ArticleInternational journal of environmental research and public health2015
Exploring HIV prevention strategies among street-based female sex workers in Chongqing, China.
Article in International journal of environmental research and public health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.
- Artificial intelligence for HIV care: a global systematic review of current studies and emerging trends.Journal of the International AIDS Society · 2025Pooled it
- Article
- HIV Preventive Behaviors and Associated Factors among Gold Mining Workers in Dima District, Southwest Ethiopia, 2019: Community-Based Cross-Sectional Study.BioMed research international · 2021Article
- Article
- Short-term acceptability of female condom use among low-fee female sex workers in China: a follow-up study.BMC women's health · 2019Article
- Article
- Theory-based interventions in STIs/HIV Prevention: A systematic review of the literature in Iran.Medical journal of the Islamic Republic of Iran · 2017Review
- Barriers to health service access among female migrant Ugandan sex workers in Guangzhou, China.International journal for equity in health · 2016Article
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Authors and funding
7 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCommercial sex plays an increasingly important role in China's growing HIV and sexually transmitted infection (STI) epidemics. In China, street-based sex workers (SSWs) are a subgroup of female sex workers with a particularly high risk of HIV/STI infections but are neglected in responses to HIV. This study assesses changes in HIV voluntary counseling and testing (VCT) utilization and high-risk sexual behaviors following a three-month HIV preventive intervention among SSWs in Chongqing, China.
methodsA three-month intervention was conducted by a team of peer educators, outreach workers from community-based organizations and health professionals. It mainly included distribution of free pamphlets and condoms and delivery of onsite and clinic-based VCT. Cross-sectional surveys were conducted prior to (n = 100) and immediately following (n = 112) the intervention to assess its impact. In-depth interviews were conducted among 12 SSWs after the intervention to further explore potential barriers to HIV prevention.
resultsThe intervention significantly increased SSWs' participation in VCT (from 2.0%-15.2%, P < 0.001). Despite participants' improved HIV-related knowledge level (from 24.0%-73.2%, P < 0.001), there were minimal changes in the levels of condom use with clients. Qualitative research revealed that fear of police arrest and stigma were the main barriers to VCT utilization. Low condom use was associated with family financial constraints, inadequate power in condom negotiation, low awareness and misconceptions of HIV infection risks.
conclusionHIV intervention improved VCT utilization and knowledge but we did not observe an increase in condom use after this short intervention. SSWs faced substantial economic, social and environmental barriers to VCT utilization and condom use.
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