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"Life at the River is a Living Hell:" a qualitative study of trauma, mental
health, substance use and HIV risk behavior among female fish traders from the
Kafue Flatlands in Zambia
#MMPMID28270127
Michalopoulos LT
; Baca-Atlas SN
; Simona SJ
; Jiwatram-Negrón T
; Ncube A
; Chery MB
BMC Womens Health
2017[Mar]; 17
(1
): 15
PMID28270127
show ga
BACKGROUND: In Western settings, the relationship between trauma history,
posttraumatic stress disorder, substance use, and HIV risk behavior, is well
established. Although female fish traders in Zambia are affected by HIV at rates
estimated to be 4-14 times higher than the national prevalence, no studies have
examined the co-occurring issues of trauma, substance use and HIV risk behavior
among this vulnerable population. The current study examined: 1) trauma history,
trauma symptoms and HIV risk behaviors and 2) the relationship between these
co-occurring issues among female fish traders from the Kafue Flatlands in Zambia.
METHODS: Twenty individual semi-structured qualitative interviews and a focus
group discussion (n?=?12 participants) were conducted with female fish traders in
the Kafue Flatlands of Zambia. Template analysis was used to examine the data.
RESULTS: The findings indicate that female fish traders in Zambia are at risk of
multiple and ongoing traumatic events and daily stressors, severe mental health
symptoms (including western conceptualizations of disorders such as anxiety,
depression, post-traumatic stress disorder (PTSD) and complicated grief, as well
as local idioms of distress), substance abuse, and HIV sexual risk behaviors. The
results suggest a relationship between trauma and HIV sexual risk behavior in
this population. CONCLUSIONS: The indication of these co-occurring issues
demonstrates the need for HIV prevention intervention efforts, which account for
trauma, mobility, and psychosocial outcomes in order to reduce HIV sexual risk
behavior among female fish traders in Zambia.
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