Evaluation and mechanism analysis of HIV prevention programme using resilience framework among female sex workers: A randomised controlled trial

Wong, William; Yuen, Winnie Wing-Yan; Tang, Catherine So‐kum; Holroyd, Eleanor; Fong, Daniel Tik-Pui

doi:10.1016/j.pmedr.2018.12.007

Cited by 8 publications

(17 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Self-efficacy may help overcome internal stigma associated with sex work and HIV. Our findings are consistent with prior work in which self-efficacy, social influences, attitudes and past behaviour were predictors of intention to test [47,48]. Notably, self-efficacy and social influences were significantly positively associated with intention to test for HIV but not syphilis.…”

Section: Discussionsupporting

confidence: 90%

Intention to Seek Regular HIV and Syphilis Testing and Associated Factors Among Female Sex Workers in Uganda

Muhindo¹,

Castelnuovo²,

Mujugira³

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Few studies have evaluated intentions to undergo periodic sexually transmitted infection (STI) and HIV testing among female sex workers (FSW) in Sub-Saharan Africa. We aimed to assess intention to seek periodic syphilis and HIV testing among FSW in Uganda. Methods: Between July and October 2018, we conducted a cross-sectional study among 441 FSW. Participants were recruited through peer referrals. Self-reported data on intention to take a syphilis test in the next 3 months and an HIV test in next 6 months were obtained using an interviewer-administered questionnaire. We used constructs of the Integrated Change Model to assess intentions, attitudes, norms, social influences and self-efficacy towards 3-monthly syphilis and 6-monthly HIV testing. Predictors of intention to seek testing were estimated using linear regression.Results: A total of 441 FSW were included in the analysis, and the median age was 26 years (interquartile range [IQR] 23–30). Most (66.9%) reported high intention to take an HIV test in the next 6 months, and 51.9% showed high intention to take a serological syphilis test in the next 3 months. In multivariable analysis, never testing for HIV was associated with low intention of testing (β=-0.15, p=0.001). Factors significantly associated with high intentions to test for HIV in the next 6 months were perceived influence of significant others (β=0.08, p=0.03), high self-efficacy (β=0.26, p=0.001) and high attitude scores (β=0.45, p=0.001). Similarly, high attitude (β=0.30, P=0.001) and descriptive norms (β=0.32, P=0.001) were associated with high intentions to test for syphilis in the next three months. Conclusion: These results suggest public health programs promoting routine HIV and syphilis testing should consider factors such as attitudes, descriptive norms, social influences, self-efficacy and past behaviours which inform intention to undergo STI testing.

show abstract

Section: Discussionsupporting

confidence: 90%

Intention to Seek Regular HIV and Syphilis Testing and Associated Factors Among Female Sex Workers in Uganda

Muhindo¹,

Castelnuovo²,

Mujugira³

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…Our nding that regular testing was motivated by fears and concerns over maintaining health, ability to work, family responsibilities, and future aspirations or social in uences, and was facilitated by testing habits and self-e cacy is consistent with prior work in which perceived bene ts of testing or attitudes, self-e cacy, social in uences and past behavior have been reported to in uence STI testing [16,[48][49][50]. STI risk perception was high, but disease severity was perceived differently.…”

Section: Discussionmentioning

confidence: 65%

“I Felt Very Small and Embarrassed by the Health Care Provider When I Requested to be Tested for Syphilis”: Barriers and Facilitators of Regular Syphilis and HIV Testing Among Female Sex Workers in Uganda

