PMID- 29304164
OWN - NLM
STAT- MEDLINE
DCOM- 20180223
LR  - 20181113
IS  - 1932-6203 (Electronic)
IS  - 1932-6203 (Linking)
VI  - 13
IP  - 1
DP  - 2018
TI  - Influence of peer support on HIV/STI prevention and safety amongst international 
      migrant sex workers: A qualitative study at the Mexico-Guatemala border.
PG  - e0190787
LID - 10.1371/journal.pone.0190787 [doi]
AB  - BACKGROUND: Migrant women engaged in precarious employment, such as sex work,
      frequently face pronounced social isolation alongside other barriers to health
      and human rights. Although peer support has been identified as a critical HIV and
      violence prevention intervention for sex workers, little is known about access to
      peer support or its role in shaping health and social outcomes for migrant sex
      workers. This article analyses the role of peer support in shaping vulnerability 
      and resilience related to HIV/STI prevention and violence among international
      migrant sex workers at the Mexico-Guatemala border. METHODS: This qualitative
      study is based on 31 semi-structured interviews conducted with international
      migrant sex workers in the Mexico-Guatemala border communities of Tapachula,
      Mexico and Tecun Uman and Quetzaltenango, Guatemala. RESULTS: Peer support was
      found to be critical for reducing social isolation; improving access to HIV/STI
      knowledge, prevention and resources; and mitigating workplace violence,
      particularly at the initial stages of migration and sex work. Peer support was
      especially critical for countering social isolation, and peers represented a
      valuable source of HIV/STI prevention knowledge and resources (e.g., condoms), as
      well as essential safety supports in the workplace. However, challenges to
      accessing peer support were noted, including difficulties establishing
      long-lasting relationships and other forms of social participation due to
      frequent mobility, as well as tensions among peers within some work environments.
      Variations in access to peer support related to country of work, work
      environment, sex work and migration stage, and sex work experience were also
      identified. CONCLUSIONS: Results indicate that peer-led and community empowerment
      interventions represent a promising strategy for promoting the health, safety and
      human rights of migrant sex workers. Tailored community empowerment interventions
      addressing the unique migration-related contexts and challenges faced by migrant 
      sex workers should be a focus of future community-based research, alongside
      promotion of broader structural changes.
FAU - Febres-Cordero, Belen
AU  - Febres-Cordero B
AUID- ORCID: 0000-0001-8911-5514
AD  - Gender and Sexual Health Initiative, British Columbia Centre for Excellence in
      HIV/AIDS, Vancouver, British Columbia, Canada.
FAU - Brouwer, Kimberly C
AU  - Brouwer KC
AD  - Division of Global Public Health, University of California, La Jolla, California,
      United States of America.
FAU - Rocha-Jimenez, Teresita
AU  - Rocha-Jimenez T
AD  - Division of Global Public Health, University of California, La Jolla, California,
      United States of America.
FAU - Fernandez-Casanueva, Carmen
AU  - Fernandez-Casanueva C
AD  - Centro de Investigaciones y Estudios Superiores en Antropologia Social, Chiapas, 
      Mexico.
FAU - Morales-Miranda, Sonia
AU  - Morales-Miranda S
AD  - HIV Unit, Universidad del Valle, Guatemala City, Guatemala.
FAU - Goldenberg, Shira M
AU  - Goldenberg SM
AD  - Gender and Sexual Health Initiative, British Columbia Centre for Excellence in
      HIV/AIDS, Vancouver, British Columbia, Canada.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20180105
PL  - United States
TA  - PLoS One
JT  - PloS one
JID - 101285081
SB  - IM
MH  - Adult
MH  - Female
MH  - Guatemala
MH  - HIV Infections/*prevention & control
MH  - Human Rights
MH  - Humans
MH  - Mexico
MH  - Qualitative Research
MH  - *Sex Work
MH  - Sexually Transmitted Diseases/*prevention & control
MH  - *Transients and Migrants
MH  - Violence
MH  - Young Adult
PMC - PMC5755897
EDAT- 2018/01/06 06:00
MHDA- 2018/02/24 06:00
CRDT- 2018/01/06 06:00
PHST- 2017/06/26 00:00 [received]
PHST- 2017/12/20 00:00 [accepted]
PHST- 2018/01/06 06:00 [entrez]
PHST- 2018/01/06 06:00 [pubmed]
PHST- 2018/02/24 06:00 [medline]
AID - 10.1371/journal.pone.0190787 [doi]
AID - PONE-D-17-23096 [pii]
PST - epublish
SO  - PLoS One. 2018 Jan 5;13(1):e0190787. doi: 10.1371/journal.pone.0190787.
      eCollection 2018.