IDEAS home Printed from https://ideas.repec.org/a/aph/ajpbhl/10.2105-ajph.2004.042200_9.html
   My bibliography  Save this article

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

Author

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
    as

    Download full text from publisher

    File URL: http://hdl.handle.net/10.2105/AJPH.2004.042200
    Download Restriction: no
    File URL: https://libkey.io/10.2105/AJPH.2004.042200?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    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, December.
    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.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:aph:ajpbhl:10.2105/ajph.2004.042200_9. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Christopher F Baum (email available below). General contact details of provider: https://www.apha.org .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.