Effectiveness of a Peer-Assisted Multicomponent Behavioral Intervention in HIV Risk Reduction Among Female Entertainment Workers in China.
This study examined the effectiveness of a behavioral intervention that combined cognitive and social influence approaches. The intervention consisted of small group sessions targeting HIV knowledge, protection motivation, behavioral skills, and social influences of risk reduction. The control was an attention-controlled HIV/STI health education and counseling. Two-group comparisons were conducted to assess the effectiveness of the intervention; risk reduction over time was analyzed to determine the sustainability of the effectiveness. The analyses revealed that the intervention was effective in reducing/increasing HIV risk/protective behaviors and the effect was sustainable. While participants in the control reported a greater reduction/increase in risk/protective behaviors 3-month post-intervention, the initial strong effect quickly faded and completely disappeared 12-month post-intervention. By contrast, the moderate initial effect of the intervention was not only sustained but actually strengthened over time. The intervention was well received by participants and holds promise for HIV risk reduction behavior change among female entertainment workers in China.
Old Dominion University, Norfolk, Virginia.
Xiushi
X
Yang
Shanghai Academy of Social Sciences.
Guomei
G
Xia
D000293:Adolescent; D000328:Adult; D001521:Behavior Therapy / Q000379:methods*; D002681:China; D016000:Cluster Analysis; D017280:Condoms / Q000706:statistics & numerical data; D003376:Counseling; D005260:Female; D015658:HIV Infections / Q000517:prevention & control*; D006266:Health Education; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D009042:Motivation; D017063:Outcome Assessment, Health Care; D010379:Peer Group; D040242:Risk Reduction Behavior; D012309:Risk-Taking; D011477:Sex Work / Q000706:statistics & numerical data*; D060386:Sex Workers / Q000523:psychology; D012749:Sexually Transmitted Diseases / Q000517:prevention & control; D047568:Unsafe Sex / Q000523:psychology / Q000706:statistics & numerical data; D055815:Young Adult