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Open AccessFeature PaperArticle

Mujeres Unidas: Addressing Substance Use, Violence, and HIV Risk through Asset-Based Community Development for Women in the Sex Trade

1
College of Health and Human Services, San Diego State University School of Social Work, San Diego, CA 92182, USA
2
Department of Medicine, Division of Infectious Diseases and Global Public Health, University of California San Diego, La Jolla, CA 92093, USA
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Facultad de Medicina y Ciencias Biomédicas, Universidad Autonoma de Chihuahua, Chihuahua 31125, Mexico
4
Center for Justice and Reconciliation, Point Loma Nazarene d, San Diego, CA 92106, USA
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Casa del Centro and the Wound Clinic, Tijuana 22000, Mexico
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Department of Family Medicine and Public Health, University of California San Diego, La Jolla, CA 92093, USA
*
Author to whom correspondence should be addressed.
Academic Editor: Sarah Blackstone
Int. J. Environ. Res. Public Health 2021, 18(8), 3884; https://doi.org/10.3390/ijerph18083884
Received: 16 February 2021 / Revised: 30 March 2021 / Accepted: 3 April 2021 / Published: 7 April 2021
(This article belongs to the Special Issue Women’s Empowerment and Women’s Health Outcomes)
This paper examines the prevalence of and potential for community mobilization (CM) and its association with HIV/STI risk, substance use, and violence victimization among women, particularly those using substances, in the sex trade in Tijuana, Mexico. Methods: 195 women participated in Mujeres Unidas (K01DA036439 Urada) under a longitudinal survey study, “Proyecto Mapa de Salud” (R01DA028692, PI: Brouwer). Local health/social service providers (N = 16) were also interviewed. Results: 39% of women who participated in community mobilization activities used substances. In adjusted analyses (n = 135), participation in CM activities (n = 26) was more likely among women who did not report substance use (AOR: 4.36, CI: 1.11–17.16), perceived a right to a life free from violence (AOR: 9.28, CI: 2.03–59.26), talked/worked with peers in the sex trade to change a situation (AOR: 7.87, CI: 2.03–30.57), witnessed violence where they worked (AOR: 4.45, CI: 1.24–15.96), and accessed free condoms (AOR: 1.54, CI: 1.01–2.35). Forty-five of the women using substances demonstrated their potential for engaging in asset-based community development (ABCD) with service providers in Mujeres Unidas meetings. Conclusion: Women using substances, vs. those who did not, demonstrated their potential to engage in ABCD strategies. Women’s empowerment, safety, and health could be enhanced by communities engaging in ABCD strategies that build and bridge social capital for marginalized women who otherwise have few exit and recovery options. View Full-Text
Keywords: women; sex trade; substance use; HIV; violence; community mobilization; asset-based community development; empowerment; human trafficking women; sex trade; substance use; HIV; violence; community mobilization; asset-based community development; empowerment; human trafficking
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MDPI and ACS Style

Urada, L.A.; Gaeta-Rivera, A.; Kim, J.; Gonzalez-Zuniga, P.E.; Brouwer, K.C. Mujeres Unidas: Addressing Substance Use, Violence, and HIV Risk through Asset-Based Community Development for Women in the Sex Trade. Int. J. Environ. Res. Public Health 2021, 18, 3884. https://doi.org/10.3390/ijerph18083884

AMA Style

Urada LA, Gaeta-Rivera A, Kim J, Gonzalez-Zuniga PE, Brouwer KC. Mujeres Unidas: Addressing Substance Use, Violence, and HIV Risk through Asset-Based Community Development for Women in the Sex Trade. International Journal of Environmental Research and Public Health. 2021; 18(8):3884. https://doi.org/10.3390/ijerph18083884

Chicago/Turabian Style

Urada, Lianne A.; Gaeta-Rivera, Andrés; Kim, Jessica; Gonzalez-Zuniga, Patricia E.; Brouwer, Kimberly C. 2021. "Mujeres Unidas: Addressing Substance Use, Violence, and HIV Risk through Asset-Based Community Development for Women in the Sex Trade" Int. J. Environ. Res. Public Health 18, no. 8: 3884. https://doi.org/10.3390/ijerph18083884

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