"I decided in my heart I have to complete the sessions": A qualitative study on the acceptability of an evidence-based HIV risk reduction intervention among women engaged in sex work in Uganda.
"I decided in my heart I have to complete the sessions": A qualitative study on the acceptability of an evidence-based HIV risk reduction intervention among women engaged in sex work in Uganda.
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DOI：
10.1371/journal.pone.0280138
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发表时间：
2023
期刊：
影响因子：
3.7
通讯作者：
Ssewamala, Fred M.
中科院分区：
文献类型：
--
作者：
Bahar, Ozge Sensoy;Nabunya, Proscovia;Nabayinda, Josephine;Witte, Susan;Kiyingi, Joshua;Nsubuga, Edward;Schriger, Simone;Nattabi, Jennifer;Mayo-Wilson, Larissa Jennings;Nakigudde, Janet;Tozan, Yesim;Ssewamala, Fred M.
艾滋病毒负担仍然是一个重要的公共卫生问题，从事性工作的女性 [WESW] 与一般成年人口相比，面临的风险明显更高。与其他撒哈拉以南非洲国家类似，乌干达报告 WESW 中的艾滋病毒感染率很高。然而，他们并没有成为基于理论的艾滋病毒预防干预方法的目标。我们在干预完成后对 20 名 WESW 进行了半结构化的深度访谈，以探讨他们对基于证据的 HIV 风险降低干预措施的经验，该干预措施是作为乌干达临床试验（2018-2023 年）测试的组合干预措施的一部分而实施的。具体来说，我们探讨了他们参与干预的最初动机和担忧、参加干预的障碍和促进因素，以及他们对特定干预特征的反馈。主要期望围绕获得健康相关信息，包括性传播感染信息，艾滋病毒和 PrEP 以及人们在从事性工作时如何保护自己。最初的担忧是参加会议的主要因素是学习健康相关信息的动机、辅导员的态度以及参与的激励措施，而主要的挑战则与家庭承诺和工作安排有关。WESW 赞赏干预的小组形式，并发现干预的地点和时间是可以接受的。然而，WESW 在设计针对这一人群的干预措施时需要考虑到独特的担忧和障碍，特别是在性工作非法且受到高度污名化的资源有限的环境中。
The HIV burden remains a critical public health concern and women engaged in sex work [WESW] are at significantly higher risk compared to the general adult population. Similar to other sub-Saharan African countries, Uganda reports high rates of HIV prevalence among WESW. Yet, they have not been targeted by theory-informed HIV prevention intervention approaches. We conducted semi-structured in-depth interviews with 20 WESW upon intervention completion to explore their experiences with an evidence-based HIV risk reduction intervention that was implemented as part of a combination intervention tested in a clinical trial in Uganda (2018–2023. Specifically, we explored their initial motivations and concerns for participating in the intervention, barriers and facilitators to attendance, and their feedback on specific intervention characteristics. The main expectations revolved around access to health-related information, including information on STIs, HIV, and PrEP as well as on how one can protect themselves while engaging in sex work. Initial concerns were around potential breach of confidentiality and fear of arrest. The main facilitators for session attendance were the motivation to learn health-related information, the attitude of facilitators, and the incentives received for participation, whereas main challenges were related to family commitments and work schedules. WESW appreciated the group format of the intervention and found the location and times of the intervention delivery acceptable. Overall, our findings suggest that the HIV risk reduction intervention was appropriate and acceptable to WESW. Yet, WESW experience unique concerns and barriers that need to be accounted for when designing interventions targeting this population, especially in resource-limited settings where sex work is illegal and highly stigmatized. NCT03583541.
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影响因子：
3.7
作者：
Lafort Y;Greener R;Roy A;Greener L;Ombidi W;Lessitala F;Haghparast-Bidgoli H;Beksinska M;Gichangi P;Reza-Paul S;Smit JA;Chersich M;Delva W
通讯作者：
Delva W
DOI：
10.1097/qai.0000000000000452
发表时间：
2015-03-01
影响因子：
3.6
作者：
Batona, Georges;Gagnon, Marie-Pierre;Alary, Michel
通讯作者：
Alary, Michel
影响因子：
56.3
作者：
Baral, Stefan;Beyrer, Chris;Kerrigan, Deanna
通讯作者：
Kerrigan, Deanna
影响因子：
4.5
作者：
Mtetwa S;Busza J;Chidiya S;Mungofa S;Cowan F
通讯作者：
Cowan F
影响因子：
1.2
作者：
Ameyan, Wole;Jeffery, Caroline;Taegtmeyer, Miriam
通讯作者：
Taegtmeyer, Miriam