Evidence of Declining STD Prevalence in a South African Mining Community Following a Core-Group Intervention

Steen, Richard; Vuylsteke, Béa; Decoito, Tony; Ralepeli, Stori; Fehler, Glenda; Conley, Jacci; Bruckers, Liesbeth; Dallabetta, Gina; Ballard, Ron

doi:10.1097/00007435-200001000-00001

Cited by 141 publications

(113 citation statements)

References 34 publications

Supporting

Mentioning

110

Contrasting

Unclassified

Order By: Relevance

“…30 Baseline prevalence of gonorrhoea and/or chlamydia in a core group of women at high risk living in areas around the mines was 24.9%, and 9.7% of the women also had clinical evidence of genital ulcers. The Lesedi project sought to reduce the prevalence of curable STIs by providing monthly presumptive treatment (azithromycin 1 gram) to the sex workers along with prevention education and condoms.…”

Section: Experience With Presumptive Treatment Of Sex Workersmentioning

confidence: 97%

“…69,72 Strong coordination between clinical services and peer networks that promote prevention and encourage women to use services have been reported to be important programme elements associated with increased condom use and strong clinic attendance. 30,46 Provision of related health and social services valued by sex workers helps to improve programme credibility and strengthens prevention efforts. 73 Sex workers have similar needs for reproductive health and other services as others, and can be expected to ask early for family planning and general medical care for themselves and their dependents.…”

Section: Replicabilitymentioning

confidence: 99%

See 1 more Smart Citation

Sexually Transmitted Infection Control with Sex Workers: Regular Screening and Presumptive Treatment Augment Efforts to Reduce Risk and Vulnerability

Steen

Dallabetta

2003

Reproductive Health Matters

Self Cite

View full text Add to dashboard Cite

Section: Experience With Presumptive Treatment Of Sex Workersmentioning

confidence: 97%

Section: Replicabilitymentioning

confidence: 99%

Sexually Transmitted Infection Control with Sex Workers: Regular Screening and Presumptive Treatment Augment Efforts to Reduce Risk and Vulnerability

Steen

Dallabetta

2003

Reproductive Health Matters

Self Cite

View full text Add to dashboard Cite

“…A quasi-experimental study of PPT in South Africa found reductions in STIs in SWs after the introduction of the intervention and an inverse relationship between distance from intervention and genital ulcer disease in miners (Steen et al 2000). Only one of three women were followed-up over the 9 months.…”

Section: Treatment Of Bacterial Sexually Transmitted Infections Combimentioning

confidence: 99%

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

211

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

“…Commercial sex workers are widely believed to play a central role in the transmission of HIV in parts of Africa (D'Costa et al, 1985;Moses et al, 1991;Steen et al, 2000;Boily et al, 2002); Asia (Hanenberg et al, 1994) and Europe (Aral et al, 2003); and they are often referred to as core groups by epidemiologists, mathematical modellers, clinicians and policymakers as a way of highlighting the disproportionately large role they can play in the transmission of HIV. Drawing upon epidemiological and clinical research, academics and policymakers have also suggested that interventions targeting commercial sex workers provide a cost-effective way of reducing the transmission of HIV and other sexually transmitted infections.…”

Section: Introductionmentioning

confidence: 99%

Core Groups and the Transmission of Hiv: Learning From Male Sex Workers

Parker

2005

J. Biosoc. Sci.

View full text Add to dashboard Cite

Summary.A growing and substantial body of research suggests that female sex workers play a disproportionately large role in the transmission of HIV in many parts of the world, and they are often referred to as core groups by epidemiologists, mathematical modellers, clinicians and policymakers. Male sex workers, by contrast, have received little attention and it is not known whether it is helpful to conceptualize them as a core group. This paper draws upon ethnographic research documenting social and sexual networks in London and looks at the position of five male sex workers within a network comprising 193 men and seven women (as well as 1378 anonymous sexual contacts and 780 commercial contacts). In so doing, it suggests that there is no evidence to show that male sex workers are more or less likely to acquire or transmit HIV in the course of commercial sex compared with other types of sexual relationships. In addition, men engaging in non-commercial sex all reported having unprotected sex in a variety of contexts and relationships and there is no evidence to suggest that men who are not sex workers play less of a role in the transmission of HIV. In short, these data suggest that it would be inappropriate to conceptualize male sex workers as a core group. This is not to suggest that public policy should continue to overlook male sex workers. New and inventive approaches are required to reach out to a vulnerable but diverse group of men, selling sex for a variety of reasons; even if these men are no more vulnerable to acquiring and/or transmitting HIV than other men and women that form part of their network.

show abstract

Evidence of Declining STD Prevalence in a South African Mining Community Following a Core-Group Intervention

Cited by 141 publications

References 34 publications

Sexually Transmitted Infection Control with Sex Workers: Regular Screening and Presumptive Treatment Augment Efforts to Reduce Risk and Vulnerability

Sexually Transmitted Infection Control with Sex Workers: Regular Screening and Presumptive Treatment Augment Efforts to Reduce Risk and Vulnerability

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

Core Groups and the Transmission of Hiv: Learning From Male Sex Workers

Contact Info

Product

Resources

About