Evaluation and Mechanism Analysis of HIV Prevention Programme Using Resilience Framework Among Female Sex Workers: A Randomised Controlled Trial

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aut.relation.endpage237
aut.relation.journalPreventive Medicine Reportsen_NZ
aut.relation.startpage229
aut.relation.volume13en_NZ
aut.researcherHolroyd, Eleanor
dc.contributor.authorWong, WC-Wen_NZ
dc.contributor.authorYuen, WW-Yen_NZ
dc.contributor.authorTang, CS-Ken_NZ
dc.contributor.authorHolroyd, Een_NZ
dc.contributor.authorFong, DY-Ten_NZ
dc.date.accessioned2020-05-12T02:41:05Z
dc.date.available2020-05-12T02:41:05Z
dc.date.copyright2019en_NZ
dc.date.issued2019en_NZ
dc.description.abstractBackground Evidence shows traditional sexual harm reduction for female sex workers (FSW) based on health behaviour theories is effective but short-lived. This study aimed to evaluate and understand the effectiveness of a resilience-promoting programme in improving psychological health and, ultimately, safe sex practice. Methods A randomised controlled trial was conducted at three Hong Kong-based non-governmental organisations. 127 sex workers were recruited and randomly assigned to the intervention or control groups. The former received a six-session resilience-promoting programme designed to improve self-esteem, self-efficacy and coping skills, whereas the latter had the usual care. Between-group differences in psychological outcomes and condom use were tested using the intention-to-treat, with ANOVA and chi-square tests, measured at baseline, post-intervention and 3-month follow-ups. Multiple mediation analysis was used to examine how the intervention worked through resilience factors. Results Significant between-group improvements in adaptive coping (F1,119 = 5.82, p < .05) and reduction in psychological distress (F1,118 = 5.00, p < .05) were seen at post-intervention and 3-month follow-ups, with significant time × group interaction changes suggesting the changes occurred at different rates between the two groups. Condom use during the last transactions had increased in the intervention group and the rate of consistent condom use during transactions improved in the intervention group at follow-ups (χ2 = 4.35, p < .05). Self-esteem and resilience significantly mediated the effect of intervention at reducing psychological distress. Conclusions These findings suggest that resilience improves the psychological health and general wellbeing of Chinese FSWs.
dc.identifier.citationPreventive Medicine Reports, Volume 13, March 2019, Pages 229-237
dc.identifier.doi10.1016/j.pmedr.2018.12.007en_NZ
dc.identifier.issn2211-3355en_NZ
dc.identifier.urihttps://hdl.handle.net/10292/13326
dc.publisherElsevieren_NZ
dc.relation.urihttps://www.sciencedirect.com/science/article/pii/S2211335518302821en_NZ
dc.rights© 2019 The Authors. Published by Elsevier Inc. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/BY-NC-ND/4.0/).
dc.rights.accessrightsOpenAccessen_NZ
dc.subjectHIV; Resilience; Prostitution; Randomised control trial; China
dc.titleEvaluation and Mechanism Analysis of HIV Prevention Programme Using Resilience Framework Among Female Sex Workers: A Randomised Controlled Trialen_NZ
dc.typeJournal Article
pubs.elements-id352665
pubs.organisational-data/AUT
pubs.organisational-data/AUT/Health & Environmental Science
pubs.organisational-data/AUT/Health & Environmental Science/Clinical Sciences
pubs.organisational-data/AUT/Health & Environmental Science/Nursing
pubs.organisational-data/AUT/PBRF
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences
pubs.organisational-data/AUT/PBRF/PBRF Health and Environmental Sciences/HH Clinical Sciences 2018 PBRF
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