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Erschienen in: AIDS and Behavior 2/2007

01.03.2007 | Original Paper

Correlates of HIV Risk and Preventive Behaviors in Armenian Female Sex Workers

verfasst von: Karine M. Markosyan, Talin Babikian, Ralph J. DiClemente, Jennifer S. Hirsch, Samvel Grigoryan, Carlos del Rio

Erschienen in: AIDS and Behavior | Ausgabe 2/2007

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Abstract

This study describes HIV risk and preventive behaviors and their correlates among Armenian female commercial sex workers (CSWs) as a prerequisite to developing gender and culturally appropriate interventions. Ninety-eight CSWs from three Armenian cities were interviewed using a structured questionnaire. Quantitative findings were further elaborated by focus group discussions (N = 25) and key informant interviews (N = 8). Inconsistent condom use with all types of sexual partners was reported, as were condom tear/slippage, alcohol and drug use, and sex with drug injecting clients. Prominent misconceptions regarding HIV transmission, prevention and disease manifestations were noted. Correlates of condom use intentions included history of substance use, attitudes regarding condom use, risk perception, and comfort negotiating condom use. Intentions to use condoms were strongly associated with recent frequency of condom use. Understanding the relationship between condom use and its determinants is critical in the design and implementation of effective prevention programs tailored for Armenian CSWs.
Literatur
Zurück zum Zitat Archibald, C. P., Chan, R. K. W., Wong, M. L., Goh, A., & Goh, C. L. (1994). Evaluation of a safe-sex intervention programme among sex workers in Singapore. International Journal of STD and AIDS, 5, 268–272.PubMed Archibald, C. P., Chan, R. K. W., Wong, M. L., Goh, A., & Goh, C. L. (1994). Evaluation of a safe-sex intervention programme among sex workers in Singapore. International Journal of STD and AIDS, 5, 268–272.PubMed
Zurück zum Zitat Asamoah-Adu, A., Weir, S., Pappoe, M., Kanlisi, N., Neequaye, A., & Lamptey, P. (1994). Evaluation of a targeted AIDS prevention intervention to increase condom use among prostitutes in Ghana. AIDS, 8, 239–246.PubMedCrossRef Asamoah-Adu, A., Weir, S., Pappoe, M., Kanlisi, N., Neequaye, A., & Lamptey, P. (1994). Evaluation of a targeted AIDS prevention intervention to increase condom use among prostitutes in Ghana. AIDS, 8, 239–246.PubMedCrossRef
Zurück zum Zitat Bandura, A. (1994). Social cognitive theory and exercise of control over HIV infection. In DiClemente, R. J., & Peterson, J. L. (Eds.), Preventing AIDS: Theories and models of behavioral interventions (pp. 25–60). New York: Plenum Press. Bandura, A. (1994). Social cognitive theory and exercise of control over HIV infection. In DiClemente, R. J., & Peterson, J. L. (Eds.), Preventing AIDS: Theories and models of behavioral interventions (pp. 25–60). New York: Plenum Press.
Zurück zum Zitat Belcher L., Kalichman S., Topping M., Smith S., Emshoff J., & Norris F., et al. (1998). A randomized trial of a brief HIV risk reduction counseling intervention for women. Journal of Consulting and Clinical Psychology, 66(5), 856–861.PubMedCrossRef Belcher L., Kalichman S., Topping M., Smith S., Emshoff J., & Norris F., et al. (1998). A randomized trial of a brief HIV risk reduction counseling intervention for women. Journal of Consulting and Clinical Psychology, 66(5), 856–861.PubMedCrossRef
Zurück zum Zitat Bhave, G., Lindan, C., Hudes, E. S., Desai, S., Wagle, U., & Tripathi, S. O., et al. (1995). Impact of an intervention on HIV, sexually transmitted disease, and condom use among sex workers in Bombay, India. AIDS, 9(Suppl 1), S21–S30.PubMed Bhave, G., Lindan, C., Hudes, E. S., Desai, S., Wagle, U., & Tripathi, S. O., et al. (1995). Impact of an intervention on HIV, sexually transmitted disease, and condom use among sex workers in Bombay, India. AIDS, 9(Suppl 1), S21–S30.PubMed
