title: Structural and Interpersonal Benefits and Risks of Participation in HIV Research: Perspectives of Female Sex Workers in Guatemala.
abstract: This study explored perceived benefits and risks of participation in HIV research among 33 female sex workers in Tecun Uman, Guatemala. Stigma associated with sex work and HIV was a critical barrier to research participation. Key benefits of participation included access to HIV/STI prevention and testing, as well as positive and trusting relationships between sex workers and research teams. Control exerted by managers had mixed influences on perceived research risks and benefits. Results underscore the critical need for HIV investigators to develop population-tailored procedures to reduce stigma, engage managers, and reinforce trusting, reciprocal relationships between sex work communities and researchers.
authors.affiliation: Gender and Sexual Health Initiative, British Columbia Centre for Excellence in HIV/AIDS, Department of Medicine, University of British Columbia [608 -1081 Burrard Street (St. Paul's Hospital), Vancouver, BC, CANADA, V6Z 1Y6]; HIV Prevention Ethics Institute, Fordham University [441 E. Fordham Road, Bronx, NY, USA, 10458].
authors.forename: Shira M
authors.initials: SM
authors.lastname: Goldenberg
authors.affiliation: HIV Prevention Ethics Institute, Fordham University [441 E. Fordham Road, Bronx, NY, USA, 10458]; Department of Psychology, Fordham University [441 E. Fordham Road, Bronx, NY, USA, 10458].
authors.forename: Monica Rivera
authors.initials: MR
authors.lastname: Mindt
authors.affiliation: Division of Global Public Health, University of California, San Diego [9500 Gilman Drive, La Jolla, CA, USA, 92093-0507].
authors.forename: Teresita Rocha
authors.initials: TR
authors.lastname: Jimenez
authors.affiliation: Division of Global Public Health, University of California, San Diego [9500 Gilman Drive, La Jolla, CA, USA, 92093-0507].
authors.forename: Kimberly C
authors.initials: KC
authors.lastname: Brouwer
authors.affiliation: Centro de Estudios en Salud, Unidad de VIH, Universidad del Valle de Guatemal [Vista Hermosa III, Guatamala City, GUATEMALA].
authors.forename: Sonia Morales
authors.initials: SM
authors.lastname: Miranda
authors.affiliation: HIV Prevention Ethics Institute, Fordham University [441 E. Fordham Road, Bronx, NY, USA, 10458]; Department of Psychology, Fordham University [441 E. Fordham Road, Bronx, NY, USA, 10458]; Center for Ethics Education, Fordham University [441 E. Fordham Road, Bronx, NY, USA, 10458].
authors.forename: Celia B
authors.initials: CB
authors.lastname: Fisher
keywords: Central America; HIV; Sex workers; ethics; research participation; stigma; trust