Hiv risk reduction behavioral intervention for commercial sex workers in armenia
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HIV Risk Reduction Behavioral Intervention for Commercial Sex Workers in Armenia. Implementing organizations. USA PI: Ralph DiClemente, PhD Center for AIDS Research, Emory University. Armenia PI: Karine Markosyan, PhD, MPH Center for Health Services Research, American University of Armenia.

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HIV Risk Reduction Behavioral Intervention for Commercial Sex Workers in Armenia

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HIV Risk Reduction Behavioral Intervention for Commercial Sex Workers in Armenia

Implementing organizations

USA

PI: Ralph DiClemente, PhD

Center for AIDS Research, Emory University

Armenia

PI: Karine Markosyan, PhD, MPH

Center for Health Services Research, American University of Armenia


ARMENIA

Area: 29,800 sq km

Population: 3 million

People: Caucasian

Religion: Christian

Government: Republic

GDP per capita: US$884

% Population below poverty/ food poverty lines -43%/13%


HIV/AIDS Epidemic in Armenia

  • 410 HIV cases have been registered in Armenia from the beginning of the epidemic

  • Estimated HIV prevalence rate in 2002 was <0.1%


Rationale for Targeting the Project

at CSWs

  • The HIV epidemic in Armenia is concentrated in high-risk groups including CSWs

  • HIV Prevalence among CSWs is around 3%

  • Sex workers can significantly contribute to the spread of infection to the general population


The Findings of the Study on HIV-Risk Factors of Armenian CSWs

  • Inconsistent condom use

  • Condom tear/slippage

  • Alcohol and drug use

  • Sex with injection drug users

  • Prominent misconceptions regarding HIV transmission, prevention and disease manifestation


Correlates of Condom Use among Armenian CSWs

HIV/AIDS Knowledge

8%, p=ns

Attitudes for Condom Use

Intentions to Use Condoms

Condom Use Behaviors

49%, p<.001

52%, p=.003

Personal Risk Perception

44%, p=.03

Comfort with Condom Negotiation

52%, p<.001


Theoretical Framework of the Intervention Module

  • Social Cognitive Theory

  • Information-Motivation-Behavioral Skills Model

  • Health Belief Model

  • Theory of Gender and Power


Project Goal

Favorably change in Armenian CSWs HIV-risk and protective behaviors (with condom use as a primary focus) through the provision of appropriate information and the development of their motivation and capacity to maintain or adopt law-risk/protective behaviors.


Evaluation Design

R Experimental Condition O1X O2O3

R Control Condition O1 O2O3

O1 - baseline data collection

X - intervention (HIV-risk reduction module)

O2 - three-months follow-up data collection

O3 - nine months follow-up data collection

R - random assignment of participants to conditions


Anticipated Outcomes

  • Decrease of HIV-risk practices (particularly unprotected sexual practices) among CSWs

  • Reduction of HIV transmission among CSWs, their clients as well as clients’ female sexual partners (e.g., wives and girlfriends)


Project Significance

  • May contribute to the prevention of the spread of HIV in Armenia

  • Will build on the previous research in designing effective HIV-risk reduction behavioral interventions

  • May improve the basis of HIV-related science in both, Armenia and U.S.A. by human capacity building


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