Environmental–Structural Interventions to Reduce HIV/STI Risk Among Female Sex Workers in the Dominican Republic

Kerrigan, Deanna; Moreno, Luís A.; Rosario, Santo; Gomez, Bayardo; Jerez, Hector; Barrington, Clare; Weiss, Ellen; Sweat, Michael D.

doi:10.2105/ajph.2004.042200

Cited by 223 publications

(207 citation statements)

References 16 publications

Supporting

Mentioning

203

Contrasting

Order By: Relevance

“…50 Recent work in India and the Dominican Republic has shown that promoting empowerment among FSWs at the community and individual levels can greatly improve safer sex negotiation skills, contributing to improved sexual and reproductive health outcomes. 8,51,52 Although few interventions to date have specifically targeted FSWs' noncommercial relationships, some studies suggest that promoting collectivization can improve safer sex norms beyond commercial sexual encounters and can extend into women's personal relationships. 53 Our finding that FSWs with higher sexual decision-making power were less likely to have HIV/STIs provides further evidence in support of HIV/STI prevention interventions addressing relationship power.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and Correlates of HIV and Sexually Transmitted Infections among Female Sex Workers and Their Non-commercial Male Partners in Two Mexico-USA Border Cities

et al. 2014

View full text Add to dashboard Cite

Female sex workers (FSWs) acquire HIVand other sexually transmitted infections (STIs) through unprotected sex with commercial and non-commercial (intimate) male partners. Little research has focused on FSWs' intimate relationships, within which condom use is rare. We sought to determine the prevalence and correlates of HIV/STIs within FSWs' intimate relationships in Northern Mexico. From 2010 to 2011, we conducted a crosssectional survey of FSWs and their non-commercial male partners in Tijuana and Ciudad Juárez, Mexico. Eligible FSWs and their verified male partners were aged ≥18 years; FSWs reported lifetime use of heroin, cocaine, crack, or methamphetamine and recently exchanged sex (past month). Participants completed baseline questionnaires and testing for HIV, chlamydia, gonorrhea, and syphilis. We determined the prevalence and correlates of individuals' HIV/STI positivity using bivariate probit regression. Among 212 couples (n=424), prevalence of HIV was 2.6 % (n=11). Forty-two (9.9 %) tested positive for any HIV/STIs, which was more prevalent among women than men (12.7 % vs. 7.1 %, pG0.05). FSWs with regular sex work clients were less likely to test positive for HIV/STIs than those without regular clients. Similarly, male partners of FSWs who had regular clients were 9 % less likely to have HIV/STIs. Higher sexual decision-making power was protective against HIV/STIs for women. Men who recently used methamphetamine or reported perpetrating any conflict within steady relationships were more likely to test positive for HIV/STIs. Within FSWs' intimate relationships in two Mexican-US border cities, nearly one in ten partners tested positive for HIV/STIs. Couple-based prevention interventions should recognize how intimate relationship factors and social contexts influence HIV/STI vulnerability.

show abstract

Section: Discussionmentioning

confidence: 99%

Prevalence and Correlates of HIV and Sexually Transmitted Infections among Female Sex Workers and Their Non-commercial Male Partners in Two Mexico-USA Border Cities

et al. 2014

View full text Add to dashboard Cite

show abstract

“…Condom use increased in individual SWs and was associated with reduced incident STIs in both arms of the study. However, the likelihood of a brothel adhering to the 100% condom use programme was 10% greater in the policy change area (Kerrigan et al 2003(Kerrigan et al , 2006.…”

Section: Structural Interventionsmentioning

confidence: 93%

Effectiveness of interventions for the prevention of HIV and other sexually transmitted infections in female sex workers in resource poor setting: a systematic review

Shahmanesh

Patel

Mabey

et al. 2008

Tropical Med Int Health

212

156

View full text Add to dashboard Cite

Summaryobjective To systematically review the evidence for effectiveness of HIV and sexually transmitted infection (STI) prevention interventions in female sex workers in resource poor settings.method Published and unpublished studies were identified through electronic databases (Cochrane database, Medline, Embase, and Web of Science), hand searching and contacting experts. Randomizedcontrolled-trials and quasi-experimental studies were included if they were conducted in female sex workers from low and middle income settings; if the exposure was described; if the outcome was externally measurable, it was after the discovery of HIV, and if follow-up was longer than 6 months. A priori criteria were used to extract data. Meta-analysis was not performed due to the heterogeneity of studies.results Twenty-eight interventions were included. Despite methodological limitations, the evidence suggested that combining sexual risk reduction, condom promotion and improved access to STI treatment reduces HIV and STI acquisition in sex workers receiving the intervention. Strong evidence that regular STI screening or periodic treatment of STIs confers additional protection against HIV was lacking. It appears that structural interventions, policy change or empowerment of sex workers, reduce the prevalence of STIs and HIV.conclusion Rigorous evaluation of HIV ⁄ STI prevention interventions in sex workers is challenging. There is some evidence for the efficacy of multi-component interventions, and ⁄ or structural interventions. The effect of these interventions on the wider population has rarely been evaluated.

show abstract

“…Starting in the mid-1990s, a decline in HIV prevalence has been noted at antenatal clinics in the capital, Santo Domingoa trend that probably reflects efforts to promote safer commercial sex in the city (Secretaria de Estado de Salud Pública y Asistencia Social de Republica Dominicana, 2005b). For example, condom use increased from 75% to 94% in 12 months among sex workers who participated in a community solidarity prevention project in the capital (Kerrigan et al, 2006).…”

Section: Several Countries Are Making Progress In Controlling Their Ementioning

confidence: 99%

Grand challenges in chronic non-communicable diseases

Daar

Сингер

Persad

et al. 2007

Nature

552

379

View full text Add to dashboard Cite

Environmental–Structural Interventions to Reduce HIV/STI Risk Among Female Sex Workers in the Dominican Republic

Abstract: Interventions that combine community solidarity and government policy show positive initial effects on HIV and STI risk reduction among female sex workers.

Cited by 223 publications

References 16 publications

Prevalence and Correlates of HIV and Sexually Transmitted Infections among Female Sex Workers and Their Non-commercial Male Partners in Two Mexico-USA Border Cities

Prevalence and Correlates of HIV and Sexually Transmitted Infections among Female Sex Workers and Their Non-commercial Male Partners in Two Mexico-USA Border Cities

Effectiveness of interventions for the prevention of HIV and other sexually transmitted infections in female sex workers in resource poor setting: a systematic review

Grand challenges in chronic non-communicable diseases

Contact Info

Product

Resources

About