Universidad Peruana Cayetano Heredia

Structural factors that increase HIV/STI vulnerability among indigenous people in the Peruvian Amazon

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dc.contributor.author Orellana, E.Roberto
dc.contributor.author Alva, Isaac E.
dc.contributor.author Cárcamo Cavagnaro, César Paul Eugenio
dc.contributor.author Garcia Funegra, Patricia Jannet
dc.date.accessioned 2022-01-04T20:31:50Z
dc.date.available 2022-01-04T20:31:50Z
dc.date.issued 2013
dc.identifier.uri https://hdl.handle.net/20.500.12866/10716
dc.description.abstract We examined structural factors—social, political, economic, and environmental—that increase vulnerability to HIV among indigenous people in the Peruvian Amazon. Indigenous adults belonging to 12 different ethnic groups were purposively recruited in four Amazonian river ports and 16 indigenous villages. Qualitative data revealed a complex set of structural factors that give rise to environments of risk where health is constantly challenged. Ferryboats that cross Amazonian rivers are settings where unprotected sex—including transactional sex between passengers and boat crew and commercial sex work—often take place. Population mobility and mixing also occurs in settings like the river docks, mining sites, and other resource extraction camps, where heavy drinking and unprotected sex work are common. Multilevel, combination prevention strategies that integrate empirically based interventions with indigenous knowledge are urgently needed, not only to reduce vulnerability to HIV transmission, but also to eliminate the structural determinants of indigenous people’s health. en_US
dc.language.iso eng
dc.publisher SAGE Publications
dc.relation.ispartofseries Qualitative Health Research
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject America en_US
dc.subject South en_US
dc.subject HIV/AIDS en_US
dc.subject marginalized populations en_US
dc.subject risk en_US
dc.subject behaviors en_US
dc.subject sexuality / sexual health en_US
dc.title Structural factors that increase HIV/STI vulnerability among indigenous people in the Peruvian Amazon en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1177/1049732313502129
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.03.00
dc.relation.issn 1552-7557


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