This Mentored Research Scientist Development Award will allow the candidate to pursue her research and training goals at the University of California, San Diego and Pro-COMUSIDA, a community health clinic in Tijuana, Mexico. The candidate's long-term career goal is to become a leader in the area of international HIV prevention.
She aims to develop a base of skills and knowledge necessary to facilitate her transition into an independent investigator. Her specific training objectives are to: 1) develop a thorough understanding of individual- and dyad-level factors that contribute to HIV risk among couples with particular emphasis on drug use, sexual relationship power, and intimate partner violence;2) gain proficiency in research design and statistical techniques necessary for conducting dyad-level analyses with couples;3) acquire an in-depth understanding of theory-based HIV prevention interventions in order to design a couples-based HIV prevention intervention for female sex workers (FSWs) and their regular sexual partners;4) obtain further training in the ethical conduct of research, particularly with unique populations such as FSWs;and 5) to build general skills for an academic career. Recently, HIV prevalence among FSWs in Tijuana has increased from 2% to 6%, and 14% among FSW who inject drugs (FSW-IDUs). Globally, FSWs are considered a "bridge" population who may transmit HIV/STIs to the general population. While the majority of research thus far has focused on individual-level risk factors among FSWs, comparatively little is known about their sexual partners and relationship characteristics. To address these gaps in knowledge, the proposed cross-sectional study will utilize quantitative methods to examine individual- and dyad-level correlates of HIV drug- and sex-risk behaviors among FSWs and their regular sexual partners in Tijuana.
The current study will yield information critical to HIV prevention policy in both the U.S. and Mexico, and will produce data to be used in the development of an intervention proposed in a subsequent R01 application. Interventions that reduce HIV risks among FSWs and their main sexual partners may curtail the growing HIV epidemic in the U.S.-Mexico border region.
|Ulibarri, Monica D; Roesch, Scott; Rangel, M Gudelia et al. (2015) "Amar te Duele" ("love hurts"): sexual relationship power, intimate partner violence, depression symptoms and HIV risk among female sex workers who use drugs and their non-commercial, steady partners in Mexico. AIDS Behav 19:18-Sep|
|Palinkas, Lawrence A; Robertson, Angela M; Syvertsen, Jennifer L et al. (2014) Client perspectives on design and implementation of a couples-based intervention to reduce sexual and drug risk behaviors among female sex workers and their noncommercial partners in Tijuana and Ciudad Juárez, México. AIDS Behav 18:583-94|
|Robertson, Angela M; Syvertsen, Jennifer L; Ulibarri, Monica D et al. (2014) Prevalence and correlates of HIV and sexually transmitted infections among female sex workers and their non-commercial male partners in two Mexico-USA border cities. J Urban Health 91:752-67|
|Ulibarri, Monica D; Strathdee, Steffanie A; Lozada, Remedios et al. (2014) Prevalence and correlates of client-perpetrated abuse among female sex workers in two Mexico-U.S. border cities. Violence Against Women 20:427-45|
|Robertson, Angela Marie; Syvertsen, Jennifer L; Rangel, M Gudelia et al. (2013) Concurrent sexual partnerships among female sex workers and their non-commercial male partners in Tijuana and Ciudad Juarez, Mexico. Sex Transm Infect 89:330-2|
|Rolon, Maria Luisa; Syvertsen, Jennifer L; Robertson, Angela M et al. (2013) The influence of having children on HIV-related risk behaviors of female sex workers and their intimate male partners in two Mexico-US border cities. J Trop Pediatr 59:214-9|
|Ulibarri, Monica D; Hiller, Sarah P; Lozada, Remedios et al. (2013) Prevalence and characteristics of abuse experiences and depression symptoms among injection drug-using female sex workers in Mexico. J Environ Public Health 2013:631479|
|Robertson, Angela M; Syvertsen, Jennifer L; Martinez, Gustavo et al. (2013) Acceptability of vaginal microbicides among female sex workers and their intimate male partners in two Mexico-US border cities: a mixed methods analysis. Glob Public Health 8:619-33|
|Syvertsen, Jennifer L; Robertson, Angela M; Abramovitz, Daniela et al. (2012) Study protocol for the recruitment of female sex workers and their non-commercial partners into couple-based HIV research. BMC Public Health 12:136|