PMID- 17363361
OWN - NLM
STAT- MEDLINE
DCOM- 20080317
LR  - 20161124
IS  - 0268-1153 (Print)
IS  - 0268-1153 (Linking)
VI  - 23
IP  - 1
DP  - 2008 Feb
TI  - Community development and HIV/STI-related vulnerability among female sex workers 
      in Rio de Janeiro, Brazil.
PG  - 137-45
AB  - The Sonagachi Project of Kolkata, India has been recognized as a model community 
      development and human immunodeficiency virus/sexually transmitted infection 
      (HIV/STI) prevention intervention among female sex workers. Limited research has 
      been conducted regarding its applicability outside the South Asian context. This 
      study sought to document the process and effectiveness of integrating community 
      development activities based on the Sonagachi model into an ongoing HIV/STI peer 
      education program with female sex workers in Rio de Janeiro, Brazil. Structured 
      cross-sectional surveys examining HIV/STI-related behaviors and community 
      development measures were conducted among approximately 500 sex workers at pre- 
      and post-intervention. We found that several community development components 
      including social cohesion and mutual aid were significantly associated with 
      consistent condom use among sex workers and their paying clients at 
      pre-intervention. However, only a minority of women actively engaged in 
      community-building activities over the 18-month study period. In turn, limited 
      changes in community development components and no significant increases in the 
      HIV/STI-related protective behaviors assessed were documented. Findings indicate 
      that internalized stigma and socioeconomic pressures may have constrained the 
      scope and pace of community mobilization in this setting during the study 
      observation period.
FAU - Kerrigan, Deanna
AU  - Kerrigan D
AD  - Department of International Health, Bloomberg School of Public Health, Johns 
      Hopkins University, Baltimore, MD 21205, USA. dkerriga@jhsph.edu
FAU - Telles, Paulo
AU  - Telles P
FAU - Torres, Helena
AU  - Torres H
FAU - Overs, Cheryl
AU  - Overs C
FAU - Castle, Christopher
AU  - Castle C
LA  - eng
GR  - K01 MH3491/MH/NIMH NIH HHS/United States
PT  - Journal Article
PT  - Multicenter Study
PT  - Research Support, N.I.H., Extramural
DEP - 20070314
PL  - England
TA  - Health Educ Res
JT  - Health education research
JID - 8608459
MH  - Adolescent
MH  - Adult
MH  - Brazil
MH  - Community Participation/*methods
MH  - Cross-Sectional Studies
MH  - Female
MH  - HIV Infections/prevention & control
MH  - Health Education/*methods
MH  - Humans
MH  - *Peer Group
MH  - *Sex Work
MH  - Sexually Transmitted Diseases/*prevention & control
MH  - Social Support
EDAT- 2007/03/17 09:00
MHDA- 2008/03/18 09:00
CRDT- 2007/03/17 09:00
PHST- 2007/03/17 09:00 [pubmed]
PHST- 2008/03/18 09:00 [medline]
PHST- 2007/03/17 09:00 [entrez]
AID - cym011 [pii]
AID - 10.1093/her/cym011 [doi]
PST - ppublish
SO  - Health Educ Res. 2008 Feb;23(1):137-45. doi: 10.1093/her/cym011. Epub 2007 Mar 
      14.