Evaluation of a targeted AIDS prevention intervention to increase condom use among prostitutes in Ghana.
Identifieur interne : 000834 ( PubMed/Checkpoint ); précédent : 000833; suivant : 000835Evaluation of a targeted AIDS prevention intervention to increase condom use among prostitutes in Ghana.
Auteurs : A. Asamoah-Adu [Ghana] ; S. Weir ; M. Pappoe ; N. Kanlisi ; A. Neequaye ; P. LampteySource :
- AIDS (London, England) [ 0269-9370 ] ; 1994.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Attitude envers la santé, Femelle, Ghana (épidémiologie), Groupe de pairs, Humains, Nonoxinol, Projets pilotes, Prostitution (), Préservatifs masculins (utilisation), Sujet âgé, Syndrome d'immunodéficience acquise (), Syndrome d'immunodéficience acquise (psychologie), Études de suivi, Évaluation de programme.
- MESH :
- psychologie : Syndrome d'immunodéficience acquise.
- utilisation : Préservatifs masculins.
- épidémiologie : Ghana.
- Adolescent, Adulte, Adulte d'âge moyen, Attitude envers la santé, Femelle, Groupe de pairs, Humains, Nonoxinol, Projets pilotes, Prostitution, Sujet âgé, Syndrome d'immunodéficience acquise, Études de suivi, Évaluation de programme.
English descriptors
- KwdEn :
- Acquired Immunodeficiency Syndrome (prevention & control), Acquired Immunodeficiency Syndrome (psychology), Adolescent, Adult, Aged, Attitude to Health, Condoms (utilization), Female, Follow-Up Studies, Ghana (epidemiology), Humans, Middle Aged, Nonoxynol, Peer Group, Pilot Projects, Program Evaluation, Sex Work (statistics & numerical data).
- MESH :
- chemical : Nonoxynol.
- epidemiology : Ghana.
- prevention & control : Acquired Immunodeficiency Syndrome.
- psychology : Acquired Immunodeficiency Syndrome.
- statistics & numerical data : Sex Work.
- utilization : Condoms.
- Adolescent, Adult, Aged, Attitude to Health, Female, Follow-Up Studies, Humans, Middle Aged, Peer Group, Pilot Projects, Program Evaluation.
Abstract
To assess the short- and long-term impact of a 6-month pilot intervention program on condom use among prostitutes in Accra, Ghana.
PubMed: 8043229
Affiliations:
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Kanlisi</name></author><author><name sortKey="Neequaye, A" sort="Neequaye, A" uniqKey="Neequaye A" first="A" last="Neequaye">A. Neequaye</name></author><author><name sortKey="Lamptey, P" sort="Lamptey, P" uniqKey="Lamptey P" first="P" last="Lamptey">P. 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Asamoah-Adu</name><affiliation wicri:level="3"><nlm:affiliation>Ministry of Health, Accra, Ghana.</nlm:affiliation><country xml:lang="fr">Ghana</country><wicri:regionArea>Ministry of Health, Accra</wicri:regionArea><placeName><settlement type="city">Accra</settlement><region nuts="2">Région du Grand Accra</region></placeName></affiliation></author><author><name sortKey="Weir, S" sort="Weir, S" uniqKey="Weir S" first="S" last="Weir">S. Weir</name></author><author><name sortKey="Pappoe, M" sort="Pappoe, M" uniqKey="Pappoe M" first="M" last="Pappoe">M. Pappoe</name></author><author><name sortKey="Kanlisi, N" sort="Kanlisi, N" uniqKey="Kanlisi N" first="N" last="Kanlisi">N. Kanlisi</name></author><author><name sortKey="Neequaye, A" sort="Neequaye, A" uniqKey="Neequaye A" first="A" last="Neequaye">A. Neequaye</name></author><author><name sortKey="Lamptey, P" sort="Lamptey, P" uniqKey="Lamptey P" first="P" last="Lamptey">P. Lamptey</name></author></analytic><series><title level="j">AIDS (London, England)</title><idno type="ISSN">0269-9370</idno><imprint><date when="1994" type="published">1994</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Acquired Immunodeficiency Syndrome (prevention & control)</term><term>Acquired Immunodeficiency Syndrome (psychology)</term><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Attitude to Health</term><term>Condoms (utilization)</term><term>Female</term><term>Follow-Up Studies</term><term>Ghana (epidemiology)</term><term>Humans</term><term>Middle Aged</term><term>Nonoxynol</term><term>Peer Group</term><term>Pilot Projects</term><term>Program Evaluation</term><term>Sex Work (statistics & numerical data)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Attitude envers la santé</term><term>Femelle</term><term>Ghana (épidémiologie)</term><term>Groupe