Autonomy and care in context: the paradox of sex workers’ acceptability of hiv self‑tests in São Paulo, Brazil

dc.creatorMurray, Laura Rebecca
dc.creatorFerraz, Dulce Aurélia de Souza
dc.creatorZucchi, Eliana Miura
dc.creatorSorrentino, Isa da Silva
dc.creatorGrangeiro, Alexandre
dc.date2022-08-05T13:24:38Z
dc.date2022-08-05T13:24:38Z
dc.date2021
dc.date.accessioned2023-09-26T20:47:01Z
dc.date.available2023-09-26T20:47:01Z
dc.identifierMURRAY, 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.
dc.identifier0004-0002
dc.identifierhttps://www.arca.fiocruz.br/handle/icict/54470
dc.identifier10.1007/s10508-021-02129-y
dc.identifier.urihttps://repositorioslatinoamericanos.uchile.cl/handle/2250/8863805
dc.descriptionCisgender 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.
dc.formatapplication/pdf
dc.languageeng
dc.publisherSpringer Nature
dc.rightsopen access
dc.subjectSelf-Testing
dc.subjectHIV Testing
dc.subjectSex Work
dc.subjectSex work
dc.subjectBrazil
dc.subjectHIV self-test
dc.subjectAutonomy
dc.subjectStigma
dc.subjectAutoteste
dc.subjectTeste de HIV
dc.subjectProfissionais do Sexo
dc.subjectAutonomia Profissional
dc.titleAutonomy and care in context: the paradox of sex workers’ acceptability of hiv self‑tests in São Paulo, Brazil
dc.typeArticle


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