The efficacy of a peer-assisted multi-component behavioral intervention among female entertainment workers in China: an initial assessment.

The efficacy of a peer-assisted multi-component behavioral intervention among female entertainment workers in China: an initial assessment.
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DOI:
10.1080/09540121.2011.582080
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发表时间:
2011-11
期刊:
影响因子:
1.7
通讯作者:
Celentano D
Celentano D
中科院分区:
医学4区
文献类型:
--
作者:
Yang X;Xia G;Li X;Latkin C;Celentano D

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在中国所在的娱乐业工作的女性感染或传播艾滋病毒/性传播疾病的风险增加。为女性娱乐工作者制定有效的减少风险干预措施的努力仍然有限。我们在上海的女性娱乐工作者中进行了一项基于理论的降低风险干预的随机对照试验。干预条件包括小组、同伴辅助的会议,将信息、动机和行为技能(IMB)培训与行为变化的社会影响相结合。控制条件是关注匹配的艾滋病毒和健康教育和咨询。在干预后3个月,与对照条件的参与者相比,干预条件下的参与者报告的与稳定伴侣的无保护性行为的减少幅度更大。然而,控制组的参与者报告说,与不稳定的伴侣发生无保护措施的性行为的情况比干预组的参与者减少得更多。研究设计的某些方面可能稀释了干预的效果。未来的干预研究需要更多地关注行为变化的社会影响,以及与稳定的伴侣降低风险的特殊挑战(S)。
Women working in China’s entertainment industry are at increased risk of acquiring or transmitting HIV/STIs. Efforts to develop effective risk-reduction interventions for female entertainment workers remain limited. We conducted a randomized controlled trial of a theory-based risk-reduction intervention among female entertainment workers in Shanghai. The intervention condition consisted of small group, peer-assisted sessions integrating information, motivation, and behavioral skills (IMB) training with social influences of behavior change. The control condition was an attention-matched HIV and health education and counseling. At 3-month post-intervention, participants in the intervention condition reported greater reductions in unprotected sex with a stable partner than participants in the control condition. However, participants in the control condition reported greater reductions in unprotected sex with a non-stable partner than participants in the intervention condition. Some aspects of the study design may have diluted the effects of the intervention. Future intervention studies need to pay more attention to social influences of behavior change and the particular challenges of risk-reduction with stable partner(s).
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