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

Detalhes bibliográficos
Autor(a) principal: Murray, Laura Rebecca
Data de Publicação: 2021
Outros Autores: Ferraz, Dulce Aurélia de Souza, Zucchi, Eliana Miura, Sorrentino, Isa da Silva, Grangeiro, Alexandre
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/54470
Resumo: Universidade Federal do Rio de Janeiro. Núcleo de Estudos de Políticas Públicas em Direitos Humanos. Rio de Janeiro, RJ, Brasil.
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spelling Murray, Laura RebeccaFerraz, Dulce Aurélia de SouzaZucchi, Eliana MiuraSorrentino, Isa da SilvaGrangeiro, Alexandre2022-08-05T13:24:38Z2022-08-05T13:24:38Z2021MURRAY, 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, 2021.0004-0002https://www.arca.fiocruz.br/handle/icict/5447010.1007/s10508-021-02129-yengSpringer NatureSelf-TestingHIV TestingSex WorkSex workBrazilHIV self-testAutonomyStigmaAutotesteTeste de HIVProfissionais do SexoAutonomia ProfissionalAutonomy and care in context: the paradox of sex workers’ acceptability of hiv self‑tests in São Paulo, Brazilinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleUniversidade Federal do Rio de Janeiro. Núcleo de Estudos de Políticas Públicas em Direitos Humanos. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Fiocruz Brasília. Brasília, DF, Brasil.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, BrasilUniversidade de São Paulo. Faculdade de Medicina. Departamento de Medicina Preventiva. São Paulo, SP, Brasil.Universidade de São Paulo. Faculdade de Medicina. Departamento de Medicina Preventiva. São Paulo, SP, Brasil.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.info:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZORIGINALve_Laura_Murray_etal_FiocruzBSB_2021.pdfve_Laura_Murray_etal_FiocruzBSB_2021.pdfapplication/pdf628400https://www.arca.fiocruz.br/bitstream/icict/54470/2/ve_Laura_Murray_etal_FiocruzBSB_2021.pdf94921f7400c8b2cf57ceb7ccef3c78d2MD52LICENSElicense.txtlicense.txttext/plain; charset=utf-83074https://www.arca.fiocruz.br/bitstream/icict/54470/1/license.txtd3e717dbb24bfc607ede047f44d29a0eMD51icict/544702022-11-16 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dc.title.pt_BR.fl_str_mv Autonomy and care in context: the paradox of sex workers’ acceptability of hiv self‑tests in São Paulo, Brazil
title Autonomy and care in context: the paradox of sex workers’ acceptability of hiv self‑tests in São Paulo, Brazil
spellingShingle Autonomy and care in context: the paradox of sex workers’ acceptability of hiv self‑tests in São Paulo, Brazil
Murray, Laura Rebecca
Self-Testing
HIV Testing
Sex Work
Sex work
Brazil
HIV self-test
Autonomy
Stigma
Autoteste
Teste de HIV
Profissionais do Sexo
Autonomia Profissional
title_short Autonomy and care in context: the paradox of sex workers’ acceptability of hiv self‑tests in São Paulo, Brazil
title_full Autonomy and care in context: the paradox of sex workers’ acceptability of hiv self‑tests in São Paulo, Brazil
title_fullStr Autonomy and care in context: the paradox of sex workers’ acceptability of hiv self‑tests in São Paulo, Brazil
title_full_unstemmed Autonomy and care in context: the paradox of sex workers’ acceptability of hiv self‑tests in São Paulo, Brazil
title_sort Autonomy and care in context: the paradox of sex workers’ acceptability of hiv self‑tests in São Paulo, Brazil
author Murray, Laura Rebecca
author_facet Murray, Laura Rebecca
Ferraz, Dulce Aurélia de Souza
Zucchi, Eliana Miura
Sorrentino, Isa da Silva
Grangeiro, Alexandre
author_role author
author2 Ferraz, Dulce Aurélia de Souza
Zucchi, Eliana Miura
Sorrentino, Isa da Silva
Grangeiro, Alexandre
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Murray, Laura Rebecca
Ferraz, Dulce Aurélia de Souza
Zucchi, Eliana Miura
Sorrentino, Isa da Silva
Grangeiro, Alexandre
dc.subject.mesh.pt_BR.fl_str_mv Self-Testing
HIV Testing
Sex Work
topic Self-Testing
HIV Testing
Sex Work
Sex work
Brazil
HIV self-test
Autonomy
Stigma
Autoteste
Teste de HIV
Profissionais do Sexo
Autonomia Profissional
dc.subject.en.pt_BR.fl_str_mv Sex work
Brazil
HIV self-test
Autonomy
Stigma
dc.subject.decs.pt_BR.fl_str_mv Autoteste
Teste de HIV
Profissionais do Sexo
Autonomia Profissional
description Universidade Federal do Rio de Janeiro. Núcleo de Estudos de Políticas Públicas em Direitos Humanos. Rio de Janeiro, RJ, Brasil.
publishDate 2021
dc.date.issued.fl_str_mv 2021
dc.date.accessioned.fl_str_mv 2022-08-05T13:24:38Z
dc.date.available.fl_str_mv 2022-08-05T13:24:38Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv 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.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/54470
dc.identifier.issn.pt_BR.fl_str_mv 0004-0002
dc.identifier.doi.none.fl_str_mv 10.1007/s10508-021-02129-y
identifier_str_mv 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.
0004-0002
10.1007/s10508-021-02129-y
url https://www.arca.fiocruz.br/handle/icict/54470
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Springer Nature
publisher.none.fl_str_mv Springer Nature
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Repositório Institucional da FIOCRUZ (ARCA)
collection Repositório Institucional da FIOCRUZ (ARCA)
bitstream.url.fl_str_mv https://www.arca.fiocruz.br/bitstream/icict/54470/2/ve_Laura_Murray_etal_FiocruzBSB_2021.pdf
https://www.arca.fiocruz.br/bitstream/icict/54470/1/license.txt
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