Effects of an HIV Intervention Among Sex Workers in the Philippines

Overview

This study will implement a socio-behavioral intervention in Quezon City, the Philippines, using a community-based participatory approach. The intervention involves 1-2 psychosocial and health education training workshops for the establishment managers and their workers, focusing on HIV/AIDS risk reduction information and condom use and condom negotiation skill-building. Participants will also be invited to do dream-building activities that explore their personal goals and goals for their organization of peers.

Full Title of Study: “Effects of an HIV Intervention Among Female and Male Entertainers and Spa/Sauna Workers in the Philippines”

Study Type

  • Study Type: Interventional
  • Study Design
    • Allocation: N/A
    • Intervention Model: Single Group Assignment
    • Primary Purpose: Prevention
    • Masking: None (Open Label)
  • Study Primary Completion Date: December 2016

Detailed Description

This study will implement a socio-behavioral intervention in Quezon City, the Philippines, using a community-based participatory approach. The intervention involves 1-2 psychosocial and health education training workshops for the establishment managers and their workers, focusing on HIV/AIDS risk reduction information, condom use, and condom negotiation skill-building. Participants will also be invited to do dream-building activities that explore their personal goals and goals for their organization of peers. The intervention involves targeted and tailored bio-psycho-educational interventions directed at organizational behavior change and social influence modeling through training peers and managers. The intervention site will receive peer and manager trainings consisting of specific information on STIs along with standard care, held on a day convenient to the participants and at the establishment or neutral location. In addition to quick pre-post tests before and immediately after the intervention, participants will be interviewed 6-12 months after the intervention to evaluate the effects of the intervention on their STI/HIV knowledge, attitudes, beliefs, safer sex practices, and social support.

Interventions

  • Behavioral: HIV/STI intervention
    • The intervention covers HIV101 information, reproductive health and human rights national policies, goal setting activities as individuals and as a group, results of prior research on ethics of doing research with sex workers.

Arms, Groups and Cohorts

  • Other: HIV/STI intervention
    • This study implements a socio-behavioral intervention in Metro Manila, the Philippines, using a community-based participatory approach with 1-2 psychosocial and health education training workshops for the establishment managers and their workers, including street sex workers, focusing on HIV/AIDS risk reduction information, condom use, and condom negotiation skill-building. Participants participate in dream-building activities to explore personal goals and goals for their organization of peers. The interventions are directed at organizational behavior change and social influence modeling through training peers and managers. The participants receive information on STIs along with standard care, held on a day convenient to the participants and at a neutral location.

Clinical Trial Outcome Measures

Primary Measures

  • HIV/STI knowledge
    • Time Frame: 6 months
    • Knowledge of HIV/STI transmission and ways to protect oneself

Participating in This Clinical Trial

Inclusion Criteria

  • self-identification as conducting sex work or working in a venue where sex work occurs. Exclusion Criteria:

  • those not actively engaging in sex work activities or working in a venue or area where sex work occurs.

Gender Eligibility: All

Minimum Age: N/A

Maximum Age: N/A

Are Healthy Volunteers Accepted: Accepts Healthy Volunteers

Investigator Details

  • Lead Sponsor
    • Lianne Urada
  • Collaborator
    • University of California, Los Angeles
  • Provider of Information About this Clinical Study
    • Sponsor-Investigator: Lianne Urada, Assistant Professor – University of California, San Diego
  • Overall Official(s)
    • Lianne A Urada, PhD, Principal Investigator, University of California, San Diego

References

Urada LA, Morisky DE, Pimentel-Simbulan N, Silverman JG, Strathdee SA. Condom negotiations among female sex workers in the Philippines: environmental influences. PLoS One. 2012;7(3):e33282. doi: 10.1371/journal.pone.0033282. Epub 2012 Mar 20.

Urada LA, Morisky DE, Hernandez LI, Strathdee SA. Social and structural factors associated with consistent condom use among female entertainment workers trading sex in the Philippines. AIDS Behav. 2013 Feb;17(2):523-35. doi: 10.1007/s10461-011-0113-x.

Urada LA, Strathdee SA, Morisky DE, Schilling RF, Simbulan NP, Estacio LR Jr, Raj A. Sex work and its associations with alcohol and methamphetamine use among female bar and spa workers in the Philippines. Asia Pac J Public Health. 2014 Mar;26(2):138-46. doi: 10.1177/1010539512471969. Epub 2013 Jan 22.

Citations Reporting on Results

Urada LA, Simmons J, Wong B, Tsuyuki K, Condino-Enrera G, Hernandez LI, Simbulan NP, Raj A. A human rights-focused HIV intervention for sex workers in Metro Manila, Philippines: evaluation of effects in a quantitative pilot study. Int J Public Health. 2016 Nov;61(8):945-957. doi: 10.1007/s00038-016-0875-z. Epub 2016 Sep 6.

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