Impact of a social influence intervention on condom use and sexually transmitted infections among establishment-based female sex workers in the Philippines: A multilevel analysis
Impact of a social influence intervention on condom use and sexually transmitted infections among establishment-based female sex workers in the Philippines: A multilevel analysis
复制标题
DOI：
10.1037/0278-6133.25.5.595
复制
发表时间：
2006-09-01
影响因子：
4.2
通讯作者：
Malow, Robert
中科院分区：
文献类型：
--
作者：
Morisky, Donald E.;Stein, Judith A.;Malow, Robert
作者评估了结构和社会影响干预对菲律宾女性性工作者（N = 897）减少性传播感染（STIs）和艾滋病毒风险行为的相对影响。四种条件包括管理者影响、同伴影响、管理者-同伴联合影响和控制。由于在同一企业中工作的妇女之间存在统计依赖性，因此在企业一级采用多层模型评估干预效果。控制组成员预测更大的感知风险，更少的避孕套使用，更少的艾滋病毒/艾滋病知识，更消极的避孕套态度。组合参与者报告了更积极的安全套态度，更多支持安全套使用的政策，以及更少的性传播感染。只有经理的参与者报告的性传播感染较少，对避孕套的态度较低，知识较少，并且比只有同伴的参与者感知到的风险更高。由于干预措施是在城市层面实施的，因此对基线和随访城市差异进行了分析，以排除由于先前存在的差异而导致的干预效果。
The authors assessed the relative impact of structural and social influence interventions on reducing sexually transmitted infections (STIs) and HIV risk behavior among female sex workers in the Philippines (N = 897). Four conditions included manager influence, peer influence, combined manager-peer influence, and control. Intervention effects were assessed at the establishment level in multilevel models because of statistical dependencies among women employed within the same establishments. Control group membership predicted greater perceived risk, less condom use, less HIV/AIDS knowledge, and more negative condom attitudes. Combination participants reported more positive condom attitudes, more establishment policies favoring condom use, and fewer STIs. Manager-only participants reported fewer STIs, lower condom attitudes, less knowledge, and higher perceived risk than peer-only participants. Because interventions were implemented at the city level, baseline and follow-up city differences were analyzed to rule out intervention effects due to preexisting differences.