Zurück zum Zitat Carey, M. P. (1999). Prevention of HIV infection through changes in sexual behavior. American Journal of Health Promotion, 14, 104–111.PubMed Carey, M. P. (1999). Prevention of HIV infection through changes in sexual behavior. American Journal of Health Promotion, 14, 104–111.PubMed
Zurück zum Zitat Criminal Code of the Republic of Armenia (2003). Articles 262, 123 and 124. Criminal Code of the Republic of Armenia (2003). Articles 262, 123 and 124.
Zurück zum Zitat DiClemente, R. J., & Peterson, J. L. (1994). Changing HIV/AIDS risk behavior: The role of behavioral interventions. In DiClemente, R. J., & Peterson, J. L. (Eds.), Preventing AIDS: Theories and models of behavioral interventions (pp. 1–4). New York: Plenum Press. DiClemente, R. J., & Peterson, J. L. (1994). Changing HIV/AIDS risk behavior: The role of behavioral interventions. In DiClemente, R. J., & Peterson, J. L. (Eds.), Preventing AIDS: Theories and models of behavioral interventions (pp. 1–4). New York: Plenum Press.
Zurück zum Zitat DiClemente, R. J., & Wingood, G. M. (1995). A randomized controlled trial of an HIV sexual risk-reduction intervention for young African-American women. JAMA, 274, 1271–1276.PubMedCrossRef DiClemente, R. J., & Wingood, G. M. (1995). A randomized controlled trial of an HIV sexual risk-reduction intervention for young African-American women. JAMA, 274, 1271–1276.PubMedCrossRef
Zurück zum Zitat Dorfman, L. E., Derish, P. A., & Cohen, J. B. (1992). Hey girlfriend: An evaluation of AIDS prevention among women in the sex industry. Health Education Quarterly, 19, 25–40.PubMed Dorfman, L. E., Derish, P. A., & Cohen, J. B. (1992). Hey girlfriend: An evaluation of AIDS prevention among women in the sex industry. Health Education Quarterly, 19, 25–40.PubMed
Zurück zum Zitat Fisher, J. D., & Fisher, W. A. (1992). Changing AIDS-risk behavior. Psychological Bulletin, 111, 455–474.PubMedCrossRef Fisher, J. D., & Fisher, W. A. (1992). Changing AIDS-risk behavior. Psychological Bulletin, 111, 455–474.PubMedCrossRef
Zurück zum Zitat Ford, K., Wirawan, D. N., Fajans, P., Meliawan, P., McDonald, K., & Thorpe, L. (1996). Behavioral interventions for reduction of sexually transmitted disease/HIV transmission among female commercial sex workers and clients in Bali, Indonesia. AIDS, 10, 213–222.PubMed Ford, K., Wirawan, D. N., Fajans, P., Meliawan, P., McDonald, K., & Thorpe, L. (1996). Behavioral interventions for reduction of sexually transmitted disease/HIV transmission among female commercial sex workers and clients in Bali, Indonesia. AIDS, 10, 213–222.PubMed
Zurück zum Zitat Ford, K., Wirawan D. N., Reed, B. D., Muliawan, P., & Wolfe, R. (2002). The Bali STD/AIDS study: Evaluation of an intervention for sex workers. Sexually Transmitted Diseases, 29, 50–58.PubMedCrossRef Ford, K., Wirawan D. N., Reed, B. D., Muliawan, P., & Wolfe, R. (2002). The Bali STD/AIDS study: Evaluation of an intervention for sex workers. Sexually Transmitted Diseases, 29, 50–58.PubMedCrossRef
Zurück zum Zitat Fox, L. J., Bailey, P. E., Clarke-Martinez, K. L., Coello, M., Ordonez, F. N., & Barahona, F. (1993). Condom use among high-risk women in Honduras: Evaluation of an AIDS Prevention Program. AIDS Education and Prevention, 5, 1–10.PubMed Fox, L. J., Bailey, P. E., Clarke-Martinez, K. L., Coello, M., Ordonez, F. N., & Barahona, F. (1993). Condom use among high-risk women in Honduras: Evaluation of an AIDS Prevention Program. AIDS Education and Prevention, 5, 1–10.PubMed
Zurück zum Zitat Grigoryan S., Mkrtchyan A., & Davidyants V. (Eds.) (2002). HIV surveillance in the Republic of Armenia, 2000–2002. Yerevan (Armenia): National Center for AIDS Prevention. Grigoryan S., Mkrtchyan A., & Davidyants V. (Eds.) (2002). HIV surveillance in the Republic of Armenia, 2000–2002. Yerevan (Armenia): National Center for AIDS Prevention.
Zurück zum Zitat Grigoryan, S., Petrosyan, J., & Shahbazyan, L. (2004). The problem of HIV/AIDS and the mass media. Yerevan (Armenia): National Center for AIDS Prevention, World Vision-Armenia. Grigoryan, S., Petrosyan, J., & Shahbazyan, L. (2004). The problem of HIV/AIDS and the mass media. Yerevan (Armenia): National Center for AIDS Prevention, World Vision-Armenia.
