EVALUATION OF A TARGETED AIDS-PREVENTION INTERVENTION TO INCREASE CONDOM USE AMONG PROSTITUTES IN GHANA
EVALUATION OF A TARGETED AIDS-PREVENTION INTERVENTION TO INCREASE CONDOM USE AMONG PROSTITUTES IN GHANA
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DOI：
10.1097/00002030-199402000-00012
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发表时间：
1994-02-01
期刊：
影响因子：
3.8
通讯作者：
LAMPTEY, P
中科院分区：
文献类型：
--
作者：
ASAMOAHADU, A;WEIR, S;LAMPTEY, P
目的：评估为期6个月的试点干预计划对加纳阿克拉妓女使用安全套的短期和长期影响。设计：4年前瞻性研究随访队列于1987年和1988年参加干预，比较1991年的安全套使用情况与未参加干预的对照组。1987年在加纳的阿克拉开始了以社区为基础的干预。参与者：自愿参与的自我认同的妓女。教育干预利用当地卫生工作者培训和支持选定的妓女成为健康教育者和安全套分发者，结果的措施：自我报告的安全套使用与clients.Results：报告的安全套使用显着增加，1987年和1988年之间的头6个月的干预。1991年，在方案复发三年后，1987年或1988年登记的248名妇女中有107人（43%）仍在卖淫，并被找到接受采访。1991年，她们的避孕套使用率高于入学前，但与从未入学的妓女的使用率相似。1991年，64%的随访者报告说，他们总是与客户一起使用避孕套。这些“经常使用者”更有可能与项目工作人员保持非正式接触，知道艾滋病毒可以通过健康的客户传播，并报告客户经常主动使用避孕套。研究结果支持制定长期教育战略，认识到妓女的职业寿命，非正式方案传播的可用渠道，随着时间的推移避孕套使用的个人变化，以及客户在避孕套谈判中的作用。
Objective: To assess the short- and long-term impact of a 6-month pilot intervention program on condom use among prostitutes in Accra, Ghana.Design: The 4-year prospective study follows-up cohorts enrolled in the intervention in 1987 and 1988, comparing condom use in 1991 with that among a comparison group not enrolled in the intervention.Setting: The community-based intervention was initiated in Accra, Ghana in 1987.Participants: Self-identified female prostitutes who volunteered participation.Intervention: The educational intervention used local health workers to train and support selected prostitutes to be health educators and condom distributers to their peers.Outcome measures: Self-reported condom use with clients.Results: Reported condom use increased dramatically between 1987 and 1988 during the first 6 months of the intervention. In 1991, after 3 years of program relapse, 107 (43%) of the 248 women who had enrolled in 1987 or 1988 were still in prostitution and located for interview. Their level of condom use in 1991 was higher than pre-enrollment but similar to use among prostitutes never enrolled. Sixty-four per cent of those followed-up reported always using condoms with clients in 1991. These 'always users' were more likely to have maintained informal contact with project staff, know that HIV can be transmitted by healthy clients, and report that clients frequently initiate condom use.Conclusions: Findings support the development of long-range educational strategies that recognize the career longevity of prostitutes, available channels for informal program diffusion, individual changes in condom use over time, and the role of clients in condom negotiation.