Chiao Chi, Morisky Donald E, Ksobiech Kate, Malow Robert M
Institute of Health and Welfare Policy, School of Medicine, National Yang-Ming University, Taipei, Taiwan.
AIDS Behav. 2009 Oct;13(5):892-901. doi: 10.1007/s10461-008-9418-9. Epub 2008 Jun 10.
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.
本研究考察了基于多层次社会行动理论（SABT）的干预措施对增加女性商业性工作者（FCSW）的HIV检测及持续使用避孕套情况的影响。来自菲律宾四个社会人口统计学特征相似城市的受访者接受了基于以下内容的SABT干预：（1）同伴影响；（2）管理者培训；（3）同伴/管理者综合影响；或（4）常规护理（对照条件）。HIV检测从基线时的980人增加到随访时的903人，增幅达86%，且与更高的HIV/AIDS知识水平、更低的感染HIV概率及增加的避孕套使用显著相关。在对社会人口统计学、HIV知识及感知控制变量进行调整后，接受管理者培训及同伴/管理者综合干预的FCSW更有可能持续使用避孕套。中介分析显示，更高的HIV/AIDS风险认知及支持性的工作环境与增加避孕套使用相关。这些发现支持了越来越多的研究，表明需要对FCSW采取多层次的性风险降低干预措施。
