Promoting HIV Testing and Condom Use Among Filipina Commercial Sex Workers: Findings from a Quasi-Experimental Intervention Study |
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| Authors: | Chi Chiao Donald E Morisky Kate Ksobiech Robert M Malow |
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| Institution: | (1) Institute of Health and Welfare Policy, School of Medicine, National Yang-Ming University, Taipei, Taiwan;(2) Department of Community Health Sciences, School of Public Health, University of California at Los Angeles, Los Angeles, CA, USA;(3) Department of Communication Studies, University of Nevada-Las Vegas, Las Vegas, NV, USA;(4) AIDS Prevention Program, Stempel School of Public Health, Florida International University, Miami, FL, USA |
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| Abstract: | This study examines the effects of a multi-level social action-based theory (SABT) intervention to increase HIV testing and
consistent condom use among female commercial sex workers (FCSWs). Respondents in four socio-demographically similar Philippine
cities received an SABT intervention based on: (1) peer influence; (2) manager training; (3) combined peer/manager influence;
or (4) usual care (control condition). HIV testing increased 86% from baseline (N = 980) to follow-up (N = 903), and was significantly associated with higher HIV/AIDS knowledge, lower probability of contracting HIV and increased
condom use. After adjusting for socio-demographic, HIV knowledge and perceived control variables, FCSWs in the manager training
and combined peer/manager conditions were significantly more likely to engage in consistent condom use. Mediational analyses
revealed higher HIV/AIDS risk perceptions and a supportive work environment related to increased condom use. These findings
support a growing body of research suggesting the need for multi-level sexual risk reduction interventions among FCSWs. |
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