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Efficacy of a savings-led microfinance intervention to reduce sexual risk for HIV among women engaged in sex work: a randomized clinical trial

American journal of public health (1971), 2015-03, Vol.105 (3), p.e95-e102 [Peer Reviewed Journal]

Copyright American Public Health Association Mar 2015 ;American Public Health Association 2015 2015 ;ISSN: 0090-0036 ;EISSN: 1541-0048 ;DOI: 10.2105/AJPH.2014.302291 ;PMID: 25602889 ;CODEN: AJPHDS

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Title:
Efficacy of a savings-led microfinance intervention to reduce sexual risk for HIV among women engaged in sex work: a randomized clinical trial
Author: Witte, Susan S ; Aira, Toivgoo ; Tsai, Laura Cordisco ; Riedel, Marion ; Offringa, Reid ; Chang, Mingway ; El-Bassel, Nabila ; Ssewamala, Fred
Subjects: Acquired immune deficiency syndrome ; Adult ; AIDS ; Alcohol ; Clinical trials ; Disease prevention ; Employment - economics ; Employment - methods ; Female ; Global Health ; Health disparities ; HIV ; HIV Infections - economics ; HIV Infections - prevention & control ; HIV Infections - transmission ; HIV/AIDS ; Human immunodeficiency virus ; Humans ; Income ; Intervention ; Low income groups ; Microfinance ; Online Research and Practice ; Poisson Distribution ; Poverty ; Prevention ; Program Evaluation ; Risk factors ; Risk Reduction Behavior ; Savings accounts ; Sex industry ; Sex Workers - psychology ; Sex Workers - statistics & numerical data ; Sexual behavior ; Sexual Health ; Sexual intercourse ; Small business ; Small Business - economics ; Small Business - methods ; Small Business - organization & administration ; Social Determinants of Health ; Social Support ; Systematic review ; Vagina ; Women ; Women's Health ; Women's Rights - standards ; Women's Rights - trends
Is Part Of: American journal of public health (1971), 2015-03, Vol.105 (3), p.e95-e102
Description: We tested whether a structural intervention combining savings-led microfinance and HIV prevention components would achieve enhanced reductions in sexual risk among women engaging in street-based sex work in Ulaanbaatar, Mongolia, compared with an HIV prevention intervention alone. Between November 2011 and August 2012, we randomized 107 eligible women who completed baseline assessments to either a 4-session HIV sexual risk reduction intervention (HIVSRR) alone (n=50) or a 34-session HIVSRR plus a savings-led microfinance intervention (n=57). At 3- and 6-month follow-up assessments, participants reported unprotected acts of vaginal intercourse with paying partners and number of paying partners with whom they engaged in sexual intercourse in the previous 90 days. Using Poisson and zero-inflated Poisson model regressions, we examined the effects of assignment to treatment versus control condition on outcomes. At 6-month follow-up, the HIVSRR plus microfinance participants reported significantly fewer paying sexual partners and were more likely to report zero unprotected vaginal sex acts with paying sexual partners. Findings advance the HIV prevention repertoire for women, demonstrating that risk reduction may be achieved through a structural intervention that relies on asset building, including savings, and alternatives to income from sex work.
Publisher: United States: American Public Health Association
Language: English
Identifier: ISSN: 0090-0036
EISSN: 1541-0048
DOI: 10.2105/AJPH.2014.302291
PMID: 25602889
CODEN: AJPHDS
Source: ProQuest One Psychology
AUTh Library subscriptions: ProQuest Central
MEDLINE
PubMed Central

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Efficacy of a savings-led microfinance intervention to reduce sexual risk for HIV among women engaged in sex work: a randomized clinical trial

Copyright American Public Health Association Mar 2015 ;American Public Health Association 2015 2015 ;ISSN: 0090-0036 ;EISSN: 1541-0048 ;DOI: 10.2105/AJPH.2014.302291 ;PMID: 25602889 ;CODEN: AJPHDS

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