Journal Article

Outcomes of a Behavioral Intervention to Reduce HIV Risk Among Drug-involved Female Sex Workers

Chen, Minxing, Kurtz, Steven P., Levi-Minzi, Maria A., Surratt, Hilary L., O’Grady, Catherine

2014

Overview

Although street-based female sex workers (FSWs) are highly vulnerable to HIV, they often lack access to needed health services and medical care. This paper reports the results of a recently completed randomized intervention trial for FSWs in Miami, Florida, which tested the relative efficacy of two case management interventions that aimed to link underserved FSWs with health services and to reduce risk behaviors for HIV. Participants were recruited using targeted sampling strategies and were randomly assigned to: a Strengths-Based/Professional Only (PO) or a Strengths-Based/Professional-Peer condition (PP). Follow-up data were collected 3 and 6 months post-baseline. Outcome analyses indicated that both intervention groups displayed significant reductions in HIV risk behaviors and significant increases in services utilization; the Professional-Peer condition provided no added benefit. HIV seropositive FSWs responded particularly well to the interventions, suggesting the utility of brief strengths-based case management interventions for this population in future initiatives.

• Publisher: Springer US,Springer Nature B.V
• Subject: Access / Acquired Immune Deficiency Syndrome / Adolescent / Adult / AIDS / Behavior / Behavioral psychology / Black or African American - statistics & numerical data / Brief interventions / Case Management / Clinical outcomes / Demographic change / Drug Users - psychology / Drug Users - statistics & numerical data / Efficacy / Female / Females / Florida - epidemiology / Follow-Up Studies / Health / Health Care Services / Health Knowledge, Attitudes, Practice / Health Promotion / Health Psychology / Health risk assessment / Health risks / Health services / Health Services Accessibility - organization & administration / Health Services Accessibility - statistics & numerical data / Health services utilization / HIV / HIV Infections - epidemiology / HIV Infections - prevention & control / HIV Infections - psychology / Human immunodeficiency virus / Humans / Infectious Diseases / Intervention / Medicine / Medicine & Public Health / Mental health services / Miami, Florida / Middle Aged / Original Paper / Peer Group / Peers / Poverty / Prostitution / Public Health / Risk / Risk behavior / Risk reduction / Risk Reduction Behavior / Risk taking / Sampling / Sex / Sex workers / Sex Workers - psychology / Sex Workers - statistics & numerical data / Sexual Behavior - psychology / Sexual Behavior - statistics & numerical data / Sexually transmitted diseases / Social Isolation / Social Stigma / STD / Substance-Related Disorders - epidemiology / Substance-Related Disorders - prevention & control / Trials / Vulnerability / Workers / Working women