A5073631704- Sex work and related issues
- HIV, Drug Use, Sexual Risk
- Adolescent Sexual and Reproductive Health
- HIV/AIDS Research and Interventions
- Liver Disease Diagnosis and Treatment
- Poverty, Education, and Child Welfare
- Gender Roles and Identity Studies
- Digital Economy and Work Transformation
- Social Media in Health Education
- Homelessness and Social Issues
- COVID-19 Pandemic Impacts
- Sexuality, Behavior, and Technology
- Mobile Health and mHealth Applications
- HIV-related health complications and treatments
- Hepatitis C virus research
- Health Literacy and Information Accessibility
London School of Hygiene & Tropical Medicine
2018-2024
Faculty of Public Health
2022-2023
University Hospitals Sussex NHS Foundation Trust
2023
Brighton and Sussex Medical School
2017
Abstract Background Adverse childhood experiences (ACEs), poverty, violence and harmful alcohol/substance use are associated with poor mental health outcomes, but few studies have examined these risks among Female Sex Workers (FSWs). We examine the prevalence correlates of common problems including suicidal thoughts behaviours FSWs in Kenya. Methods Maisha Fiti is a longitudinal study randomly selected from Worker Outreach Programme (SWOP) clinics across Nairobi. Baseline...
Background: Female Sex Workers (FSWs) are at high risk of harmful alcohol and other drug use. We use quantitative data to describe the prevalence identify associated occupational socio-economic factors, aim elucidate patterns through information drawn from qualitative data. Methods: Maisha Fiti was a mixed-method longitudinal study conducted in 2019 among random sample FSWs Nairobi, Kenya. used baseline date behavioural–biological survey, which included WHO Alcohol, Smoking Substance...
We examined violence experiences among Female Sex Workers (FSWs) in Nairobi, Kenya, and how these relate to HIV risk using a life course perspective. Baseline behavioural-biological surveys were conducted with 1003 FSWs June-December 2019. Multivariable logistic regression models used estimate the adjusted odds ratio (AOR) 95% confidence intervals (CI) for associations of factors reported experience physical or sexual past 6 months. found substantial overlap between childhood, recent...
Objectives Female sex workers (FSWs) experience violence from a range of perpetrators, but little is known about how across multiple settings (workplace, community, domestic) impacts on HIV/sexually transmitted infection (STI) risk. We examined whether HIV/STI risk differs by the perpetrator violence. Methods An Integrated Biological and Behavioural Assessment survey was conducted among random samples FSWs in two districts (Bangalore Shimoga) Karnataka state, south India, 2011. Physical...
Abstract Background Female sex workers (FSWs) in Kenya are at an increased risk of violence, poverty, police arrest, and problematic alcohol other substance use, all which linked to poor mental health suicidal ideation. Despite the psychological stressors experienced by FSWs, there is no published qualitative methods research investigating their experiences Kenya. In this paper, we draw on data from in-depth interviews examine FSWs’ lifetime perceived factors. Methods We used baseline Maisha...
High HIV prevalence among female sex workers (FSWs) is heavily influenced by structural determinants (e.g. criminalisation of work; violence) and significant life events orphanhood, teenage pregnancy). This study aims to understand the epidemiology FSWs in Nairobi, Kenya using a life-course perspective. Baseline cross-sectional survey data were collected June–December 2019 for Maisha Fiti with 1003 (aged 18–45 years). Odds ratios 95% confidence intervals estimated multivariable logistic...
Violence, alcohol use, substance use and poor mental health have been linked with increased HIV acquisition risk, genital inflammation enhances susceptibility. We examined whether past 6 month experience of these exposures was associated inflammation, thereby providing a biological link between risk. The Maisha Fiti study longitudinal mixed-methods female sex workers in Nairobi, Kenya. Behavioural-biological surveys were conducted at baseline (June-December 2019) endline (June 2020-March...
Female sex workers (FSWs) are at high risk of mental health problems and suicide risk. Few longitudinal studies have examined factors for poor among FSWs. Maisha Fiti is a study FSWs randomly selected from Sex Worker Outreach Programme clinics across Nairobi. Behavioural-biological survey data were collected baseline (n = 1003, June-December 2019), midline 366) (Jan-March 2020) endline 877) (June 2020-Jan 2021). Women reporting offered counselling services. Multivariable mixed logistic...
Conducting violence and mental health research during the COVID-19 pandemic with vulnerable groups such as female sex workers (FSWs) required care to ensure that participants team were not harmed. Potential risks harm avoidance needed be considered well ensuring data reliability. In March 2020, restrictions imposed in Kenya follow-up collection for Maisha Fiti study (n = 1003); hence was paused. June clinic re-opened after consultations experts FSW community. Between 2020 January 2021,...
Objective To explore factors associated with early age at entry into sex work, among a cohort of female workers (FSWs) in Nairobi, Kenya. Background Younger work initiation increases the risk HIV acquisition, condom non-use, violence victimisation and alcohol and/or substance use problems. This study aimed to understand childhood adolescence that shape vulnerability underage initiation. Design Building on previous qualitative research this cohort, analysis behavioural–biological...
Because of improved life expectancy in people living with HIV (PLWH), liver disease is increasingly being recognized. We assessed nonviral chronic burden PLWH.
Violence, poor mental health, and harmful substance use are commonly experienced by female sex workers (FSWs) in sub-Saharan Africa, all of which associated with increased HIV susceptibility. We aimed to investigate the associations between violence, health alcohol/substance hair cortisol concentration (HCC) levels as a potential biological pathway linking experiences these stressors vulnerability. used baseline data Maisha Fiti study FSWs Nairobi, Kenya. Participants reported recent use....
Aims Adverse childhood experiences (ACEs), poverty, violence and harmful alcohol/substance are associated with poor mental health outcomes in the general population. These risks likely to be exacerbated among Female Sex Workers (FSWs), however there few studies examining factors for problems FSWs. We examine prevalence correlates of common including suicidal behaviour FSWs Kenya. Method Maisha Fiti is a longitudinal study randomly selected from Worker Outreach Programme (SWOP) clinics across...
Background: Although the COVID-19 measures were aimed at public good, they resulted in massive economic disruptions. We explored female sex workers’ (FSWs) experiences and self-care efforts following deployment of containment Nairobi, Kenya.Methods: Forty-seven women drawn from 1003 FSWs enrolled Maisha Fiti Longitudinal Mixed-Methods Study participated. An in-depth interview tool was used to capture women’s coping strategies with pandemic after Kenya government imposed that affected work,...
Introduction With advances in HIV therapy, many people are living longer healthier lives. Simultaneously our cohorts ageing with 42% of individuals locally aged over 50. Our service looked for innovative ways reducing visits stable patients while increasing capacity to manage complex patients. In 2008 we introduced an email whereby seen once a year interim results checked and emailed them. We report on review the Connect service. Methods Individuals who had ever registered their current...
Aims This study examines the prevalence and associations between recent violence experience, mental health physical impairment among Female Sex Workers (FSWs) in north Karnataka, India. Background Multi-morbidity, particular overlap problems, is an important global challenge to address. FSWs experience high levels of gender-based violence, which increases risk poor health, however there limited information on impairments how this interacts with violence. Method We conducted secondary...