Stigma, Social Support, and Sexual Behavior Among Female Sex Workers at Risk for HIV in Malawi

Ruegsegger, Laura; Stockton, Melissa; Go, Vivian F.; Piscalko, Hannah M.; Davis, Dylane; Hoffman, Irving; Hosseinipour, Mina C.; Zalira, Emanuel; Lungu, Thandie; Bula, Agatha; Lancaster, Kathryn E.

doi:10.1521/aeap.2021.33.4.290

Cited by 10 publications

(7 citation statements)

References 50 publications

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“…The results of the study demonstrated that the designed intervention successfully reduced the average score of STIs Perceived cognitive barriers(fear) significantly after the educational intervention in the experiment group; Some of these study results are consistent with other research studies [ 55 – 57 ]. Both Sadeghi’s and Huang’s studies found a decrease in Perceived barriers among participants in the experimental group compared to the control group following the intervention [ 58 ].…”

Section: Discussionsupporting

confidence: 87%

“…The educational intervention designed in this study was effective in increasing perceived social support regarding STIs among the participants. Studies have shown the positive impact of social support on healthy behaviors [ 55 – 57 , 61 ]. Social support is one of the constructs of social cognition theory, in which environmental factors (social and physical) directly affect individuals’ self-efficacy to engage in healthier behaviors.…”

Section: Discussionmentioning

confidence: 99%

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Efficacy of mobile-based educational intervention using Instructional Systems Design in promoting preventive behaviors for sexually transmitted infections among Iranian women: a randomized controlled trial

Juyani,

Zarei,

Maasoumi

2024

BMC Public Health

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Background Women who are sexually active are at risk of sexually transmitted infections (STIs), which can cause serious difficulties for their reproductive health. However, despite the high global burden of STIs, most infections are preventable with education for behavioral change. The purpose of this study is to investigate the Efficacy of Mobile-Based Educational Intervention Using Instructional Systems Design in Promoting Preventive Behaviors for Sexually Transmitted Infections among Iranian Women. Methods This randomized controlled trial aimed at promoting preventive behaviors related to STIs in Iranian women with an educational intervention based on the Instructional Systems Design (ISD) in 2022. The participants in this study were recruited from a single center, specifically the Health House No. 3 located in District 11 of Tehran Municipality. Two instruments were used in the present study: a) a valid scale titled: “Four-Scale of STI Preventive Behaviors”, and b) a researcher-made Questionnaire titled: “Social perception affecting sexually transmitted infections (SOPESTI)”. These tools contain 8 demographic items and specific questions with a total of 68 five-point Likert scales. The intervention comprised three phases: a pre-test (baseline), a training program, and two follow-up assessments (4 and 12 weeks after the start of the training program). The experimental group received education through a mobile app, while the control group received no intervention. SPSS v.26 was used, with a significance level of P < 0.05. The chi-square test, Fisher’s exact test, independent t-tests, analysis of covariance (ANCOVA), and repeated measures ANOVA were used to analyze the data. Results A total of 80 women, with a mean age of 36.524 ± 6.91 (experiment group) and 34.78 ± 8.20 (control group), respectively, participated in the trial. The study revealed a statistically significant difference in the mean score for eight domains, including STIs Knowledge, STIs Vulnerability, STIs Preventive Self-efficacy, STIs Prevention intentions, STIs Perceived social exclusion, STIs Perceived cognitive barriers, STIs Perceived social support, and STIs Perceived risks in the experiment group following the intervention compared to before the intervention (p < 0.05). Conclusion The results of this study showed that a mobile-based educational intervention based on the ISD model had a significant effect on the preventive behaviors of STIs in Iranian women. These results highlight the potential benefit of mobile health in enhancing reproductive health. Trial registration ClinicalTrials.gov IRCT20200602047638N1. Registered on 22 May 2021 with the IRCTID, V1.0. https://www.irct.ir/trial/55632

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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Efficacy of mobile-based educational intervention using Instructional Systems Design in promoting preventive behaviors for sexually transmitted infections among Iranian women: a randomized controlled trial

