Mindfulness, Mental Health and HIV Outcomes Among Female Sex Workers in the Dominican Republic and Tanzania.
Deanna Kerrigan, Tahilin Sanchez Karver, Clare Barrington, Yeycy Donastorg, Martha Perez, Hoisex Gomez, Jessie Mbwambo, Samuel Likindikoki, Wendy Davis, S Wilson Beckham, Andrea Mantsios, Noya Galai, Erica Sibinga
AIDS and behavior January 28, 2021 DOI: 10.1007/s10461-021-03168-1 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Cross-sectional study Peer reviewed |
|---|---|
| Sample size | 409 |
| Population | Female sex workers in the Dominican Republic and Tanzania |
| Topics | Meditation |
| Keywords | Humans Hiv infections Cross-sectional studies Mental health Tanzania Dominican republic Female Sex workers Stigma Depression/anxiety |
| Key findings | Depression was associated with lower odds of ART adherence in the Dominican Republic and of viral suppression in Tanzania. Higher mindfulness was associated with lower odds of moderate to severe depression in both countries, and in the Dominican Republic also with less anxiety, lower HIV stigma, and greater odds of viral suppression. The authors contend these findings demonstrate the potential of tailored mindfulness interventions to improve mental health and HIV outcomes among female sex workers. |
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.
Comparable studies
Other cross-sectional and survey studies on meditation, most cited first.
| Study | Year | Design | Participants |
|---|---|---|---|
| Construct Validity of the Five Facet Mindfulness Questionnaire in Meditating and Nonmeditating Samples Experienced meditators and nonmeditating comparison groups | 2008 | Cross-sectional study | |
| Neural Correlates of Dispositional Mindfulness During Affect Labeling Adult participants | 2007 | Observational cross-sectional | n = 27 |
| Assessing mindfulness in children and adolescents: Development and validation of the Child and Adolescent Mindfulness Measure (CAMM). School-aged children and adolescents | 2011 | Cross-sectional validation study | n = 1,413 |
| Mindfulness and self-compassion as predictors of psychological wellbeing in long-term meditators and matched nonmeditators Experienced meditators and demographically matched nonmeditators | 2012 | Cross-sectional study | n = 152 |
| Mechanisms of Action in the Inverse Relationship Between Mindfulness and Psychological Distress Undergraduates | 2008 | Cross-sectional, correlational |
Citations in the library
Cites 11
- Alterations in Brain and Immune Function Produced by Mindfulness Meditation Psychosomatic Medicine July 1, 2003
- Meditation Programs for Psychological Stress and Well-being JAMA Internal Medicine January 6, 2014
- Mindfulness instruction for HIV-infected youth: a randomized controlled trial AIDS Care October 25, 2017
- Revalidation of the Cognitive and Affective Mindfulness Scale — Revised (CAMS-R) With Its Newly Developed Chinese Version (Ch-CAMS-R) Journal of Pacific Rim Psychology October 5, 2015
- Exploring the dynamics of ART adherence in the context of a mindfulness instruction intervention among youth living with HIV in Baltimore, Maryland AIDS Care July 1, 2018
and 6 more in the library