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Social-environmental factors and protective sexual behavior among sex workers: The Encontros intervention in Brazil

Author

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  • Lippman, S.A.
  • Donini, A.
  • Díaz, J.
  • Chinaglia, M.
  • Reingold, A.
  • Kerrigan, D.

Abstract

Objectives. We sought to determine the association of social-environmental factors with condom use and sexually transmitted infections (STIs) among 420 sex workers participating in an STI/HIV prevention study in Corumbá, Brazil, to inform future intervention efforts. Methods. Participants provided urine samples for polymerase chain reaction testing of chlamydia and gonorrhea and responded to multi-item scales addressing perceived social cohesion, participation in networks, and access to and management of resources. We conducted multivariate log-linear and negative binomial regression analyses of these data. Results. Increased social cohesion was inversely associated with number of unprotected sex acts in the preceding week among women (adjusted incidence rate ratio [IRR] = 0.80; P

Suggested Citation

  • Lippman, S.A. & Donini, A. & Díaz, J. & Chinaglia, M. & Reingold, A. & Kerrigan, D., 2010. "Social-environmental factors and protective sexual behavior among sex workers: The Encontros intervention in Brazil," American Journal of Public Health, American Public Health Association, vol. 100(S1), pages 216-223.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2008.147462_8
    DOI: 10.2105/AJPH.2008.147462
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    Cited by:

    1. 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.
    2. Sarafian, Isabelle, 2012. "Process assessment of a peer education programme for HIV prevention among sex workers in Dhaka, Bangladesh : A social support framework," Social Science & Medicine, Elsevier, vol. 75(4), pages 668-675.
    3. Lippman, Sheri A. & Neilands, Torsten B. & Leslie, Hannah H. & Maman, Suzanne & MacPhail, Catherine & Twine, Rhian & Peacock, Dean & Kahn, Kathleen & Pettifor, Audrey, 2016. "Development, validation, and performance of a scale to measure community mobilization," Social Science & Medicine, Elsevier, vol. 157(C), pages 127-137.

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