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Environmental-structural interventions to reduce HIV/STI risk among female sex workers in the Dominican Republic

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Listed:
  • Kerrigan, D.
  • Moreno, L.
  • Rosario, S.
  • Gomez, B.
  • Jerez, H.
  • Barrington, C.
  • Weiss, E.
  • Sweat, M.

Abstract

Objectives. We assessed the effectiveness of 2 environmental-structural interventions in reducing risks of HIV and sexually transmitted infections (STIs) among female sex workers in the Dominican Republic. Methods. Two intervention models were implemented over a 1-year period: community solidarity in Santo Domingo and solidarity combined with government policy in Puerto Plata. Both were evaluated via preintervention-postintervention cross-sectional behavioral surveys, STI testing and participant observations, and serial cross-sectional STI screenings. Results. Significant increases in condom use with new clients (75.3%-93.8%; odds ratio [OR] = 4.21; 95% confidence interval [CI] = 1.55, 11.43) were documented in Santo Domingo. In Puerto Plata, significant increases in condom use with regular partners (13.0%-28.8%; OR = 2.97;95% CI = 1.33, 6.66) and reductions in STI prevalence (28.8%-16.3%; OR = 0.50; 95% CI = 0.32, 0.78) were documented, as were significant increases in sex workers' verbal rejections of unsafe sex (50.0%-79.4%; OR = 3.86; 95% CI = 1.96, 7.58) and participating sex establishments' ability to achieve the goal of no STIs in routine monthly screenings of sex workers (OR = 1.17; 95% CI = 1.12, 1.22). Conclusions. Interventions that combine community solidarity and government policy show positive initial effects on HIV and STI risk reduction among female sex workers.

Suggested Citation

  • Kerrigan, D. & Moreno, L. & Rosario, S. & Gomez, B. & Jerez, H. & Barrington, C. & Weiss, E. & Sweat, M., 2006. "Environmental-structural interventions to reduce HIV/STI risk among female sex workers in the Dominican Republic," American Journal of Public Health, American Public Health Association, vol. 96(1), pages 120-125.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2004.042200_9
    DOI: 10.2105/AJPH.2004.042200
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    Cited by:

    1. Shahmanesh, Maryam & Wayal, Sonali & Andrew, Gracy & Patel, Vikram & Cowan, Frances M. & Hart, Graham, 2009. "HIV prevention while the bulldozers roll: Exploring the effect of the demolition of Goa's red-light area," Social Science & Medicine, Elsevier, vol. 69(4), pages 604-612, August.
    2. Jocelyn Elmes & Morten Skovdal & Kundai Nhongo & Helen Ward & Catherine Campbell & Timothy B Hallett & Constance Nyamukapa & Peter J White & Simon Gregson, 2017. "A reconfiguration of the sex trade: How social and structural changes in eastern Zimbabwe left women involved in sex work and transactional sex more vulnerable," PLOS ONE, Public Library of Science, vol. 12(2), pages 1-22, February.
    3. Deanna Kerrigan & Andrea Wirtz & Stefan Baral & Michele Decker & Laura Murray & Tonia Poteat & Carel Pretorius & Susan Sherman & Mike Sweat & Iris Semini & N'Della N'Jie & Anderson Stanciole & Jenny B, 2013. "The Global HIV Epidemics among Sex Workers," World Bank Publications - Books, The World Bank Group, number 12217.
    4. Goldenberg, Shira M. & Strathdee, Steffanie A. & Gallardo, Manuel & Rhodes, Tim & Wagner, Karla D. & Patterson, Thomas L., 2011. ""Over here, it's just drugs, women and all the madness": The HIV risk environment of clients of female sex workers in Tijuana, Mexico," Social Science & Medicine, Elsevier, vol. 72(7), pages 1185-1192, April.
    5. Altman, Lara & Kuhlmann, Anne K. Sebert & Galavotti, Christine, 2015. "Understanding the black box: A systematic review of the measurement of the community mobilization process in evaluations of interventions targeting sexual, reproductive, and maternal health," Evaluation and Program Planning, Elsevier, vol. 49(C), pages 86-97.
    6. Anna Vassall & Sudhashree Chandrashekar & Michael Pickles & Tara S Beattie & Govindraj Shetty & Parinita Bhattacharjee & Marie-Claude Boily & Peter Vickerman & Janet Bradley & Michel Alary & Stephen M, 2014. "Community Mobilisation and Empowerment Interventions as Part of HIV Prevention for Female Sex Workers in Southern India: A Cost-Effectiveness Analysis," PLOS ONE, Public Library of Science, vol. 9(10), pages 1-10, October.
    7. Lianne A. Urada & Andrés Gaeta-Rivera & Jessica Kim & Patricia E. Gonzalez-Zuniga & Kimberly C. Brouwer, 2021. "Mujeres Unidas: Addressing Substance Use, Violence, and HIV Risk through Asset-Based Community Development for Women in the Sex Trade," IJERPH, MDPI, vol. 18(8), pages 1-17, April.
    8. Lianne A Urada & Donald E Morisky & Nymia Pimentel-Simbulan & Jay G Silverman & Steffanie A Strathdee, 2012. "Condom Negotiations among Female Sex Workers in the Philippines: Environmental Influences," PLOS ONE, Public Library of Science, vol. 7(3), pages 1-9, March.

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