title: Reducing sexual HIV/STI risk and harmful alcohol use among female sex workers in Mongolia: a randomized clinical trial.
abstract: This study examined the efficacy of an enhanced intervention to reduce sexual risk of HIV/STI and harmful alcohol use among female sex workers in Mongolia. Women (n = 166) were recruited and randomized to either (1) a relationship-based HIV sexual risk reduction intervention; (2) the same sexual risk reduction intervention plus motivational interviewing; or (3) a control condition focused on wellness promotion. At three and six month follow-up, both treatment interventions and the wellness promotion condition were effective in reducing the percentage and the number of unprotected acts of vaginal sex with paying partners in the past 90 days. All three conditions demonstrated efficacy in reducing harmful alcohol use. No significant differences in effects were observed between conditions. Findings suggest that even low impact behavioral interventions can achieve considerable reductions of HIV/STI risk and harmful alcohol use with a highly vulnerable population in a low resourced setting.
authors: Social Intervention Group, Columbia University School of Social Work, Columbia University Social Intervention Group, New York, NY 10027, USA. ssw12@columbia.edu
authors: Susan S
authors: SS
authors: Witte
authors: Batsukh
authors: B
authors: Altantsetseg
authors: Toivgoo
authors: T
authors: Aira
authors: Marion
authors: M
authors: Riedel
authors: Jiehua
authors: J
authors: Chen
authors: Katie
authors: K
authors: Potocnik
authors: Nabila
authors: N
authors: El-Bassel
authors: Elwin
authors: E
authors: Wu
authors: Louisa
authors: L
authors: Gilbert
authors: Catherine
authors: C
authors: Carlson
authors: Hanfei
authors: H
authors: Yao
mesh_terms: D000428:Alcohol Drinking / Q000009:adverse effects*; D017280:Condoms / Q000706:statistics & numerical data; D003376:Counseling; D005260:Female; D005500:Follow-Up Studies; D015658:HIV Infections / Q000453:epidemiology / Q000517:prevention & control*; D006293:Health Promotion; D006801:Humans; D007407:Interviews as Topic; D008875:Middle Aged; D008986:Mongolia / Q000453:epidemiology; D009042:Motivation; D040242:Risk Reduction Behavior; D012309:Risk-Taking; D060386:Sex Workers / Q000523:psychology*; D012725:Sexual Behavior; D012747:Sexual Partners; D012749:Sexually Transmitted Diseases / Q000453:epidemiology / Q000517:prevention & control*; D055815:Young Adult