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

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


Hiv risk reduction behavioral intervention for commercial sex workers in 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

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%


Hiv risk reduction behavioral intervention for commercial sex workers in armenia

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

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


Hiv risk reduction behavioral intervention for commercial sex workers in armenia

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


Hiv risk reduction behavioral intervention for commercial sex workers in armenia

Theoretical Framework of the Intervention Module

  • Social Cognitive Theory

  • Information-Motivation-Behavioral Skills Model

  • Health Belief Model

  • Theory of Gender and Power


Project goal

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.


Hiv risk reduction behavioral intervention for commercial sex workers in armenia

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

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

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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