REDUCING SEXUAL RISK AMONG FILIPINA FEMALE BAR WORKERS: EFFECTS OF A CBPR-DEVELOPED STUCTURAL AND NETWORK INTERVENTION
REDUCING SEXUAL RISK AMONG FILIPINA FEMALE BAR WORKERS: EFFECTS OF A CBPR-DEVELOPED STUCTURAL AND NETWORK INTERVENTION
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DOI：
10.1521/aeap.2010.22.4.371
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发表时间：
2010-08-01
影响因子：
1.8
通讯作者：
Rhodes, Scott D.
中科院分区：
文献类型：
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作者：
Morisky, Donald E.;Malow, Robert M.;Rhodes, Scott D.
旨在降低菲律宾女性酒吧工作人员（FBWs）性风险的三种干预措施的效果相互比较，并与常规护理（不干预）进行比较。这些干预措施是由社区参与性研究（CBPR）伙伴关系反复开发的，该伙伴关系由非专业社区成员、组织代表（包括非政府组织）和来自美国和菲律宾的学术研究人员组成。从三个南部地区的110个不同场所招募和培训了同伴教育工作者和酒吧经理，以增加场所内对艾滋病毒和避孕套使用规则和条例的了解，并改变对减少风险的态度，提供艾滋病毒和性传播感染检测转介，并在FBWs中培养避孕套使用技能。与对照组相比，所有三种干预措施都增加了艾滋病毒和性传播感染检测；然而，从基线到2年随访期间，只有FBWs在同伴教育者和管理者培训联合干预下显著增加了安全套的使用。避孕套的使用与更高的艾滋病知识、参加预防课程以及被教导如何正确使用避孕套有显著的联系。鉴于这些发现，研究有必要进一步探索和了解各种形式的商业性工作，并在艾滋病毒中心测试适合的同伴教育者和管理人员培训干预措施。
The effects of three interventions designed to reduce sexual risk among Filipina female bar workers (FBWs) were compared with each other and with usual care (nonintervention). The interventions were developed iteratively by a community-based participatory research (CBPR) partnership comprising lay community members, organizational representatives (including nongovernmental organizations), and academic researchers from the United States and the Philippines. Peer educators and bar managers from 110 different establishments in three southern regions were recruited and trained to increase knowledge of HIV and of condom use rules and regulations within establishments, as well as to change attitudes about risk reduction, provide HIV and sexually transmitted infection (STI) testing referrals, and build condom use skills among FBWs. Compared with the control community, all three interventions increased HIV and STI testing; however, only FBWs in the combination peer-educator and manager-training intervention significantly increased condom use from baseline to 2-year follow-up. Condom use was significantly associated with higher HIV knowledge, attendance of a prevention class, and being taught how to use condoms properly. Given these findings, research is warranted to further explore and understand various forms of commercial sex work and to test adapted peer-educator and manger-training interventions within HIV epicenters.