AIDS and Behavior

, Volume 10, Supplement 1, pp 35–45 | Cite as

Working to Prevent HIV/STIs Among Women in the Sex Industry in a Rural Town of Hainan, China

  • Su-Su Liao
  • Qi-Ya He
  • Kyung-Hee Choi
  • Esther S. Hudes
  • Jin-Fang Liao
  • Xiao-Chun Wang
  • Min Liu
  • Wen-Li Pan
  • Jeffrey S. Mandel
Original Paper

Abstract

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.

Keywords

Female sex workers Condom promotion Evaluation Outreach Resource-limited settings 

Notes

Acknowledgment

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.

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Copyright information

© Springer Science+Business Media, Inc. 2006

Authors and Affiliations

  • Su-Su Liao
    • 1
  • Qi-Ya He
    • 2
  • Kyung-Hee Choi
    • 3
  • Esther S. Hudes
    • 3
  • Jin-Fang Liao
    • 4
  • Xiao-Chun Wang
    • 4
  • Min Liu
    • 1
  • Wen-Li Pan
    • 2
  • Jeffrey S. Mandel
    • 3
  1. 1.Department of Epidemiology, Institute of Basic Medical SciencesPeking Union Medical College and Chinese Academy of Medical SciencesBeijingChina
  2. 2.Hainan Center for Disease Prevention and ControlHaikou, HainanChina
  3. 3.Center for AIDS Prevention StudiesUniversity of CaliforniaSan FranciscoUSA
  4. 4.Chengmai County Anti-epidemic StationChengmai, HainanChina

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