Mobilising community collectivisation among female sex workers to promote STI service utilisation from the government healthcare system in Andhra Pradesh, India
| Autor: | Niranjan Saggurti, Ram Manohar Mishra, Saroj Tucker, Prabhakar Parimi |
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| Rok vydání: | 2012 |
| Předmět: |
Adult
Rural Population Epidemiology Cross-sectional study Population Health Behavior Psychological intervention Sexually Transmitted Diseases Developing country India HIV Infections Collective action Community Networks Health Services Accessibility Young Adult Environmental health Surveys and Questionnaires Medicine Humans education education.field_of_study Government Sex Workers business.industry Hospitals Public Public Health Environmental and Occupational Health Patient Acceptance of Health Care Sex Work Community-Institutional Relations Self Efficacy Collective efficacy Cross-Sectional Studies Logistic Models Socioeconomic Factors General partnership Collective Bargaining Female Reproductive Health Services Rural Health Services business |
| Zdroj: | Scopus-Elsevier |
| ISSN: | 1470-2738 |
| Popis: | Background To assess the association between female sex workers’ (FSWs) degree of community collectivisation and self-efficacy, utilisation of sexually transmitted infection (STI) services from government-run health centres in Andhra Pradesh, India. Methods Cross-sectional analyses of 1986 FSWs recruited using a probability-based sampling from five districts of Andhra Pradesh during 2010e2011. Multiple logistic regression models were constructed to assess associations. The independent variables includeddcollective efficacy, collective agency and collective actiondmeasured using a series of items that assessed the grouping of the community on issues that concern most sex workers. An additional independent variable included FSWs belonging to an area where there was a project partnership with government health centres to provide STI treatment services to FSWs. The outcome indicators included self-efficacy for service utilisation from government health facilities and the treatment for STIs from government health facilities at least once in the past year experience of STI symptoms. Results Of the 1986 FSWs, nearly two-fifths (39.5%) reported a high level of overall collectivisation (collective efficacy: 89%, collective agency: 50.7%; collective action: 12.7%). Sex workers with a high degree compared with low degree of overall collectivisation were significantly more likely to report high self-efficacy to use government health facilities (75.0% vs 57.3%, adjusted OR 2.5, 95% CI 2.0 to 3.1) and to use government health centres for STI treatment in past 1 year (78.1% vs 63.2%, adjusted OR 2.1, 95% CI 1.6 to 2.8), irrespective of project partnership with government centres. Conclusion The current research findings reinforce the need for stronger community mobilisation for better utilisation of government health facilities for STI and HIV prevention interventions. |
| Databáze: | OpenAIRE |
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