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2013 ; 23
(9
): 1240-50
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Structural factors that increase HIV/STI vulnerability among indigenous people in
the Peruvian amazon
#MMPMID23925407
Orellana ER
; Alva IE
; Cárcamo CP
; García PJ
Qual Health Res
2013[Sep]; 23
(9
): 1240-50
PMID23925407
show ga
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.