Department of Sociology and Duke Global Health Institute, Duke University, Durham, North Carolina 27708, USA.
Sex Transm Infect. 2010 Feb;86 Suppl 1(Suppl_1):i69-75. doi: 10.1136/sti.2009.038653.
Examine factors associated with awareness and active utilisation of a community mobilisation intervention (CMI) to address HIV risk in female sex workers (FSWs) in a context characterised by multiple forms of sex work.
Data came from two rounds, conducted in Spring 2006 and Spring 2007, of a serial cross-sectional survey of FSWs (n=812 in round 1, n=673 in round 2) recruited through respondent-driven sampling in Rajahmundry, Andhra Pradesh, India.
Descriptive statistics compared characteristics of programme aware and unaware FSWs and from among the aware, to characterise active program users. Multinomial logistic regression was used to assess factors associated with programme exposure.
Between Rounds 1 and 2, programme awareness increased from 41.8% to 69.6% of respondents, and active utilisation (among those who were aware) increased from 49.2% to 61.0%. Street-based FSWs were under-represented and brothel-based FSWs overrepresented in both groups and rounds. Geographic proximity and literacy were associated with programme awareness but not utilisation. The most important factor associated with both forms of intervention exposure across rounds was willingness to be identified in public as a FSWs (OR 2.2-4.8).
Public visibility is a critical component of CMIs. Such interventions should develop strategies for involving FSWs that allow them to remain invisible, while also working to reduce the threat associated with public visibility. In contexts where sex work occurs in multiple venues, it is important to develop CMIs that include and address the needs of FSWs working in them all.
在一个存在多种形式性工作的背景下，研究与社区动员干预（CMI）意识和积极利用相关的因素，以解决女性性工作者（FSW）中的艾滋病毒风险。
数据来自于印度安得拉邦拉杰蒙德里市通过应答者驱动抽样法招募的 FSW 进行的两轮（2006 年春季和 2007 年春季）连续横断面调查（第一轮有 812 名参与者，第二轮有 673 名参与者）。
描述性统计比较了有计划意识和无计划意识的 FSW 以及在有计划意识的 FSW 中，有计划的积极利用计划的特征。使用多项逻辑回归评估与计划接触相关的因素。
在第 1 轮和第 2 轮之间，计划意识从 41.8%增加到 69.6%的受访者，而积极利用（在有计划意识的受访者中）从 49.2%增加到 61.0%。街头性工作者代表性不足，而妓院性工作者在两个群体和两轮中都代表性过高。地理接近度和读写能力与计划意识相关，但与利用无关。与两轮中两种干预形式接触相关的最重要因素是愿意公开识别为性工作者（OR 2.2-4.8）。
公众可见性是 CMI 的关键组成部分。此类干预措施应制定涉及 FSW 的策略，使他们保持不可见，同时努力减少与公众可见性相关的威胁。在性工作发生在多个场所的情况下，重要的是要制定包括和解决在所有这些场所工作的 FSW 的需求的 CMI。
