2023-09-28 14:46:10 +00:00
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abstract: 'The Sonagachi Project was initiated in Kolkata, India in 1992 as a
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STD/HIV intervention for sex workers. The project evolved to adopt
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strategies common to women''s empowerment programs globally (i.e.,
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community mobilization, rights-based framing, advocacy, micro-finance)
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to address common factors that support effective, evidence-based HIV/STD
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prevention. The Sonagachi model is now a broadly diffused evidence-based
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empowerment program.
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We previously demonstrated significant condom use increases among female
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sex workers in a 16 month replication trial of the Sonagachi empowerment
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intervention (n = 110) compared to a control community (n = 106)
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receiving standard care of STD clinic, condom promotion, and peer
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education in two randomly assigned rural towns in West Bengal, India
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(Basu et al., 2004). This article examines the intervention''s impacts on
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21 measured variables reflecting five common factors of effective
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HIV/STD prevention programs to estimate the impact of empowerment
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strategies on HIV/STD prevention program goals. The intervention which
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was conducted in 2000-2001 significantly: 1) improved knowledge of STDs
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and condom protection from STD and HIV, and maintained STD/HIV risk
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perceptions despite treatment: 2) provided a frame to motivate change
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based on reframing sex work as valid work, increasing disclosure of
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profession, and instilling a hopeful future orientation reflected in
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desire for more education or training; 3) improved skills in sexual and
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workplace negotiations reflected in increased refusal, condom
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decision-making, and ability to change work contract, but not ability to
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take leave; 4) built social support by increasing social interactions
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outside work, social function participation, and helping other sex
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workers; and 5) addressed environmental barriers of economic
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vulnerabilities by increasing savings and alternative income, but not
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working in other locations, nor reduced loan taking, and did not
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increase voting to build social capital. This study''s results
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demonstrate that, compared to narrowcast clinical and prevention
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services alone, empowerment strategies can significantly impact a
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broader range of factors to reduce vulnerability to HIV/STDs. (c) 2009
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Elsevier Ltd. All rights reserved.'
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affiliation: 'Swendeman, D (Corresponding Author), Univ Calif Los Angeles, Ctr Community
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Hlth, Semel Inst Neurosci \& Human Behav, 10920 Wilshire Blvd,Suite 350, Los Angeles,
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CA 90024 USA.
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Swendeman, Dallas; Rotheram-Borus, Mary Jane, Univ Calif Los Angeles, Ctr Community
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Hlth, Semel Inst Neurosci \& Human Behav, Los Angeles, CA 90024 USA.
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Basu, Ishika; Das, Sankari; Jana, Smarajit, Durbar Mahila Samanwaya Comm, Kolkata,
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India.'
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author: Swendeman, Dallas and Basu, Ishika and Das, Sankari and Jana, Smarajit and
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Rotheram-Borus, Mary Jane
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author-email: dswendeman@mednet.ucla.edu
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author_list:
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- family: Swendeman
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given: Dallas
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- family: Basu
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given: Ishika
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- family: Das
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given: Sankari
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- family: Jana
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given: Smarajit
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- family: Rotheram-Borus
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given: Mary Jane
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da: '2023-09-28'
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doi: 10.1016/j.socscimed.2009.07.035
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eissn: 1873-5347
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files: []
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issn: 0277-9536
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journal: SOCIAL SCIENCE \& MEDICINE
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keywords: 'HIV; Sexually transmitted diseases (STD); Prevention; Sex workers;
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Empowerment; Replication; Intervention trial; India; Common factors'
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keywords-plus: 'CONDOM USE; COMMUNITY EMPOWERMENT; HEALTH-PROMOTION; PREVENTION; RISK;
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INTERVENTIONS; SONAGACHI; CALCUTTA; IDENTITY; PROJECT'
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language: English
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month: OCT
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number: '8'
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number-of-cited-references: '36'
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pages: 1157-1166
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papis_id: 4801b12aaf5c7249e6dadaab6fbfb4d3
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ref: Swendeman2009empoweringsex
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times-cited: '157'
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title: Empowering sex workers in India to reduce vulnerability to HIV and sexually
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transmitted diseases
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000271341900005
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usage-count-last-180-days: '0'
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usage-count-since-2013: '37'
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volume: '69'
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web-of-science-categories: 'Public, Environmental \& Occupational Health; Social Sciences,
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Biomedical'
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year: '2009'
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