Zurück zum Zitat Gordon, C. M., & Carey, M. P. (1996). Alcohol’s effects on requisites for sexual risk reduction in men: An initial experimental investigation. Health Psychology, 15, 56–60.PubMedCrossRef Gordon, C. M., & Carey, M. P. (1996). Alcohol’s effects on requisites for sexual risk reduction in men: An initial experimental investigation. Health Psychology, 15, 56–60.PubMedCrossRef
Zurück zum Zitat Kalichman, S. C. (1998). Preventing AIDS: A sourcebook for behavioral interventions. Mahwah, New Jersey, London: Lawrence Earlbaum Associates Publishers. Kalichman, S. C. (1998). Preventing AIDS: A sourcebook for behavioral interventions. Mahwah, New Jersey, London: Lawrence Earlbaum Associates Publishers.
Zurück zum Zitat Kalichman, S. C., Carey, M. P., & Johnson, B. T. (1996). Prevention of sexually transmitted HIV infection: A meta-analytic review and critique of the theory-based intervention outcome literature. Annals of Behavioral Medicine, 18, 6–15.CrossRef Kalichman, S. C., Carey, M. P., & Johnson, B. T. (1996). Prevention of sexually transmitted HIV infection: A meta-analytic review and critique of the theory-based intervention outcome literature. Annals of Behavioral Medicine, 18, 6–15.CrossRef
Zurück zum Zitat Kauth, M. R., Lawrence, J. S., & Kelly, J. A. (1992). Reliability of retrospective assessment of sexual HIV risk behavior: A comparison of bi-weekly, 3-month, and 12-month-reports. AIDS Education and Prevention, 3, 207–214. Kauth, M. R., Lawrence, J. S., & Kelly, J. A. (1992). Reliability of retrospective assessment of sexual HIV risk behavior: A comparison of bi-weekly, 3-month, and 12-month-reports. AIDS Education and Prevention, 3, 207–214.
Zurück zum Zitat Melikian, G. L. (1999). HIV infection among commercial sex workers in Yerevan: Findings and policy recommendations. Armenian Forum: A Journal of Contemporary Affairs, 2, 1–16. Melikian, G. L. (1999). HIV infection among commercial sex workers in Yerevan: Findings and policy recommendations. Armenian Forum: A Journal of Contemporary Affairs, 2, 1–16.
Zurück zum Zitat National Center for AIDS Prevention of the Republic of Armenia: Homepage on the Internet. (Cited September, 2005). Available at http://www.armaids.am/index.htm. National Center for AIDS Prevention of the Republic of Armenia: Homepage on the Internet. (Cited September, 2005). Available at http://​www.​armaids.​am/​index.​htm.​
Zurück zum Zitat Ngugi, E. N., Simonsen, J. N., Bosire, M., Ronald, A. R., Plummer, F. A., & Cameron, D. W., et al. (1988). Prevention of transmission of human immunodeficiency virus in Africa: Effectiveness of condom promotion and health education among prostitutes. Lancet, 2, 887–890.PubMedCrossRef Ngugi, E. N., Simonsen, J. N., Bosire, M., Ronald, A. R., Plummer, F. A., & Cameron, D. W., et al. (1988). Prevention of transmission of human immunodeficiency virus in Africa: Effectiveness of condom promotion and health education among prostitutes. Lancet, 2, 887–890.PubMedCrossRef
Zurück zum Zitat Papoyan, A., Arakelyan, A., & Bakshinyan, E. (2005). HIV and AIDS in Armenia: A socio-cultural approach. In Buckley, C. (Eds.), HIV and AIDS in the caucasus region: A socio-cultural approach (pp.35–50). UNESCO, Tbilisi: “OMEGI TEGI” Print House. Papoyan, A., Arakelyan, A., & Bakshinyan, E. (2005). HIV and AIDS in Armenia: A socio-cultural approach. In Buckley, C. (Eds.), HIV and AIDS in the caucasus region: A socio-cultural approach (pp.35–50). UNESCO, Tbilisi: “OMEGI TEGI” Print House.
Zurück zum Zitat Peterson J. L., & DiClemente R. J. (Eds.). (2000). Handbook of HIV prevention. New York, Boston, Dordrecht, London, Moscow: Kluwer Academic/Plenum Publishers. Peterson J. L., & DiClemente R. J. (Eds.). (2000). Handbook of HIV prevention. New York, Boston, Dordrecht, London, Moscow: Kluwer Academic/Plenum Publishers.
Zurück zum Zitat Robinson, N. L., & Hanenberg, R. (1997). Condoms used during most commercial sex acts in Thailand. AIDS 11(8), 1064–1065.PubMed Robinson, N. L., & Hanenberg, R. (1997). Condoms used during most commercial sex acts in Thailand. AIDS 11(8), 1064–1065.PubMed