de pairs</term><term>Humains</term><term>Nonoxinol</term><term>Projets pilotes</term><term>Prostitution ()</term><term>Préservatifs masculins (utilisation)</term><term>Sujet âgé</term><term>Syndrome d'immunodéficience acquise ()</term><term>Syndrome d'immunodéficience acquise (psychologie)</term><term>Études de suivi</term><term>Évaluation de programme</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Nonoxynol</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Ghana</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Acquired Immunodeficiency Syndrome</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Syndrome d'immunodéficience acquise</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Acquired Immunodeficiency Syndrome</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Sex Work</term></keywords><keywords scheme="MESH" qualifier="utilisation" xml:lang="fr"><term>Préservatifs masculins</term></keywords><keywords scheme="MESH" qualifier="utilization" xml:lang="en"><term>Condoms</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Ghana</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Attitude to Health</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Middle Aged</term><term>Peer Group</term><term>Pilot Projects</term><term>Program Evaluation</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Attitude envers la santé</term><term>Femelle</term><term>Groupe de pairs</term><term>Humains</term><term>Nonoxinol</term><term>Projets pilotes</term><term>Prostitution</term><term>Sujet âgé</term><term>Syndrome d'immunodéficience acquise</term><term>Études de suivi</term><term>Évaluation de programme</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">To assess the short- and long-term impact of a 6-month pilot intervention program on condom use among prostitutes in Accra, Ghana.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">8043229</PMID><DateCreated><Year>1994</Year><Month>09</Month><Day>01</Day></DateCreated><DateCompleted><Year>1994</Year><Month>09</Month><Day>01</Day></DateCompleted><DateRevised><Year>2016</Year><Month>11</Month><Day>23</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0269-9370</ISSN><JournalIssue CitedMedium="Print"><Volume>8</Volume><Issue>2</Issue><PubDate><Year>1994</Year><Month>Feb</Month></PubDate></JournalIssue><Title>AIDS (London, England)</Title><ISOAbbreviation>AIDS</ISOAbbreviation></Journal><ArticleTitle>Evaluation of a targeted AIDS prevention intervention to increase condom use among prostitutes in Ghana.</ArticleTitle><Pagination><MedlinePgn>239-46</MedlinePgn></Pagination><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To assess the short- and long-term impact of a 6-month pilot intervention program on condom use among prostitutes in Accra, Ghana.</AbstractText><AbstractText Label="DESIGN" NlmCategory="METHODS">The 4-year prospective study follows-up cohorts enrolled in the intervention in 1987 and 1988, comparing condom use in 1991 with that among a comparison group not enrolled in the intervention.</AbstractText><AbstractText Label="SETTING" NlmCategory="METHODS">The community-based intervention was initiated in Accra, Ghana in 1987.</AbstractText><AbstractText Label="PARTICIPANTS" NlmCategory="METHODS">Self-identified female prostitutes who volunteered participation.</AbstractText><AbstractText Label="INTERVENTION" NlmCategory="METHODS">The educational intervention used local health workers to train and support selected prostitutes to be health educators and condom distributors to their peers.</AbstractText><AbstractText Label="OUTCOME MEASURES" NlmCategory="METHODS">Self-reported condom use with clients.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Reported condom use increased dramatically between 1987 and 1988 during the first 6 months of the intervention. In 1991, after 3 years of program relapse, 107 (43%) of the 248 women who had enrolled in 1987 or 1988 were still in prostitution and located for interview. Their level of condom use in 1991 was higher than pre-enrollment but similar to use among prostitutes never enrolled. Sixty-four per cent of those followed-up reported always using condoms with clients in 1991. These 'always users' were more likely to have maintained informal contact with project staff, know that HIV can be transmitted by healthy clients, and report that clients frequently initiate condom use.