| Author | Murray, Laura Rebecca | |
| Author | Ferraz, Dulce Aurélia de Souza | |
| Author | Zucchi, Eliana Miura | |
| Author | Sorrentino, Isa da Silva | |
| Author | Grangeiro, Alexandre | |
| Access date | 2022-08-05T13:24:38Z | |
| Available date | 2022-08-05T13:24:38Z | |
| Document date | 2021 | |
| Citation | MURRAY, Laura Rebecca et al. Autonomy and care in context: the paradox of sex workers’ acceptability of hiv self‑tests in São Paulo, Brazil. Archives of Sexual Behavior, [s. l.], n. 51, p.1-10, 2021. | pt_BR |
| ISSN | 0004-0002 | pt_BR |
| URI | https://www.arca.fiocruz.br/handle/icict/54470 | |
| Language | eng | pt_BR |
| Publisher | Springer Nature | pt_BR |
| Rights | open access | pt_BR |
| MeSH | Self-Testing | pt_BR |
| MeSH | HIV Testing | pt_BR |
| MeSH | Sex Work | pt_BR |
| Title | Autonomy and care in context: the paradox of sex workers’ acceptability of hiv self‑tests in São Paulo, Brazil | pt_BR |
| Type | Article | pt_BR |
| DOI | 10.1007/s10508-021-02129-y | |
| Abstract | Cisgender female sex workers (CFSW) continue to face structural barriers to HIV prevention. We analyzed the acceptability
of the oral HIV self-test (HIV-ST) among CFSW as part of a pragmatic trial on HIV prevention in Brazil. Data from in-depth
interviews conducted with 12 women from diverse sex worker contexts and participant observation were analyzed using thematic
analysis. CFSW valued autonomy in their workplaces and saw the HIV-ST as a possibility for self-care. Some feared
clients’ reactions, manager reprimands, and a positive result. HIV and sex work stigma largely drove self-care practices and
perceived acceptability of the self-test. We argue that the autonomy offered by the self-test presents a paradox: increasing
autonomy on the one hand while risking sidestepping structural dimensions of HIV vulnerability on the other. These nuances
must be considered in interventions promoting the HIV-ST by considering the specificities of sex worker contexts, addressing
stigma, and effectively involving CFSW and their organizations in intervention development. | pt_BR |
| Affilliation | Universidade Federal do Rio de Janeiro. Núcleo de Estudos de Políticas Públicas em Direitos Humanos. Rio de Janeiro, RJ, Brasil. | pt_BR |
| Affilliation | Fundação Oswaldo Cruz. Fiocruz Brasília. Brasília, DF, Brasil. | pt_BR |
| Affilliation | Universidade Católica de Santos. Programa de Pós-Graduação Profissional em Psicologia e Políticas Públicas. Santos, SP, Brasil / Universidade Católica de Santos. Programa de Pós-Graduação em Saúde Coletiva. Santos, SP, Brasil | pt_BR |
| Affilliation | Universidade de São Paulo. Faculdade de Medicina. Departamento de Medicina Preventiva. São Paulo, SP, Brasil. | pt_BR |
| Affilliation | Universidade de São Paulo. Faculdade de Medicina. Departamento de Medicina Preventiva. São Paulo, SP, Brasil. | pt_BR |
| Subject | Sex work | pt_BR |
| Subject | Brazil | pt_BR |
| Subject | HIV self-test | pt_BR |
| Subject | Autonomy | pt_BR |
| Subject | Stigma | pt_BR |
| DeCS | Autoteste | pt_BR |
| DeCS | Teste de HIV | pt_BR |
| DeCS | Profissionais do Sexo | pt_BR |
| DeCS | Autonomia Profissional | pt_BR |
| xmlui.metadata.dc.subject.ods | 05 Igualdade de gênero | |