Muhindo

Mujugira

Castelnuovo

et al. 2021

Preprint

View full text Add to dashboard Cite

Background: Periodic testing of female sex workers (FSW) for sexually transmitted infections (STIs) is a core component of global and national responses to achieve population-level STI elimination. We conducted a qualitative study to explore barriers and facilitators of regular syphilis and HIV testing among FSW in Uganda. Methods: Within a quasi-experimental study among 436 FSW to assess the effect of peer education and text message reminders on uptake of regular STI and HIV testing among FSW, we conducted 48 qualitative interviews in four cities in Uganda from August-December 2018. We purposively selected FSW who tested for syphilis and HIV every 3-6 months; 12 FSW were interviewed in each city. Sex worker interviews explored: 1) reasons for periodic syphilis and HIV testing; 2) barriers and facilitators of testing; 3) experiences of testing; and 4) challenges faced while seeking testing services. Data were analyzed using thematic content analysis. Results: Thematic analysis revealed individual- and health system-level barriers and facilitators of testing. For syphilis, barriers were: a) interpersonal stigma, low perceived severity of syphilis and testing misconceptions (individual); and b) judgmental provider attitudes, paucity of facilities offering syphilis testing, stock outs of test kits and high cost (health system). Facilitators were: c) desire to remain healthy, get married and have children, knowing the benefits of early treatment, influence of male partners/clients and normative testing behaviors (individual); and d) sex worker clinics offering dual syphilis/HIV testing (health system). For HIV, barriers included: a) internalized stigma (individual); and b) unfavorable clinic hours, stigma, discrimination, and unfriendly provider (health system). Facilitators were: a) motivations to stay healthy and attract clients, habitual testing, self-efficacy, doubts about accuracy of negative test results, and use of post-exposure prophylaxis (individual);: and d) availability of testing facilities (health system). Syphilis and HIV had some similar Ttesting barriers and facilitators. overlapped substantially for both infections.Conclusions: HIV programs are likely to be important entry points for syphilis testing among FSW. Multi-level interventions to address testing barriers should consider focusing on these service delivery points. Extending the dual syphilis and HIV testing approach to FSW may improve the testing uptake for both infections at public health facilities and decrease population-level incidence.

show abstract

“…A complete list of the full text papers reviewed and rationale for exclusion is provided in Supplementary Material S1 . Of the 38 trials included, 33 were randomized controlled trials (RCT), and the other five were nonrandomized controlled studies (NRCS) [ 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 ].…”

Section: Resultsmentioning

confidence: 99%

“…Only nine studies addressed enhancing or developing resilience as a second or third objective and/or hypothesis and used a valid resilience measure as a secondary outcome measure [ 26 , 34 , 35 , 46 , 49 , 51 , 54 , 56 , 63 ], concluding that the vast majority of studies had resilience as their main focus.…”

Section: Resultsmentioning

confidence: 99%

Individual Resilience Interventions: A Systematic Review in Adult Population Samples over the Last Decade

Ferreira

Marques

Gomes

2021

IJERPH

View full text Add to dashboard Cite

Resilience interventions have been gaining importance among researchers due to their potential to provide well-being and reduce the prevalence of mental disorders that are becoming an increasing concern, especially in Western countries, because of the costs associated. The purpose of this systematic review is to identify the intervention studies carried out in the last decade in adult population samples, evaluate their methodological quality and highlight the trends of these types of interventions. This review was performed using systematic literature searches in the following electronic databases: B-on, PubMed, PsycNet and Science Direct. The application of eligibility criteria resulted in the inclusion of 38 articles, of which 33 were randomized controlled trials and the other five were nonrandomized controlled studies. Although most studies showed statistical significance for their results, these were constrained by the great heterogeneity of the studies, the lack of power of the samples and their fair methodological quality. Therefore, it is important to consolidate the theoretical basis and standardize certain methodologies so that the effects of the interventions can be compared through a meta-analysis.

show abstract

Evaluation and mechanism analysis of HIV prevention programme using resilience framework among female sex workers: A randomised controlled trial

Cited by 8 publications

References 30 publications

Intention to Seek Regular HIV and Syphilis Testing and Associated Factors Among Female Sex Workers in Uganda

Intention to Seek Regular HIV and Syphilis Testing and Associated Factors Among Female Sex Workers in Uganda

“I Felt Very Small and Embarrassed by the Health Care Provider When I Requested to be Tested for Syphilis”: Barriers and Facilitators of Regular Syphilis and HIV Testing Among Female Sex Workers in Uganda

Individual Resilience Interventions: A Systematic Review in Adult Population Samples over the Last Decade

Contact Info

Product

Resources

About