TY - JOUR
T1 - Evaluation and mechanism analysis of HIV prevention programme using resilience framework among female sex workers
T2 - A randomised controlled trial
AU - Wong, William Chi Wai
AU - Yuen, Winnie Wing Yan
AU - Tang, Catherine So Kum
AU - Holroyd, Eleanor
AU - Fong, Daniel Yee Tak
N1 - Funding Information:
This research project was funded by the Council for the AIDS Trust Fund (Project number: MSS204R ) and General Research Grant, Research Grants Council, University Grants Committee , HKSAR (Project number: 782613 ). The views expressed in this publication do not necessarily reflect those of the Council for the AIDS Trust Fund, or Research Grants Council. We thank all the women who participated in the study. We also thank peer workers and the following staff from the NGOs Action of Reach Out, JJJ Association and Society for Rehabilitation and Crime Prevention Hong Kong who facilitated recruitment and study implementation: Kendy Yim, Lai Kwan Hui, Hau Sin Yuen, Venus Lau, Peggy Mak, Hazel Leung, Cherry Chui, Sylvan Pang, Macy Leung, and Joyce. We acknowledge the academic and research staff of the Department of Family Medicine and Primary Care for their valuable advice and support throughout the project.
Funding Information:
This research project was funded by the Council for the AIDS Trust Fund (Project number: MSS204R) and General Research Grant, Research Grants Council, University Grants Committee, HKSAR (Project number: 782613). The views expressed in this publication do not necessarily reflect those of the Council for the AIDS Trust Fund, or Research Grants Council. We thank all the women who participated in the study. We also thank peer workers and the following staff from the NGOs Action of Reach Out, JJJ Association and Society for Rehabilitation and Crime Prevention Hong Kong who facilitated recruitment and study implementation: Kendy Yim, Lai Kwan Hui, Hau Sin Yuen, Venus Lau, Peggy Mak, Hazel Leung, Cherry Chui, Sylvan Pang, Macy Leung, and Joyce. We acknowledge the academic and research staff of the Department of Family Medicine and Primary Care for their valuable advice and support throughout the project.
Funding Information:
Council for the AIDS Trust Fund (MSS204R) and General Research Fund, Research Grants Council, HKSAR (782613).
Publisher Copyright:
© 2019 The Authors
PY - 2019/3
Y1 - 2019/3
N2 - Background: Evidence shows traditional sexual harm reduction for female sex workers (FSW) based on health behaviour theories is effective but short-lived. This study aimed to evaluate and understand the effectiveness of a resilience-promoting programme in improving psychological health and, ultimately, safe sex practice. Methods: A randomised controlled trial was conducted at three Hong Kong-based non-governmental organisations. 127 sex workers were recruited and randomly assigned to the intervention or control groups. The former received a six-session resilience-promoting programme designed to improve self-esteem, self-efficacy and coping skills, whereas the latter had the usual care. Between-group differences in psychological outcomes and condom use were tested using the intention-to-treat, with ANOVA and chi-square tests, measured at baseline, post-intervention and 3-month follow-ups. Multiple mediation analysis was used to examine how the intervention worked through resilience factors. Results: Significant between-group improvements in adaptive coping (F 1,119 = 5.82, p <.05) and reduction in psychological distress (F 1,118 = 5.00, p <.05) were seen at post-intervention and 3-month follow-ups, with significant time × group interaction changes suggesting the changes occurred at different rates between the two groups. Condom use during the last transactions had increased in the intervention group and the rate of consistent condom use during transactions improved in the intervention group at follow-ups (χ 2 = 4.35, p <.05). Self-esteem and resilience significantly mediated the effect of intervention at reducing psychological distress. Conclusions: These findings suggest that resilience improves the psychological health and general wellbeing of Chinese FSWs.
AB - Background: Evidence shows traditional sexual harm reduction for female sex workers (FSW) based on health behaviour theories is effective but short-lived. This study aimed to evaluate and understand the effectiveness of a resilience-promoting programme in improving psychological health and, ultimately, safe sex practice. Methods: A randomised controlled trial was conducted at three Hong Kong-based non-governmental organisations. 127 sex workers were recruited and randomly assigned to the intervention or control groups. The former received a six-session resilience-promoting programme designed to improve self-esteem, self-efficacy and coping skills, whereas the latter had the usual care. Between-group differences in psychological outcomes and condom use were tested using the intention-to-treat, with ANOVA and chi-square tests, measured at baseline, post-intervention and 3-month follow-ups. Multiple mediation analysis was used to examine how the intervention worked through resilience factors. Results: Significant between-group improvements in adaptive coping (F 1,119 = 5.82, p <.05) and reduction in psychological distress (F 1,118 = 5.00, p <.05) were seen at post-intervention and 3-month follow-ups, with significant time × group interaction changes suggesting the changes occurred at different rates between the two groups. Condom use during the last transactions had increased in the intervention group and the rate of consistent condom use during transactions improved in the intervention group at follow-ups (χ 2 = 4.35, p <.05). Self-esteem and resilience significantly mediated the effect of intervention at reducing psychological distress. Conclusions: These findings suggest that resilience improves the psychological health and general wellbeing of Chinese FSWs.
KW - China
KW - HIV
KW - Prostitution
KW - Randomised control trial
KW - Resilience
UR - http://www.scopus.com/inward/record.url?scp=85060104955&partnerID=8YFLogxK
U2 - 10.1016/j.pmedr.2018.12.007
DO - 10.1016/j.pmedr.2018.12.007
M3 - Article
AN - SCOPUS:85060104955
SN - 2211-3355
VL - 13
SP - 229
EP - 237
JO - Preventive Medicine Reports
JF - Preventive Medicine Reports
ER -