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Findings support the development of long-range educational strategies that recognize the career longevity of prostitutes, available channels for informal program diffusion, individual changes in condom use over time, and the role of clients in condom negotiation.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Asamoah-Adu</LastName><ForeName>A</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Ministry of Health, Accra, Ghana.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Weir</LastName><ForeName>S</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Pappoe</LastName><ForeName>M</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Kanlisi</LastName><ForeName>N</ForeName><Initials>N</Initials></Author><Author ValidYN="Y"><LastName>Neequaye</LastName><ForeName>A</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Lamptey</LastName><ForeName>P</ForeName><Initials>P</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D003160">Comparative Study</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType><PublicationType UI="D013486">Research Support, U.S. Gov't, Non-P.H.S.</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>AIDS</MedlineTA><NlmUniqueID>8710219</NlmUniqueID><ISSNLinking>0269-9370</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>26027-38-3</RegistryNumber><NameOfSubstance UI="D017137">Nonoxynol</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><CitationSubset>J</CitationSubset><CitationSubset>X</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000163" MajorTopicYN="N">Acquired Immunodeficiency Syndrome</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001294" MajorTopicYN="N">Attitude to Health</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017280" MajorTopicYN="N">Condoms</DescriptorName><QualifierName UI="Q000656" MajorTopicYN="Y">utilization</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005500" MajorTopicYN="N">Follow-Up Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005869" MajorTopicYN="N">Ghana</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017137" MajorTopicYN="N">Nonoxynol</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010379" MajorTopicYN="N">Peer Group</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010865" MajorTopicYN="N">Pilot Projects</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015397" MajorTopicYN="N">Program Evaluation</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011477" MajorTopicYN="N">Sex Work</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading></MeshHeadingList><OtherID Source="PIP">094125</OtherID><OtherID Source="POP">00231335</OtherID><OtherAbstract Type="PIP" Language="eng"><AbstractText>Findings of a prospective study of condom use among prostitutes in Ghana provided support for acquired immunodeficiency syndrome (AIDS) prevention educational interventions with this high risk populating and evidence of informal program diffusion. 382 self-identified prostitutes voluntarily entered the study in three waves (a pilot group of 72 recruited in June 1987, another 176 prostitutes who were admitted at their request in January 1988, and 106 who entered in September 1991). From this group, selected prostitutes were trained to educate their peers about AIDS risk factors through meetings and printed materials and to distribute free condoms. Self-reported condom use in 1991 was correlated with contact with these peer educators. During the 6-month pilot study, the proportion of prostitutes who always used condom increased from 6% at baseline to 71%. 