A randomized controlled trial of an HIV prevention intervention for street-based female sex workers in Yerevan, Armenia: preliminary evidence of efficacy
Markosyan, K.; Lang, D.L.; Salazar, L.F.; DiClemente, R.J.; Hardin, J.W.; Darbinyan, N.; Joseph, J.B.; Khurshudyan, M.
Aids and Behavior 14(3): 530-537
2010
ISSN/ISBN: 1090-7165 PMID: 20373139 DOI: 10.1007/s10461-010-9689-9Document Number: 213106
This study evaluated the efficacy of an HIV intervention among female sex workers (FSWs) randomized to an intervention or wait-list control. FSWs (N = 120) completed baseline, 3- and 6-month assessments. A health educator implemented 2-hour intervention emphasized gender-empowerment, self-efficacy to persuade clients to use condoms, condom application skills, and eroticizing safer sex. Over the 6-month follow-up, FSWs in the intervention reported more consistent condom use with clients (P = .004) and were more likely to apply condoms on clients (P = .0001). Intervention effects were observed for other psychosocial mediators of safer sex. Brief, gender and culturally congruent interventions can enhance HIV-preventive behaviors among FSWs.
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