"I expected little, although I learned a lot": perceived benefits of participating in HIV risk reduction sessions among women engaged in sex work in Uganda.
"I expected little, although I learned a lot": perceived benefits of participating in HIV risk reduction sessions among women engaged in sex work in Uganda.
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DOI：
10.1186/s12905-022-01759-1
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发表时间：
2022-05-13
影响因子：
2.5
通讯作者：
Ssewamala, Fred M.
中科院分区：
文献类型：
--
作者：
Bahar, Ozge Sensoy;Nabunya, Proscovia;Nabayinda, Josephine;Witte, Susan S.;Kiyingi, Joshua;Mayo-Wilson, Larissa Jennings;Filippone, Prema;Yang, Lyla Sunyoung;Nakigudde, Janet;Tozan, Yesim;Ssewamala, Fred M.
关键词：
全球艾滋病毒负担仍然是一个公共卫生问题。与一般成年人相比，从事性工作的妇女感染艾滋病毒的风险更高。乌干达报告说，饮水、环境和社会福利工作者中艾滋病毒感染率很高。虽然乌干达的饮水、饮水和社会福利长期以来一直是监测研究的对象，但它们并没有成为有理论依据的艾滋病毒预防干预方法的目标。在这项研究中，我们探讨了基于证据的艾滋病毒风险降低干预措施的感知益处，该干预措施是在乌干达临床试验中测试的组合干预措施的一部分。作为一个更大的随机临床试验的一部分，我们进行了半结构化的深入访谈，20 WESW选择使用分层目的抽样。所有访谈都以研究地区使用的卢甘达语进行，并进行了录音。这些报告被逐字转录并翻译成英文。采用主位分析法对数据进行分析。WESW的叙述侧重于：（1）避孕套的使用;（2）酒精/毒品消费;（3）PrEP的使用;（4）“处理”顾客;（5）“按摩”顾客。妇女、教育和社会福利组织同意男用避孕套是他们的重要学习点之一，并计划继续使用男用避孕套，但收到的女用避孕套反应不一。许多妇女感谢收到关于饮酒和吸毒风险的信息，并讨论了她们如何减少/消除饮酒和吸毒。PrEP信息受到赞赏，但由较少的WESW确定。讨论了通过提高说服顾客使用避孕套或避免性行为的能力来处理客户的问题，认为这是一种有益的安全性行为战略。按摩也有助于避免插入性行为，但类似于女用避孕套，按摩也产生了混合的看法。WESW认为干预措施是有益的，并描述了它如何提高他们进行安全性行为和保持健康的能力。妇女、环境和社会福利部确定了除使用避孕套之外的其他有益战略，这一事实突出表明，即使与其他干预措施相结合，也必须采取全面的方法来采取针对艾滋病毒预防的行为干预措施。此外，WESW的叙述表明，将社会认知理论的原则和减少伤害的方法纳入这一人群的艾滋病毒预防中，可以导致危险行为的改变。在线版本包含补充材料，可通过10.1186/s12905-022-01759-1获得。
The global HIV burden remains a public health concern. Women engaged in sex work (WESW) are at higher risk of acquiring HIV compared to the general adult population. Uganda reports high rates of HIV prevalence among WESW. While WESW in Uganda have long been the subject of surveillance studies, they have not been targeted by theory-informed HIV prevention intervention approaches. In this study, we explored the perceived benefits of an evidence-based HIV risk reduction intervention that was implemented as part of a combination intervention tested in a clinical trial in Uganda. As part of a larger randomized clinical trial, we conducted semi-structured in-depth interviews with 20 WESW selected using a stratified purposive sampling. All interviews were conducted in Luganda, language spoken in the study area, and audio-recorded. They were transcribed verbatim and translated to English. Thematic analysis was used to analyze the data. WESW’s narratives focused on: (1) condom use; (2) alcohol/drug consumption; (3) PrEP use; (4) “handling” customers; and (5) "massaging” customers. WESW agreed that male condom was one of the important learning points for them and planned to continue using them while female condoms were received with mixed reactions. Many women appreciated receiving information about the risks of consuming alcohol and drugs, and discussed how they reduced/ eliminated their consumption. PrEP information was appreciated though identified by fewer WESW. Handling a client was discussed as a helpful strategy for safer sex through improved ability to convince customers to use condoms or avoiding sex. Massaging was also beneficial to avoid penetrative sex, but similar to female condom, massaging also yielded mixed perceptions. WESW found the intervention beneficial and described ways in which it improved their ability to engage in safer sex and stay healthy. The fact that WESW identified other strategies beyond condom use as helpful underlines the importance of adopting a comprehensive approach to behavioral interventions targeting HIV prevention even when combined with other interventions. Additionally, WESW’s narratives suggest that incorporating the tenets of social cognitive theory and harm reduction approaches in HIV prevention among this population can result in risk behavior change. The online version contains supplementary material available at 10.1186/s12905-022-01759-1.
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DOI：
10.1363/3614910
发表时间：
2010-09-01
影响因子：
4.4
作者：
Mack, Natasha;Grey, Thomas G.;Matta, Claudia Interiano
通讯作者：
Matta, Claudia Interiano
影响因子：
4.4
作者：
Frascino NY;Edwards JK;Herce ME;Maselko J;Pettifor AE;Mbeye N;Weir SS;Pence BW
通讯作者：
Pence BW
影响因子：
1.4
作者：
Dunkle, KL;Beksinska, ME;Wilson, ML
通讯作者：
Wilson, ML
影响因子：
2.8
作者：
Carney, Tara;Williams, Petal M. Petersen;Parry, Charles D. H.
通讯作者：
Parry, Charles D. H.
影响因子：
3.7
作者：
Atuhaire L;Adetokunboh O;Shumba C;Nyasulu PS
通讯作者：
Nyasulu PS