Promoting HIV testing and condom use among Filipina commercial sex workers: findings from a quasi-experimental intervention study.
This study examines the effects of a multi-level social action-based theory (SABT) intervention to increase HIV testing and consistent condom use among female commercial sex workers (FCSWs). Respondents in four socio-demographically similar Philippine cities received an SABT intervention based on: (1) peer influence; (2) manager training; (3) combined peer/manager influence; or (4) usual care (control condition). HIV testing increased 86% from baseline (N = 980) to follow-up (N = 903), and was significantly associated with higher HIV/AIDS knowledge, lower probability of contracting HIV and increased condom use. After adjusting for socio-demographic, HIV knowledge and perceived control variables, FCSWs in the manager training and combined peer/manager conditions were significantly more likely to engage in consistent condom use. Mediational analyses revealed higher HIV/AIDS risk perceptions and a supportive work environment related to increased condom use. These findings support a growing body of research suggesting the need for multi-level sexual risk reduction interventions among FCSWs.
Institute of Health and Welfare Policy, School of Medicine, National Yang-Ming University, Taipei, Taiwan. cchiao@ym.edu.tw
Chi
C
Chiao
Donald E
DE
Morisky
Kate
K
Ksobiech
Robert M
RM
Malow
D017280:Condoms / Q000706:statistics & numerical data*; D005260:Female; D015658:HIV Infections / Q000175:diagnosis / Q000517:prevention & control* / Q000523:psychology; D040261:Harm Reduction; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion; D018451:Homosexuality, Male; D006801:Humans; D016015:Logistic Models; D008297:Male; D055361:Multilevel Analysis; D010379:Peer Group; D010679:Philippines / Q000453:epidemiology; D015397:Program Evaluation; D012307:Risk Factors; D011477:Sex Work / Q000706:statistics & numerical data*; D012959:Socioeconomic Factors