Juyani,

Zarei,

Maasoumi

2024

BMC Public Health

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“…This strategy can reduce boredom and enable individuals to better comprehend the message conveyed. Respondents who were not supported by the media had a 21 times greater chance of not using condoms than those who received support from the media ( 40 ).…”

Section: Discussionmentioning

confidence: 99%

Combination of Digital and Conventional Intervention for Sexually Transmitted Infections Prevention among Female Sex Workers

Sari,

Nurkristina,

Widjanarko

et al. 2023

Ethiop J Health Sci

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Background: Female sex workers (FSWs) are at a high risk of contracting sexually transmitted infection (STI). Mobile health (mhealth) is one intervention that is easily accessible to everyone online and offline, allowing two-way communication through the program. This study aimed to determine the effectiveness of m-health on STI prevention behavior among FSW. Methods: The study was conducted using quasi-experimental design. It included the treatment group and the control group, each of which included fifty-four (54) FSWs selected by purposive sampling. The m-health intervention was conducted in the form of a short comedy movie on YouTube, combined with offline assertive communication training to improve skills in negotiating the use of condoms to the intervention group. Meanwhile, the control group received regular counseling from the local community health center. The Mann- Whitney test was used to compare the knowledge, attitudes, motivation, and behavior among the two study groups. Results: Intervention for six months in the treatment group increased FSWs knowledge score by 4.0 (p=0.00), attitude by 3.9 (p=0.00), and motivation by 12 (p=0.00). The median knowledge, attitude, and motivation scores were 17.38 and 46, respectively. The model is effective onSTI-prevention behavior through motivational mediator variables with a p-value of 0.00. The condom consistency has the highest outer loading value in the STI-prevention behavior construct of 0.71 ≥ 0.4. Conclusion: A combination of digital and conventional health promotion can improve STI prevention behavior by raising knowledge, attitudes, motivation, and condom consistency behavior.

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“…Likewise, ART coverage was low among key populations (MSM, FSW, and drug users). These population groups experience significant levels of stigma or prejudice, which resulting in the reduced utilization of health service [ 80 , 81 ]. In both UNAIDS and research, key population’s ART coverage status was not well reported.…”

Section: Discussionmentioning

confidence: 99%

Universal Health Coverage for Antiretroviral Treatment: A Review

Endalamaw

Gilks

Ambaw

et al. 2022

Infectious Disease Reports

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Universal health coverage is essential for the progress to end threats of the acquired immunodeficiency syndrome epidemic. The current review assesses the publication rate, strategies and barriers for antiretroviral therapy (ART) coverage, equity, quality of care, and financial protection. We searched Web of Science, PubMed, and Google Scholar. Of the available articles, 43.13% were on ART coverage, 40.28% were on financial protection, 10.43% were on quality of care, and 6.16% were on equity. A lack of ART, fear of unwanted disclosure, lack of transportation, unaffordable health care costs, long waiting time to receive care, and poverty were barriers to ART coverage. Catastrophic health care costs were higher among individuals who were living in rural settings, walked greater distances to reach health care institutions, had a lower socioeconomic status, and were immunocompromised. There were challenges to the provision of quality of care, including health care providers’ inadequate salary, high workload and inadequate health workforce, inappropriate infrastructure, lack of training opportunities, unclear division of responsibility, and the presence of strict auditing. In conclusion, ART coverage was below the global average, and key populations were disproportionally less covered with ART in most countries. Huge catastrophic health expenditures were observed. UHC contexts of ART will be improved by reaching people with poor socioeconomic status, delivering appropriate services, establishing a proper health workforce and service stewardship.

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Stigma, Social Support, and Sexual Behavior Among Female Sex Workers at Risk for HIV in Malawi

Cited by 10 publications

References 50 publications

Efficacy of mobile-based educational intervention using Instructional Systems Design in promoting preventive behaviors for sexually transmitted infections among Iranian women: a randomized controlled trial

Efficacy of mobile-based educational intervention using Instructional Systems Design in promoting preventive behaviors for sexually transmitted infections among Iranian women: a randomized controlled trial

Combination of Digital and Conventional Intervention for Sexually Transmitted Infections Prevention among Female Sex Workers

Universal Health Coverage for Antiretroviral Treatment: A Review

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