48% of prostitutes entering the study in January 1988 were already always using condoms, suggesting a diffusion effect. In 1991, consistent condom use was reported by 56% of women from the pilot group available for follow-up and 66% of those interviewed from the 1988 wave; however, these rates were not appreciably higher than the 55% rate reported at baseline by the 1991 wave of recruits. (This convergence is assumed to reflect both suspension of the educational program in 1988-91 and increased social acceptance of condom use given the spread of AIDS.) Of the 107 women from the pilot and expanded groups available for interview in 1991, 24% identified peer outreach workers as their source of AIDS information. Women who had contact with staff were 2.63 times more likely than non-exposed women to report consistent condom use. The interaction model revealed that women who maintained contact with project staff were 3.17 times more likely to be consistent users, those who knew that healthy appearing men could transmit AIDS were 2.68 times more likely to fall into this use category, and prostitutes who had clients who initiated condom use more than half the time were 4.49 times more likely than other women to be consistent users, even when staff contact and AIDS knowledge were controlled. Given the career longevity of some prostitutes, sustained program activity is encouraged.</AbstractText></OtherAbstract><KeywordList Owner="PIP"><Keyword MajorTopicYN="Y">Acquired Immunodeficiency Syndrome--prevention and control</Keyword><Keyword MajorTopicYN="N">Africa</Keyword><Keyword MajorTopicYN="N">Africa South Of The Sahara</Keyword><Keyword MajorTopicYN="N">Barrier Methods</Keyword><Keyword MajorTopicYN="N">Behavior</Keyword><Keyword MajorTopicYN="N">Communication</Keyword><Keyword MajorTopicYN="Y">Communication Programs</Keyword><Keyword MajorTopicYN="Y">Condom</Keyword><Keyword MajorTopicYN="N">Contraception</Keyword><Keyword MajorTopicYN="N">Contraceptive Methods</Keyword><Keyword MajorTopicYN="Y">Contraceptive Usage--determinants</Keyword><Keyword MajorTopicYN="N">Developing Countries</Keyword><Keyword MajorTopicYN="N">Diseases</Keyword><Keyword MajorTopicYN="N">Economic Factors</Keyword><Keyword MajorTopicYN="N">Education</Keyword><Keyword MajorTopicYN="Y">Educational Activities</Keyword><Keyword MajorTopicYN="N">English Speaking Africa</Keyword><Keyword MajorTopicYN="N">Family Planning</Keyword><Keyword MajorTopicYN="N">Ghana</Keyword><Keyword MajorTopicYN="Y">Hiv Infections--prevention and control</Keyword><Keyword MajorTopicYN="Y">Information Networks</Keyword><Keyword MajorTopicYN="N">Knowledge Sources</Keyword><Keyword MajorTopicYN="N">Marketing</Keyword><Keyword MajorTopicYN="N">Organization And Administration</Keyword><Keyword MajorTopicYN="Y">Peer Groups</Keyword><Keyword MajorTopicYN="Y">Program Evaluation</Keyword><Keyword MajorTopicYN="N">Programs</Keyword><Keyword MajorTopicYN="Y">Promotion</Keyword><Keyword MajorTopicYN="Y">Prospective Studies</Keyword><Keyword MajorTopicYN="Y">Prostitutes</Keyword><Keyword MajorTopicYN="N">Research Methodology</Keyword><Keyword MajorTopicYN="Y">Risk Reduction Behavior--determinants</Keyword><Keyword MajorTopicYN="Y">Sex Behavior</Keyword><Keyword MajorTopicYN="N">Studies</Keyword><Keyword MajorTopicYN="N">Viral Diseases</Keyword><Keyword MajorTopicYN="N">Western Africa</Keyword></KeywordList><GeneralNote Owner="PIP">TJ: AIDS.</GeneralNote></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>1994</Year><Month>2</Month><Day>1</Day></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>1994</Year><Month>2</Month><Day>1</Day><Hour>0</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>1994</Year><Month>2</Month><Day>1</Day><Hour>0</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">8043229</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Ghana</li></country><region><li>Région du Grand Accra</li></region><settlement><li>Accra</li></settlement></list><tree><noCountry><name sortKey="Kanlisi, N" sort="Kanlisi, N" uniqKey="Kanlisi N" first="N" last="Kanlisi">N. Kanlisi</name><name sortKey="Lamptey, P" sort="Lamptey, P" uniqKey="Lamptey P" first="P" last="Lamptey">P. Lamptey</name><name sortKey="Neequaye, A" sort="Neequaye, A" uniqKey="Neequaye A" first="A" last="Neequaye">A. Neequaye</name><name sortKey="Pappoe, M" sort="Pappoe, M" uniqKey="Pappoe M" first="M" last="Pappoe">M. Pappoe</name><name sortKey="Weir, S" sort="Weir, S" uniqKey="Weir S" first="S" last="Weir">S. Weir</name></noCountry><country name="Ghana"><region name="Région du Grand Accra"><name sortKey="Asamoah Adu, A" sort="Asamoah Adu, A" uniqKey="Asamoah Adu A" first="A" last="Asamoah-Adu">A. Asamoah-Adu</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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