Title |
Abriendo Puertas: Feasibility and Effectiveness a Multi-Level Intervention to Improve HIV Outcomes Among Female Sex Workers Living with HIV in the Dominican Republic
|
---|---|
Published in |
AIDS and Behavior, March 2016
|
DOI | 10.1007/s10461-016-1376-z |
Pubmed ID | |
Authors |
Deanna Kerrigan, Clare Barrington, Yeycy Donastorg, Martha Perez, Noya Galai |
Abstract |
Female sex workers (FSW) are disproportionately affected by HIV. Yet, few interventions address the needs of FSW living with HIV. We developed a multi-level intervention, Abriendo Puertas (Opening Doors), and assessed its feasibility and effectiveness among a cohort of 250 FSW living with HIV in the Dominican Republic. We conducted socio-behavioral surveys and sexually transmitted infection and viral load testing at baseline and 10-month follow-up. We assessed changes in protected sex and adherence to antiretroviral therapy (ART) with logistic regression using generalized estimating equations. Significant pre-post intervention changes were documented for adherence (72-89 %; p < 0.001) and protected sex (71-81 %; p < 0.002). Higher intervention exposure was significantly associated with changes in adherence (AOR 2.42; 95 % CI 1.23-4.51) and protected sex (AOR 1.76; 95 % CI 1.09-2.84). Illicit drug use was negatively associated with both ART adherence and protected sex. Abriendo Puertas is feasible and effective in improving behavioral HIV outcomes in FSW living with HIV. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 6 | 60% |
Unknown | 4 | 40% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 9 | 90% |
Science communicators (journalists, bloggers, editors) | 1 | 10% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 58 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 11 | 19% |
Researcher | 8 | 14% |
Student > Ph. D. Student | 7 | 12% |
Student > Doctoral Student | 6 | 10% |
Student > Bachelor | 4 | 7% |
Other | 10 | 17% |
Unknown | 12 | 21% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 16 | 28% |
Nursing and Health Professions | 11 | 19% |
Social Sciences | 9 | 16% |
Psychology | 2 | 3% |
Agricultural and Biological Sciences | 2 | 3% |
Other | 4 | 7% |
Unknown | 14 | 24% |