Journal Article

Behavioral interventions for Cambodian female entertainment and sex workers who use amphetamine-type stimulants

Evans, Jennifer L., Page, Kimberly, Sokunny, Muth, Carrico, Adam W., Stein, Ellen, Maher, Lisa, Ngak, Song, Sophal, Chhit, Nil, Ean, Yuthea, Neak

2016

Overview

Conditional cash transfer (CCT) and cognitive-behavioral treatments are evidence-based approaches to reduce stimulant use and sexual risk taking. We describe the adaptation and implementation of sequential behavioral interventions for Cambodian female entertainment and sex workers (FESW) who use amphetamine-type stimulants (ATS): (1) a 12-week CCT intervention; and (2) a 4-week cognitive-behavioral aftercare (AC) group. An ongoing cluster randomized stepped wedge trial in 10 Cambodian provinces is enrolling FESW with confirmed recent ATS use to examine the effectiveness of CCT + AC. In the first six provinces, 138 of the 183 eligible FESW (75 %) enrolled in CCT and completed a median of 25 (interquartile range 9–32) of the 36 urine screening visits. Of the 84 participants who were eligible for AC, 79 completed at least one session (94 %) and 57 completed three or more sessions (68 %). Culturally tailored behavioral interventions to reduce ATS use and optimize HIV prevention are feasible in resource-limited settings.

• Publisher: Springer US,Springer,Springer Nature B.V
• Subject: Acquired immune deficiency syndrome / Addictive behaviors / Adult / After care / AIDS / Amphetamine-Related Disorders - therapy / Amphetamines / Behavior modification / Bisexuality / Cambodia / Cocaine / Cognition / Cognitive ability / Cognitive behavioral therapy / Cognitive Behavioral Therapy - methods / Cognitive-behavioral factors / Disease prevention / Drug abuse / Entertainment / Evidence based / Family Medicine / Female / Females / General Practice / Health aspects / Health Psychology / Health sciences / HIV / HIV infections / HIV Infections - prevention & control / Human immunodeficiency virus / Humans / Intervention / Medical screening / Medicine / Medicine & Public Health / Methamphetamine / Patient Compliance - psychology / Prevention programs / Preventive medicine / Prostitutes / Prostitution / Provinces / Risk behavior / Risk factors / Risk reduction / Risk taking / Safe sexual practices / Sex education / Sex industry / Sex workers / Sex Workers - psychology / Stimulants / Substance Abuse Detection - methods / Substance abuse treatment / Treatment methods / Treatment Outcome / Urine / Workers / Working women / Young Adult