Hiv prevention health promotion for asian women working at massage parlors in san francisco
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HIV Prevention & Health Promotion for Asian Women Working at Massage Parlors in San Francisco. Health Project for Asian Women (HPAW) Center for AIDS Prevention Studies (CAPS) University of California, San Francisco (UCSF). Objectives.

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Hiv prevention health promotion for asian women working at massage parlors in san francisco

HIV Prevention & Health Promotion for Asian Women Working at Massage Parlors in San Francisco

Health Project for Asian Women (HPAW)Center for AIDS Prevention Studies (CAPS) University of California, San Francisco (UCSF)


Objectives
Objectives

  • To describe drug use and HIV-related risk behaviors among Asian masseuses at Asian massage parlors in San Francisco

  • To provide women’s health and HIV/AIDS education to masseuses as well as owners/managers of parlors

  • To implement and evaluate the intervention programs for masseuses and owners/managers to increase masseuses’ protective behaviors against HIV/STIs and drug abuse


Background asian massage parlors in san francisco
BackgroundAsian Massage Parlors in San Francisco

  • Identified 25 Massage parlors where masseuses exchanged sex for money in the Tenderloin area

    • 12 Vietnamese Owned

    • 10 Korean Owned

    • 3 Chinese Owned


Background asian masseuses in san francisco

Underserved population

Immigrants

Monolingual

Harmful practices to women’s heath

Multiple sex partners

Lack of access to health care services

Inconsistent condom use with clients and private partners

Substance use due to highly stressful job

BackgroundAsian Masseuses in San Francisco


Hpaw is
HPAW is……

  • Service Component

    • Daily outreach activities

  • Research Component

    • HIV/AIDS and Drug abuse intervention study

      • Masseuse’s Counseling Program

      • Owner’s Education Program


Outreach effort
Outreach Effort

  • Clinic escort

  • Safer sex kits distribution

  • Health education

  • Translation

  • Referral services

  • Advocating


Outreach efforts challenges
Outreach Efforts - Challenges

  • Highly mobilized population

  • Stigmatized population

  • Owners/Managers acceptance

  • Demographic changes in business


Outreach efforts challenges1
Outreach Efforts - Challenges

  • Frequent disruptions by customers

  • Unfamiliarity with research

  • Law enforcement

  • Limited English proficiency


Outreach effort lesson learned
Outreach Effort– Lesson & Learned

  • Consistent outreach

  • Clinic escorts

  • Safer sex kits distribution

  • Respect toward massage parlor business


Outreach effort lesson learned1
Outreach Effort– Lesson & Learned

  • Recruitment through masseuses’ referrals

  • Flexibility

  • Confrontation



Counseling program
Counseling Program

  • 1st Session


Counseling program1
Counseling Program

  • 2nd Session


Counseling program2
Counseling Program

  • 3rd Session


Hpaw staff
HPAW Staff

  • Principal Investigator: Tooru Nemoto, Ph.D.

  • Project Director: Mariko Iwamoto, M.A.

  • Project Assistant: Samantha Witt

  • Health Educators: Ha Chu

Yon-Hee Kim

Yoonjung Kim

Phuong Ngo


Thank you!

supported by the National Institute on Drug Abuse (NIDA) Grant No: R01DA13896


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