{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T07:59:55Z","timestamp":1780732795143,"version":"3.54.1"},"reference-count":62,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000061","name":"Fogarty International Center","doi-asserted-by":"publisher","award":["R21TW012363"],"award-info":[{"award-number":["R21TW012363"]}],"id":[{"id":"10.13039\/100000061","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Assoc Provid AIDS Care"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The purpose of this study was to determine the prevalence of type 2 diabetes, hypertension, and mental health conditions among female sex workers with HIV in Santo Domingo, Dominican Republic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a cross-sectional survey, blood draw, and medical exam with women (n\u2009=\u2009200) recruited by peer navigators. We determined prevalence and used multivariable logistic regression to assess the relationship between conditions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Mean participant age was 46.1 years (SD: 9.15). Most participants (89.0%) were virally suppressed. Diabetes prevalence was 7.0% and hypertension was 63.0%. Nearly half reported moderate-to-severe depressive symptoms (46.0%) and over half (65.8%) anxiety. Women with moderate-to-severe depressive symptoms were over 4 times more likely to be virally unsuppressed (adjusted odds ratio [aOR]=4.17 [95% CI: 1.37-12.68]) and over 3 times more likely to have diabetes (aOR=3.45 [95% CI: 1.00-11.91]).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Findings indicate the need for holistic, integrated healthcare models to address multiple health conditions and support overall wellbeing.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/23259582261455718","type":"journal-article","created":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T13:21:32Z","timestamp":1780492892000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Understanding the Triple Burden of HIV, Noncommunicable Diseases, and Mental Health Conditions Among Female Sex Workers With HIV in the Dominican Republic"],"prefix":"10.1177","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7802-4051","authenticated-orcid":false,"given":"Clare","family":"Barrington","sequence":"first","affiliation":[{"name":"University of North Carolina at Chapel Hill"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1300-6957","authenticated-orcid":false,"given":"Deshira D.","family":"Wallace","sequence":"additional","affiliation":[{"name":"University of North Carolina at Chapel Hill"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6319-2826","authenticated-orcid":false,"given":"Carolina","family":"Ruiz","sequence":"additional","affiliation":[{"name":"University of North Carolina at Chapel Hill"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0556-0133","authenticated-orcid":false,"given":"Yeycy","family":"Donastorg","sequence":"additional","affiliation":[{"name":"HIV Vaccine and Research Unit, Instituto Dermatol\u00f3gico y Cirug\u00eda de Piel Dr Huberto Bogaert D\u00edaz, Santo Domingo, Dominican Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martha","family":"Perez","sequence":"additional","affiliation":[{"name":"HIV Vaccine and Research Unit, Instituto Dermatol\u00f3gico y Cirug\u00eda de Piel Dr Huberto Bogaert D\u00edaz, Santo Domingo, Dominican Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hoisex","family":"Gomez","sequence":"additional","affiliation":[{"name":"HIV Vaccine and Research Unit, Instituto Dermatol\u00f3gico y Cirug\u00eda de Piel Dr Huberto Bogaert D\u00edaz, Santo Domingo, Dominican Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9525-9207","authenticated-orcid":false,"given":"Yicenia","family":"Brito Beltre","sequence":"additional","affiliation":[{"name":"Hospital Salvador Gotier"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-6814-4561","authenticated-orcid":false,"given":"Meredith","family":"Dockery","sequence":"additional","affiliation":[{"name":"University of North Carolina at Chapel Hill"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7401-9159","authenticated-orcid":false,"given":"Deanna","family":"Kerrigan","sequence":"additional","affiliation":[{"name":"Rutgers University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,3]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.2307\/3349375"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/1559827609335350"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.lana.2023.100483"},{"key":"e_1_3_3_5_2","volume-title":"Leading Causes of Death and Disease Burden in the Americas: Noncommunicable Diseases and External Causes","year":"2024","unstructured":"Leading Causes of Death and Disease Burden in the Americas: Noncommunicable Diseases and External Causes. 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