Add wos sample results library
This commit is contained in:
parent
6305e61d1f
commit
19e409ad85
GPG key ID:
EDBF2ED917B2EF6A
2173 changed files with 235628 additions and 20 deletions
|
|
@ -0,0 +1,145 @@
|
|||
abstract: 'Introduction Female sex workers (FSW) who use drugs are a key population
|
||||
|
||||
at risk of HIV in Kazakhstan, and face multiple structural barriers to
|
||||
|
||||
HIV prevention. More research is needed on the role of structural
|
||||
|
||||
interventions such as microfinance (MF) in reducing HIV risk. This paper
|
||||
|
||||
describes the results of a cluster-randomized controlled trial to test
|
||||
|
||||
the efficacy of a combination HIVRR + MF intervention in reducing
|
||||
|
||||
biologically confirmed STIs and HIV risk behaviours.
|
||||
|
||||
Methods This study took place from May 2015 to October 2018 in two
|
||||
|
||||
cities in Kazakhstan. We screened 763 participants for eligibility and
|
||||
|
||||
enrolled 354 FSW who use drugs. Participants were randomized in cohorts
|
||||
|
||||
to receive either a four-session HIVRR intervention, or that same
|
||||
|
||||
intervention plus 30 additional sessions of financial literacy training,
|
||||
|
||||
vocational training and asset-building through a matched-savings
|
||||
|
||||
programme. Repeated behavioural and biological assessments were
|
||||
|
||||
conducted at baseline, 3-, 6- and 12-months post-intervention.
|
||||
|
||||
Biological and behavioural primary outcomes included HIV/STI incidence,
|
||||
|
||||
sexual risk behaviours and drug use risk behaviours, evaluated over the
|
||||
|
||||
12-month period.
|
||||
|
||||
Results Over the 12-month follow-up period, few differences in study
|
||||
|
||||
outcomes were noted between arms. There was only one newly-detected HIV
|
||||
|
||||
case, and study arms did not significantly differ on any STI incidence.
|
||||
|
||||
At post-intervention assessments compared to baseline, both HIVRR and
|
||||
|
||||
HIVRR + MF participants significantly reduced sexual and drug use risk
|
||||
|
||||
behaviours, and showed improvements in financial outcomes, condom use
|
||||
|
||||
attitudes and self-efficacy, social support, and access to medical care.
|
||||
|
||||
In addition, HIVRR + MF participants showed a 72\% greater reduction in
|
||||
|
||||
the number of unprotected sex acts with paying partners at the six-month
|
||||
|
||||
assessment (IRR = IRR = 0.28, 95\% CI = 0.08, 0.92), and a 10\% greater
|
||||
|
||||
reduction in the proportion of income from sex work at the three-month
|
||||
|
||||
assessment (b = -0.10, 95\% CI = -0.17, -0.02) than HIVRR participants
|
||||
|
||||
did. HIVRR + MF participants also showed significantly improved
|
||||
|
||||
performance on financial self-efficacy compared to HIVRR over the
|
||||
|
||||
12-month follow-up period.
|
||||
|
||||
Conclusions Compared to a combination HIVRR + MF intervention, a robust
|
||||
|
||||
HIVRR intervention alone may be sufficient to reduce sexual and drug
|
||||
|
||||
risk behaviours among FSW who use drugs. There may be structural
|
||||
|
||||
limitations to the promise of microfinance for HIV risk reduction among
|
||||
|
||||
this population.'
|
||||
affiliation: 'El-Bassel, N (Corresponding Author), Columbia Univ, Sch Social Work,
|
||||
Global Hlth Res Ctr Cent Asia, 1255 Amsterdam Ave, New York, NY 10027 USA.
|
||||
|
||||
El-Bassel, Nabila; McCrimmon, Tara; Chang, Mingway; Witte, Susan S., Columbia Univ,
|
||||
Sch Social Work, Global Hlth Res Ctr Cent Asia, 1255 Amsterdam Ave, New York, NY
|
||||
10027 USA.
|
||||
|
||||
Mergenova, Gaukhar; Terlikbayeva, Assel; Primbetova, Sholpan; Kuskulov, Azamat,
|
||||
Global Hlth Res Cent Asia, Alma Ata, Kazakhstan.
|
||||
|
||||
Baiserkin, Bauyrzhan, Kazakh Sci Ctr Dermatol \& Infect Dis, Alma Ata, Kazakhstan.
|
||||
|
||||
Denebayeva, Alfiya, Almaty City Ctr Prevent \& Control AIDS, Alma Ata, Kazakhstan.
|
||||
|
||||
Kurmetova, Kulpan, Karaganda Oblast Ctr Prevent \& Control AIDS, Temirtau Branch,
|
||||
Temirtau, Kazakhstan.'
|
||||
article-number: e25682
|
||||
author: El-Bassel, Nabila and McCrimmon, Tara and Mergenova, Gaukhar and Chang, Mingway
|
||||
and Terlikbayeva, Assel and Primbetova, Sholpan and Kuskulov, Azamat and Baiserkin,
|
||||
Bauyrzhan and Denebayeva, Alfiya and Kurmetova, Kulpan and Witte, Susan S.
|
||||
author-email: ne5@columbia.edu
|
||||
author_list:
|
||||
- family: El-Bassel
|
||||
given: Nabila
|
||||
- family: McCrimmon
|
||||
given: Tara
|
||||
- family: Mergenova
|
||||
given: Gaukhar
|
||||
- family: Chang
|
||||
given: Mingway
|
||||
- family: Terlikbayeva
|
||||
given: Assel
|
||||
- family: Primbetova
|
||||
given: Sholpan
|
||||
- family: Kuskulov
|
||||
given: Azamat
|
||||
- family: Baiserkin
|
||||
given: Bauyrzhan
|
||||
- family: Denebayeva
|
||||
given: Alfiya
|
||||
- family: Kurmetova
|
||||
given: Kulpan
|
||||
- family: Witte
|
||||
given: Susan S.
|
||||
da: '2023-09-28'
|
||||
doi: 10.1002/jia2.25682
|
||||
eissn: 1758-2652
|
||||
files: []
|
||||
journal: JOURNAL OF THE INTERNATIONAL AIDS SOCIETY
|
||||
keywords: 'structural interventions; sex workers; drug use; HIV prevention;
|
||||
|
||||
clinical trials'
|
||||
keywords-plus: SUBSTANCE USE; INJECT DRUGS; WOMEN; PREVENTION; VIOLENCE; INCOME; SCALE
|
||||
language: English
|
||||
month: MAY
|
||||
number: '5'
|
||||
number-of-cited-references: '29'
|
||||
papis_id: eef62caebf9728fb02de4abbfc8fd9d3
|
||||
ref: Elbassel2021clusterrandomizedcon
|
||||
researcherid-numbers: McCrimmon, Tara/GRR-3918-2022
|
||||
times-cited: '4'
|
||||
title: A cluster-randomized controlled trial of a combination HIV risk reduction and
|
||||
microfinance intervention for female sex workers who use drugs in Kazakhstan
|
||||
type: Article
|
||||
unique-id: WOS:000655909900015
|
||||
usage-count-last-180-days: '0'
|
||||
usage-count-since-2013: '2'
|
||||
volume: '24'
|
||||
web-of-science-categories: Immunology; Infectious Diseases
|
||||
year: '2021'
|
||||
Loading…
Add table
Add a link
Reference in a new issue