Working to Prevent HIV/STIs Among Women in the Sex Industry in a Rural Town of Hainan, China
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We evaluated a two-phase HIV/STIs prevention intervention for female sex workers in a resource-limited rural town in Hainan Province, China. The primary intervention strategy, conducted from 1997 to 2000, was a condom promotion campaign conducted through outreach to sex workers. Four serial cross-sectional surveys were carried out before and after the intervention. Over a period of 2 years, reported condom use during the most recent sexual encounter increased from about 50% to more than 70%; and condom use in more than 50% of sexual acts during the past 6 months increased from less than 40% to near 80% of respondents. Controlling for education, ethnicity and age, reading of educational materials (our intervention variable) was a significant contributor to a higher knowledge score, motivation to use condoms, and reported condom use. This study demonstrates that outreach to female sex workers, if appropriately tailored to local settings, can increase condom use in a resource-limited rural area.
KeywordsFemale sex workers Condom promotion Evaluation Outreach Resource-limited settings
We thank the World Bank, the Norwegian government and Novib in the Netherlands for providing financial and technical support for this project; Dr. Jean Schensul from the Institute of Community Research, Hartford, Connecticut, USA, for sharing her knowledge and research experience with us; and the UCSF Center for AIDS Prevention Studies, USA, for supporting the preparation of this manuscript. We particularly acknowledge the tremendous contribution of the project staff at different levels, and the support of county and township governments of the study site.
- China Ministry of Health (1998) Press release on HIV/AIDS Update in China, 5 November 1998.Google Scholar
- China Ministry of Health (2005). HIV/AIDS Update in China. November 2005.Google Scholar
- China Ministry of Health, Joint United Nations Programmes on HIV/AIDS and World Health Organization (2006). 2005 Update on the HIV/AIDS Epidemic and Response in China. Beijing. January 24, 2006.Google Scholar
- China State Council AIDS Committee and UN Theme Group on HIV/AIDS in China (2004). A Joint Assessment of HIV/AIDS Prevention, Treatment and Care in China. Beijing.Google Scholar
- Hershatter, G. (1997). Dangerous pleasures—Prostitution and modernity in twentieth-century Shanghai. Berkeley: University of California Press.Google Scholar
- Ma, S., Dukers, N. H. T. M., van den Hoek, A., Yuliang, F., Zhiheng, C., Jiangting, F., Lina, Z., & Xiuxing, Z. (2002). Decreasing STD incidence and increasing condom use among Chinese sex workers following a short term intervention: a prospective cohort study. Sexually Transmited Infections, 78, 110–114.CrossRefGoogle Scholar
- National Center for STD and Leprosy Control (1996). STDs Epidemiology in China—1991–1995. In G. Y. Ye (Ed.), Diagnosis, treatment and prevention of sexually transmitted diseases – Proceedings of the National Workshop on STDs (pp. 564–568). Guangdong: Guangdong Science and Technology Publishing House.Google Scholar
- Pan, S. M. (1999). Reality and absurdity – underground sex industry in China. Beijing: Qun Yan Publishing House.Google Scholar