Clinic appointment attendance for sexually transmitted infection screening among Filipina sex workers: A multilevel analysis
Clinic appointment attendance for sexually transmitted infection screening among Filipina sex workers: A multilevel analysis
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DOI：
10.1080/09540120701402798
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发表时间：
2007-10-01
影响因子：
1.7
通讯作者：
Malow, R. M.
中科院分区：
文献类型：
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作者：
Chiao, C.;Morisky, D. E.;Malow, R. M.
本研究评估了可能影响菲律宾女性性工作者（FSW）参加和利用卫生服务进行性传播感染筛查的可能性的假定个人和背景水平的社会风险因素。研究人员与1004名女性性工作者及其86名雇主进行了面对面的访谈。研究人员还收集了诊所预约出勤数据。分层线性模型被用来估计个人和工作场所层面的因素的同时影响。结果表明，个人和背景水平的特征与性病筛查预约出席。个人特征发现有显着影响的诊所就诊包括职业，收入，工作时间和商业性参与。城市的建立是一个工作场所的特征显着相关的任命出席。除了跨层面的互动外，个人层面职业的影响取决于工作场所的特点。这些研究结果表明，个人卫生服务的利用是视情况而定的背景水平的危险因素在工作场所。干预措施的影响，旨在增加门诊就诊率进行了讨论。
This study evaluates putative individual- and contextual-level social risk factors that may influence the likelihood that Filipina female sex workers (FSWs) attend and utilize health services for STI screening. Face-to-face interviews were conducted with 1004 FSWs and their 86 employers. Research staff also collected clinic appointment attendance data. Hierarchical linear modelling was used to estimate the simultaneous effects of individual- and workplace-level factors. Results showed that both individual- and contextual-level characteristics were associated with STI screening appointment attendance. Individual characteristics found to have significant effects on clinic attendance included occupation, income, length of work and commercial sex involvement. City of establishment was a workplace characteristic significantly associated with appointment attendance. In addition to cross-level interactions, the impact of individual-level occupation depended upon characteristics of the workplace. These findings suggest that individual health service utilization is contingent upon contextual-level risk factors in the workplace. Intervention implications aimed at increasing clinic attendance are discussed.