Clinical trial NCT02071264: Effects of an HIV Intervention Among Sex Workers in the Philippines
Official title: Effects of an HIV Intervention Among Female and Male Entertainers and Spa/Sauna Workers in the Philippines
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: HIV/AIDS Prevention
Keywords: HIV/AIDS
sex work
reproductive health
human rights
ethics
Lead sponsor: University of California, San Diego
Sponsor class: OTHER
Collaborators: name: University of California, Los Angeles
name: Center for Environment and Sustainable Development Foundation, Inc.
name: National Institute on Drug Abuse (NIDA)
name: The Fordham University HIV and Drug Abuse Prevention Research Ethics Training Institute (RETI)
name: University of California, San Diego
name: San Diego State University
First posted: 2014-02-25
Enrollment: 100
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: PREVENTION

Brief summary: This study will implement a socio-behavioral intervention in Quezon City, the Philippines, using a community-based participatory approach. The intervention involves 1-2 psychosocial and health education training workshops for the establishment managers and their workers, focusing on HIV/AIDS risk reduction information and condom use and condom negotiation skill-building. Participants will also be invited to do dream-building activities that explore their personal goals and goals for their organization of peers.

Detailed description: This study will implement a socio-behavioral intervention in Quezon City, the Philippines, using a community-based participatory approach. The intervention involves 1-2 psychosocial and health education training workshops for the establishment managers and their workers, focusing on HIV/AIDS risk reduction information, condom use, and condom negotiation skill-building. Participants will also be invited to do dream-building activities that explore their personal goals and goals for their organization of peers.

The intervention involves targeted and tailored bio-psycho-educational interventions directed at organizational behavior change and social influence modeling through training peers and managers. The intervention site will receive peer and manager trainings consisting of specific information on STIs along with standard care, held on a day convenient to the participants and at the establishment or neutral location.

In addition to quick pre-post tests before and immediately after the intervention, participants will be interviewed 6-12 months after the intervention to evaluate the effects of the intervention on their STI/HIV knowledge, attitudes, beliefs, safer sex practices, and social support.

Eligibility criteria: Inclusion Criteria:

* self-identification as conducting sex work or working in a venue where sex work occurs.

Exclusion Criteria:

* those not actively engaging in sex work activities or working in a venue or area where sex work occurs.

Primary outcomes:
measure: HIV/STI knowledge
timeFrame: 6 months
Secondary outcomes:
Other outcomes:
Locations:
city: Manila
country: Philippines
facility: Center for Environment and Sustainable Development Foundation, Inc.
Study officials:
affiliation: University of California, San Diego
name: Lianne A Urada, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Urada LA, Morisky DE, Pimentel-Simbulan N, Silverman JG, Strathdee SA. Condom negotiations among female sex workers in the Philippines: environmental influences. PLoS One. 2012;7(3):e33282. doi: 10.1371/journal.pone.0033282. Epub 2012 Mar 20.
citation: Urada LA, Morisky DE, Hernandez LI, Strathdee SA. Social and structural factors associated with consistent condom use among female entertainment workers trading sex in the Philippines. AIDS Behav. 2013 Feb;17(2):523-35. doi: 10.1007/s10461-011-0113-x.
citation: Urada LA, Strathdee SA, Morisky DE, Schilling RF, Simbulan NP, Estacio LR Jr, Raj A. Sex work and its associations with alcohol and methamphetamine use among female bar and spa workers in the Philippines. Asia Pac J Public Health. 2014 Mar;26(2):138-46. doi: 10.1177/1010539512471969. Epub 2013 Jan 22.
citation: Urada LA, Simmons J, Wong B, Tsuyuki K, Condino-Enrera G, Hernandez LI, Simbulan NP, Raj A. A human rights-focused HIV intervention for sex workers in Metro Manila, Philippines: evaluation of effects in a quantitative pilot study. Int J Public Health. 2016 Nov;61(8):945-957. doi: 10.1007/s00038-016-0875-z. Epub 2016 Sep 6.