Ithubalethu-Intervention to Address Drug Use and Sexual HIV Risk Patterns among Female Commercial Sex Workers in Durban, South Africa
Ithubalethu-Intervention to Address Drug Use and Sexual HIV Risk Patterns among Female Commercial Sex Workers in Durban, South Africa
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DOI：
10.1080/02791072.2016.1208855
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发表时间：
2016-01-01
影响因子：
2.8
通讯作者：
Parry, Charles D. H.
中科院分区：
文献类型：
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作者：
Carney, Tara;Williams, Petal M. Petersen;Parry, Charles D. H.
以前的研究表明，针对女性性工作者(FSWs)的干预措施可以成功地减少艾滋病毒危险行为。目前的研究通过比较干预前后的行为，对南非德班吸毒的暗娼的艾滋病毒预防干预进行了评估。这项干预是由一个与女社会工作者合作的组织提供的训练有素的外展工作人员提供的，包括社区外展、艾滋病毒和药物使用教育和信息。还教授了更安全的性行为实践。样本包括457名吸毒的性工作者，调查结果表明，性伴数量(z=-16.05p<；0.001)、阴道性行为次数(z=-8.07p<；0.001)显著减少，除非处方药或处方药外，所有使用的药物显著减少。因此，干预似乎减少了这群性工作者中的某些危险行为。未来的研究应该集中在物质使用-性风险干预与降低风险行为相关的方面，并包括一项随机对照试验，以评估干预的有效性。
Previous research shows that interventions aimed at female sex workers (FSWs) can be successful in reducing HIV risk behavior. The current study evaluated a specific HIV prevention intervention for substance-using FSWs in Durban, South Africa by comparing such behaviors before and after the intervention. The intervention was provided by trained outreach workers by an organization that worked with FSWs, and consisted of community-based outreach, HIV and substance use education and information. Safer sex practices were also taught. The sample consisted of 457 substance-using FSWs, with findings indicating a significant decrease in the number of sexual partners (z = -16.05, p < 0.001), number of times they engaged in vaginal sex (z = -8.07, p < 0.001), and a significant decrease in all substances used with the exception of over-the-counter or prescription substances. The intervention therefore seemed to reduce certain risk behaviors among this group of FSWs. Future research should focus on the aspects of the substance use-sex risk intervention that were associated with decreased risk behavior, and include a randomized controlled trial to assess effectiveness of the intervention.