, Dominican Republic ;5.Department of Psychiatry, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania ;6.Public Health Innovation and Action, New York, NY, USA ;7.Department of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA ;8.Department of Statistics, University of Haifa, Mt Carmel, Israel ;9.Department of Pediatrics, School of Medicine, Johns Hopkins University, Baltimore, MD, USA ; |
| Abstract: | We examined the relationship between mindfulness, mental health and HIV outcomes among female sex workers (FSW) from the Dominican Republic (DR) (n?=?201) and Tanzania (n?=?208) using cross-sectional survey and biologic data. We employed stratified multivariate linear and logistic regression. Depression was associated with lower odds of ART adherence in the DR (AOR 0.25, 95% CI: 0.08–0.78) and of viral suppression in Tanzania (AOR 0.49, 95% CI: 0.24–0.97). In both countries, mindfulness was associated with lower odds of moderate to severe depression (AOR 0.82, 95% CI: 0.76–0.88 for the DR; AOR 0.85, 95% CI: 0.77–0.95 for Tanzania). In the DR, mindfulness was associated with lower odds of anxiety (AOR 0.83, 95% CI: 0.77–0.89), lower HIV stigma (β?=?? 0.28 per unit change, 95% CI: ? 0.37 to ? 0.19) and greater odds of viral suppression (AOR 1.09, 95% CI: 1.02–1.15). Findings demonstrate the potential of tailored mindfulness interventions to improve mental health and HIV outcomes among FSW. |
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