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Poverty and InequalitySexual and Reproductive HealthFamily, Maternal & Child HealthMethodology

Syndemic Factors and Resiliency Among Latina Immigrant Indirect Sex Workers in an Emergent Immigrant City

TitleSyndemic Factors and Resiliency Among Latina Immigrant Indirect Sex Workers in an Emergent Immigrant City
Publication TypeJournal Article
Year of Publication2018
AuthorsGrieb, SD, Flores-Miller, A, Sherman, SG, Page, KR
JournalJ Immigr Minor Health
Date PublishedAug 23
ISBN Number1557-1912
Accession Number30141023
KeywordsFemale sex work, HIV/AIDS, Latino immigrants, Resiliency, Syndemic factors
Abstract

Female sex workers (FSW) constitute a highly vulnerable population challenged by numerous co-existing, or syndemic, risk factors. FSW also display resilience to these, and some evidence suggests that resilience may be associated with protective factors that improve health outcomes. We conducted in-depth interviews with indirect sex workers (n = 11) and their clients (n = 18). Interviews were coded utilizing an iterative, modified constant comparison method to identify emergent themes. We identified five syndemic risk factors (difficulty finding work due to undocumented status, shame and mental health hardship, lack of social support, alcohol use, and violence) and five resilient factors (rationalizing sex work, identifying as a "decent" woman, fulfilling immigrant goals, reducing alcohol consumption, and creating rules to reduce risk of violence and HIV/STIs). Understanding the syndemic risk factors and resiliency developed by FSW is important to develop tailored, strength-based interventions for HIV/STIs and other risks.