Delineating interpersonal communication networks: a study of the diffusion of an intervention among female entertainment workers in Shanghai, China.
Delineating interpersonal communication networks: a study of the diffusion of an intervention among female entertainment workers in Shanghai, China.
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DOI：
10.1007/s10461-012-0214-1
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发表时间：
2012-10
影响因子：
4.4
通讯作者：
Surkan, Pamela J.
中科院分区：
文献类型：
--
作者：
Chen, Yiyun;Latkin, Carl;Celentano, David D.;Yang, Xiushi;Li, Xiaoming;Xia, Guomei;Miao, Jia;Surkan, Pamela J.
关键词：
创新扩散（DOI）在艾滋病毒行为改变文献中被广泛引用;然而，缺乏关于DOI在性工作者干预措施中应用的研究。在中国上海对女性娱乐工作者（FEW）进行了一项降低艾滋病毒风险的随机对照试验后，我们使用定性方法来描绘潜在的人际传播网络和促进娱乐场所信息传播的影响因素。结果表明，自上而下的沟通网络，从场馆业主的FEW是有效的信息传播。作为少数妇女和嫖客之间的中间人的奶妈/太太是少数妇女社交网络的重要组成部分，但由于安全性行为和最大化利润之间的利益冲突，她们并不充当信息传播者。大型场所的信息传播往往更多地依赖物理环境的各个方面来创造亲密感，并依赖管理者的压力来刺激沟通。在小场地，少数工作人员之间的交流和对话更加自发。如果信息和传达信息的方法能够适合在场所中不同级别工作的人，则关于安全性行为的信息似乎更容易传播。结果表明，安全性行为的信息应提供一致的干预，以进一步促进干预扩散，并在娱乐场所应建立与健康相关的雇主责任制度，雇主负责其员工的健康。我们的研究表明，现有的个人网络可以用来传播信息的娱乐场所，一个应该注意的上下文特定的互动之间的FEWs和其他人在他们的社交网络，以更好地实现扩散的干预措施。
Diffusion of innovation (DOI) is widely cited in the HIV behavior change literature; however there is a dearth of research on the application of DOI in interventions for sex workers. Following a randomized-controlled trial of HIV risk reduction among female entertainment workers (FEWs) in Shanghai, China, we used qualitative approaches to delineate potential interpersonal communication networks and contributing factors that promote diffusion of information in entertainment venues. Results showed that top-down communication networks from the venue owners to the FEWs were efficient for diffusion of information. Mammies/madams, who act as intermediaries between FEWs and clients form an essential part of FEWs’ social networks but do not function as information disseminators due to a conflict of interest between safer sex and maximizing profits. Diffusion of information in large venues tended to rely more on aspects of the physical environment to create intimacy and on pressure from managers to stimulate communication. In small venues, communication and conversations occurred more spontaneously among FEWs. Information about safer sex appeared to be more easily disseminated when the message and the approach used to convey information could be tailored to people working at different levels in the venues. Results suggest that safer sex messages should be provided consistently following an intervention to further promote intervention diffusion, and health-related employer liability systems in entertainment venues should be established, in which employers are responsible for the health of their employees. Our study suggests that existing personal networks can be used to disseminate information in entertainment venues and one should be mindful about the context-specific interactions between FEWs and others in their social networks to better achieve diffusion of interventions.
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影响因子：
1.7
作者：
Yang X;Xia G;Li X;Latkin C;Celentano D
通讯作者：
Celentano D
DOI：
10.1097/qai.0b013e3180f616db
发表时间：
2007-08-15
影响因子：
3.6
作者：
Ngugi, Elizabeth N.;Chakkalackal, Michelle;Kaul, Rupert
通讯作者：
Kaul, Rupert
DOI：
10.1097/qai.0b013e3181d61def
发表时间：
2010-06
期刊：
Journal of acquired immune deficiency syndromes (1999)
影响因子：
--
作者：
NIMH Collaborative HIV/STD Prevention Trial Group
通讯作者：
NIMH Collaborative HIV/STD Prevention Trial Group
影响因子：
4.2
作者：
Latkin, Carl;Donnell, Deborah;Celentano, David D.;Aramrattna, Apinun;Liu, Ting-Yuan;Vongchak, Tasanai;Wiboonnatakul, Kanokporn;Davis-Vogel, Annet;Metzger, David
通讯作者：
Metzger, David
影响因子：
4.4
作者：
Rogers, EM
通讯作者：
Rogers, EM