Zurück zum Zitat Rosenstock, I. M., Strecher, V. J., & Becker, M. H. (1994). The health belief model and HIV risk behavior change. In DiClemente, R. J., & Peterson, J. L. (Eds.), Preventing AIDS: Theories and models of behavioral interventions (pp. 5–24). New York: Plenum Press. Rosenstock, I. M., Strecher, V. J., & Becker, M. H. (1994). The health belief model and HIV risk behavior change. In DiClemente, R. J., & Peterson, J. L. (Eds.), Preventing AIDS: Theories and models of behavioral interventions (pp. 5–24). New York: Plenum Press.
Zurück zum Zitat Shatvoryan, E. (2001). Report on some aspects of commercial sex work in Armenia. Yerevan (Armenia): UNFPA. Shatvoryan, E. (2001). Report on some aspects of commercial sex work in Armenia. Yerevan (Armenia): UNFPA.
Zurück zum Zitat Swaddiwudhipong, W., Nguntra, P., Chaovakiratipong, C., Roonchote, S., Lerdlukanavonge, P., & Chandoun, C. (1990). Effect of health education and condom promotion on behavioral change among low socioeconomic prostitutes in Mae Sot, Tak, Thailand. Southeast Asian Journal of Tropical Medicine and Public Health, 21, 453–457.PubMed Swaddiwudhipong, W., Nguntra, P., Chaovakiratipong, C., Roonchote, S., Lerdlukanavonge, P., & Chandoun, C. (1990). Effect of health education and condom promotion on behavioral change among low socioeconomic prostitutes in Mae Sot, Tak, Thailand. Southeast Asian Journal of Tropical Medicine and Public Health, 21, 453–457.PubMed
Zurück zum Zitat UNAIDS: Joint United Nations Programme on HIV/AIDS (2004). AIDS epidemic update: December 2004. Available at: http://www.unaids.org. UNAIDS: Joint United Nations Programme on HIV/AIDS (2004). AIDS epidemic update: December 2004. Available at: http://​www.​unaids.​org.​
Zurück zum Zitat Van Griensven, G. J. P., Limanonda, B., Ngaokeow, S., Ayuthaya, S. I. N., & Poshyachinda, V. (1998). Evaluation of a targeted HIV prevention programme among female commercial sex workers in the South of Thailand. Sexually Transmitted Infections, 74, 54–58.PubMedCrossRef Van Griensven, G. J. P., Limanonda, B., Ngaokeow, S., Ayuthaya, S. I. N., & Poshyachinda, V. (1998). Evaluation of a targeted HIV prevention programme among female commercial sex workers in the South of Thailand. Sexually Transmitted Infections, 74, 54–58.PubMedCrossRef
Zurück zum Zitat Visrutaratna, S., Lindan, C. P., Sirhorachai, A., & Mandel, J. S. (1995). ‘Superstar’ and ‘model brothel’: Developing and evaluating a condom promotion program for sex establishments in Chiang Mai, Thailand. AIDS, 9(Suppl 1), S69–S75.PubMed Visrutaratna, S., Lindan, C. P., Sirhorachai, A., & Mandel, J. S. (1995). ‘Superstar’ and ‘model brothel’: Developing and evaluating a condom promotion program for sex establishments in Chiang Mai, Thailand. AIDS, 9(Suppl 1), S69–S75.PubMed
Zurück zum Zitat Walden, V. M., Mwangulube, K., & Makhumula-Nkhoma, P. (1999). Measuring the impact of a behavior change intervention for commercial sex workers and their potential clients in Malawi. Health Education Research, 14, 545–554.PubMedCrossRef Walden, V. M., Mwangulube, K., & Makhumula-Nkhoma, P. (1999). Measuring the impact of a behavior change intervention for commercial sex workers and their potential clients in Malawi. Health Education Research, 14, 545–554.PubMedCrossRef
Zurück zum Zitat Wong, M. L. (1995). Behavioral interventions in the control of human immunodeficiency virus and other sexually transmitted diseases – A Review. Annals of Academy of Medicine, Singapore, 24, 602–607. Wong, M. L. (1995). Behavioral interventions in the control of human immunodeficiency virus and other sexually transmitted diseases – A Review. Annals of Academy of Medicine, Singapore, 24, 602–607.
Metadaten
Titel
Correlates of HIV Risk and Preventive Behaviors in Armenian Female Sex Workers
verfasst von
Karine M. Markosyan
Talin Babikian
Ralph J. DiClemente
Jennifer S. Hirsch
Samvel Grigoryan
Carlos del Rio
Publikationsdatum
01.03.2007
Verlag
Springer US
Erschienen in
AIDS and Behavior / Ausgabe 2/2007
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-006-9147-x

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