Evaluation and mechanism analysis of HIV prevention programme using resilience framework among female sex workers: A randomised controlled trial

Autor: William Chi-Wai Wong, Winnie Wing-Yan Yuen, Catherine So-Kum Tang, Eleanor Holroyd, Daniel Yee-Tak Fong
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Preventive Medicine Reports, Vol 13, Iss , Pp 229-237 (2019)
Druh dokumentu: article
ISSN: 2211-3355
DOI: 10.1016/j.pmedr.2018.12.007
Popis: Background: Evidence shows traditional sexual harm reduction for female sex workers (FSW) based on health behaviour theories is effective but short-lived. This study aimed to evaluate and understand the effectiveness of a resilience-promoting programme in improving psychological health and, ultimately, safe sex practice. Methods: A randomised controlled trial was conducted at three Hong Kong-based non-governmental organisations. 127 sex workers were recruited and randomly assigned to the intervention or control groups. The former received a six-session resilience-promoting programme designed to improve self-esteem, self-efficacy and coping skills, whereas the latter had the usual care. Between-group differences in psychological outcomes and condom use were tested using the intention-to-treat, with ANOVA and chi-square tests, measured at baseline, post-intervention and 3-month follow-ups. Multiple mediation analysis was used to examine how the intervention worked through resilience factors. Results: Significant between-group improvements in adaptive coping (F1,119 = 5.82, p
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