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AIDS and Behavior

, Volume 14, Issue 3, pp 530–537 | Cite as

A Randomized Controlled Trial of an HIV Prevention Intervention for Street-Based Female Sex Workers in Yerevan, Armenia: Preliminary Evidence of Efficacy

  • Karine Markosyan
  • Delia L. LangEmail author
  • Laura F. Salazar
  • Ralph J. DiClemente
  • James W. Hardin
  • Nelli Darbinyan
  • Jesse B. Joseph
  • Marietta Khurshudyan
Original Paper

Abstract

This study evaluated the efficacy of an HIV intervention among female sex workers (FSWs) randomized to an intervention or wait-list control. FSWs (N = 120) completed baseline, 3- and 6-month assessments. A health educator implemented 2-hour intervention emphasized gender-empowerment, self-efficacy to persuade clients to use condoms, condom application skills, and eroticizing safer sex. Over the 6-month follow-up, FSWs in the intervention reported more consistent condom use with clients (P = .004) and were more likely to apply condoms on clients (P = .0001). Intervention effects were observed for other psychosocial mediators of safer sex. Brief, gender and culturally congruent interventions can enhance HIV-preventive behaviors among FSWs.

Keywords

HIV prevention Female sex workers Armenia 

Notes

Acknowledgements

This research was supported by the US Civil Research and Development Foundation (ARX1-2719-YE-06) and the NIH/FIC AIDS International Training and Research Program of the Emory University (2D43TWO1042). We would like to thank the women who participated in this study as well as Drs. Nora Mnatsakanyan and Marina Khachaturyan of Hope and Help NGO for their dedication to this study and to the women of Yerevan, Armenia.

References

  1. 1.
    UNAIDS. Report on the global AIDS epidemic. Geneva: UNAIDS; 2008.Google Scholar
  2. 2.
    NCAP. HIV situation in Armenia. Yerevan: NCAP; 2008. Available at http://armaids.am/HIVStatistics.html.
  3. 3.
    Papoyan A, Arakelyan A, Bakshinyan E. HIV and AIDS in Armenia: a socio-cultural approach. In: Buckley C, editor. HIV and AIDS in the Caucasus Region: a sociocultural approach. Tbilisi: UNESCO; 2005.Google Scholar
  4. 4.
    Grigoryan S, Mkrtchyan A, Davidyants V. HIV surveillance in the Republic of Armenia, 2000–2002. Yerevan: Armenia National AIDS Foundation; 2002.Google Scholar
  5. 5.
    Grigoryan S, Hakobyan A, Papoyan A, et al. HIV epidemiological surveillance in the Republic of Armenia 2007. Yerevan: Armenian National AIDS Foundation; 2008.Google Scholar
  6. 6.
    Markosyan K, Babikian T, DiClemente RJ, et al. Correlates of HIV risk and preventive behaviors in Armenian female sex workers. AIDS Behav. 2007;11(2):325–34.CrossRefPubMedGoogle Scholar
  7. 7.
    Carey MP, Maisto SA, Kalichman SC, et al. Enhancing motivation to reduce the risk of HIV infection for economically disadvantaged urban women. J Consult Clin Psychol. 1997;65:531–41.CrossRefPubMedGoogle Scholar
  8. 8.
    DiClemente RJ, Wingood GM, Harrington KF, et al. Efficacy of an HIV prevention intervention for African American adolescent girls: a randomized controlled trial. JAMA. 2004;292:171–9.CrossRefPubMedGoogle Scholar
  9. 9.
    Hosmer DW, Lemeshow SL. Applied logistic regression. New York, NY: Wiley; 1989.Google Scholar
  10. 10.
    Efron B. Nonparametric estimates of standard error: the jackknife, the bootstrap, and other methods. Biometrika. 1981;68:589–99.CrossRefGoogle Scholar
  11. 11.
    Cohen J. A power primer. Psych Bull. 1992;112(1):155–9.CrossRefGoogle Scholar
  12. 12.
    Egger M, Pauw J, Lopatatzidis A, et al. Promotion of condom use in a high-risk setting in Nicaragua: a randomised controlled trial. Lancet. 2000;355:2101–5.CrossRefPubMedGoogle Scholar
  13. 13.
    Kayembe PK, Mapatano MA, Busangu AF, et al. Determinants of consistent condom use among female commercial sex workers in the Democratic Republic of Congo: implications for interventions. Sex Transm Infect. 2008;84:202–6.CrossRefPubMedGoogle Scholar
  14. 14.
    Adu-Oppong A, Grimes RM, Ross MW, et al. Social and behavioral determinants of consistent condom use among female commercial sex workers in Ghana. AIDS Educ Prev. 2007;19:160–72.CrossRefPubMedGoogle Scholar
  15. 15.
    Tran TN, Detels R, Lan HP. Condom use and its correlates among female sex workers in Hanoi, Vietnam. AIDS Behav. 2006;10:159–67.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Karine Markosyan
    • 1
  • Delia L. Lang
    • 2
    • 3
    Email author
  • Laura F. Salazar
    • 2
    • 3
  • Ralph J. DiClemente
    • 2
    • 3
    • 4
    • 5
  • James W. Hardin
    • 6
  • Nelli Darbinyan
    • 7
  • Jesse B. Joseph
    • 8
  • Marietta Khurshudyan
    • 1
  1. 1.College of Health SciencesAmerican University of ArmeniaYerevanArmenia
  2. 2.Rollins School of Public HealthEmory UniversityAtlantaUSA
  3. 3.Emory Center for AIDS ResearchAtlantaUSA
  4. 4.Department of Pediatrics, Division of Infectious Diseases, Epidemiology, and ImmunologyEmory University School of MedicineAtlantaUSA
  5. 5.Department of Medicine (Infectious Diseases)Emory University School of MedicineAtlantaUSA
  6. 6.Department of BiostatisticsUniversity of South CarolinaColumbiaUSA
  7. 7.College of Public HealthUniversity of South FloridaTampaUSA
  8. 8.Mailman School of Public HealthColumbia UniversityNew YorkUSA

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