An integrated individual, community, and structural intervention to reduce HIV/STI risks among female sex workers in China.

Publisher: BioMed Central Country of Publication: England NLM ID: 100968562 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2458 (Electronic) Linking ISSN: 14712458 NLM ISO Abbreviation: BMC Public Health Subsets: MEDLINE

Original Publication: London : BioMed Central, [2001-

Health Knowledge, Attitudes, Practice* ; Health Promotion*; Delivery of Health Care, Integrated/*methods ; HIV Infections/*prevention & control ; Sex Workers/*statistics & numerical data ; Sexually Transmitted Diseases/*prevention & control; Adult ; China/epidemiology ; Cross-Sectional Studies ; Female ; HIV Infections/diagnosis ; HIV Infections/epidemiology ; Humans ; Patient Acceptance of Health Care/statistics & numerical data ; Sexual Behavior/statistics & numerical data ; Sexually Transmitted Diseases/diagnosis ; Sexually Transmitted Diseases/epidemiology ; Social Class ; Substance-Related Disorders/epidemiology ; Surveys and Questionnaires ; Young Adult

Background: We assessed the effectiveness of an integrated individual, community, and structural intervention to reduce risks of HIV and sexually transmitted infections (STIs) among female sex workers (FSWs).
Methods: The integration individual, community, and structural intervention was implemented from 2004 to 2009 in six counties of Shandong Province. Post-intervention cross-sectional surveys were conducted in six intervention counties and 10 control counties.
Results: Of 3326 female sex workers were recruited and analyzed in the post-intervention survey with 1157 from intervention sites and 2169 from control sites. No HIV positive was found in both intervention and control counties. The rate of syphilis was 0.17% for intervention sites and 1.89% for control sites (OR=11.1, 95% CI: 2.7, 46.1). After adjusted for age, marital status, education, economic condition, recruitment venues, the rates of condom use in the last sex with clients(AOR=2.7; 95% CI: 1.9, 3.8), with regular sex partners(AOR=1.5; 95% CI: 1.1, 1.9) and consistent condom use in the last month with clients (AOR=3.3; 95% CI: 2.6, 4.1) and regular sex partners (AOR=1.7; 95% CI: 1.3, 2.3) were significantly higher in intervention sites than that in control sites. The proportion of participants correctly answered at least six out of eight HIV-related questions (83.3%) in intervention sites is significant higher than that (21.9%) in control sites (AOR=24.7; 95% CI: 2.5, 42.7), the five indicators related to HIV-related intervention services ever received in the last year including HIV testing(AOR=4.9; 95% CI: 2.8, 6.7), STD examination and/or treatment(AOR=5.1; 95% CI: 4.2, 6.4), free condom(AOR=20.3; 95% CI: 14.3, 28.9), peer education(AOR=4.3; 95% CI: 3.5, 5.4), education materials(AOR=19.8; 95%CI: 13.1, 29.8) were significantly higher in intervention sites than that in control sites, the participants in the intervention sites are more likely to seek medical treatment when they had any disorders (AOR=3.2; 95% CI: 2.5, 4.2).
Conclusion: This study found that the integrated individual, community, and structural intervention showed positive impact in reducing HIV and STI risks among FSWs.

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Date Created: 20130807 Date Completed: 20140922 Latest Revision: 20211021

20240628

PMC3737083

10.1186/1471-2458-13-717

23914824