Findings from Encontros: a multilevel STI/HIV intervention to increase condom use, reduce STI, and change the social environment among sex workers in Brazil.

Sexually Transmitted Diseases
Sheri A LippmanDeanna Kerrigan

Abstract

Sexually transmitted infection (STI)/HIV prevention programs, which do not modify social structural contexts that contribute to risk of STI/HIV may fail to bring about improvements in health, particularly among groups who experience discrimination and exclusion from public life. We conducted a multilevel intervention with sex workers, including improved clinical care and community-mobilizing strategies to modify social structural factors that shape sexual behavior, to improve condom use and reduce incident STI. We followed 420 sex workers participating in the Encontros intervention in Corumbá, Brazil, between 2003 and 2005. We estimated the effect of the intervention on incident chlamydia and gonorrhea infections and condom use using generalized estimating equations and inverse probability weighting by comparing those who actively engaged in the intervention activities (exposed) with those who were less engaged (unexposed). We also determined the association of participation on reported social cohesion and participation in networks. Exposed participants had significantly higher odds of reporting consistent condom use with regular clients (odds ratio [OR]: 1.9, 95% confidence interval:1.1-3.3) and nonsignificantly increased odds...Continue Reading

References

Apr 16, 1998·Social Science & Medicine·C BeekerA Raj
Aug 24, 2000·Epidemiology·J M RobinsB Brumback
Dec 1, 2001·American Journal of Public Health·C Campbell, Z Mzaidume
Mar 28, 2003·American Journal of Public Health·Cheryl Merzel, Joanna D'Afflitti
Jun 24, 2004·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Ishika BasuRobert Weiss
Oct 20, 2004·AIDS Education and Prevention : Official Publication of the International Society for AIDS Education·Smarajit JanaPeter A Newman
Dec 1, 2005·American Journal of Public Health·Deanna KerriganMichael Sweat
Dec 20, 2005·Lancet·Michael L Rekart
Jun 23, 2006·Journal of Epidemiology and Community Health·Miguel A Hernán, James M Robins
Mar 17, 2007·Health Education Research·Deanna KerriganChristopher Castle
Sep 6, 2008·Social Science & Medicine·Paul M PronykJohn D Porter
Nov 26, 2008·Lancet·Michael MersonUNKNOWN Lancet HIV Prevention Series Authors
Sep 19, 2009·American Journal of Public Health·Sheri A LippmanDeanna Kerrigan
Mar 5, 2010·Sexually Transmitted Infections·Marie LagaRob Moodie

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Citations

Jul 15, 2016·Global Public Health·Shirley J SempleThomas L Patterson
Dec 3, 2015·Revista brasileira de epidemiologia = Brazilian journal of epidemiology·Gabriela Silva LeiteFlavio Lenz
Sep 30, 2016·Journal of Immigrant and Minority Health·Suzanne M Dolwick GriebKathleen R Page
Oct 29, 2019·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Wilson VincentEmily A Arnold
Jul 5, 2012·AIDS and Behavior·Audrey PettiforMolly Rosenberg
Aug 2, 2018·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Sean T AllenSusan G Sherman
Sep 11, 2019·Sexual Health·Robert D KirkcaldyGwenda Hughes
Dec 9, 2016·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Sheri A LippmanAudrey Pettifor
Jul 6, 2017·Revista de saúde pública·Marcos André de MatosSheila Araújo Teles
May 1, 2021·International Journal of Environmental Research and Public Health·Lianne A UradaKimberly C Brouwer

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