@文章{信息:doi/10.2196/27696，作者=“Brody, Carinne和Chhoun, Pheak和Tuot, Sovannary和Fehrenbacher, Anne E和Moran, Alexander和Swendeman, Dallas和Yi, Siyan”，标题=“将柬埔寨年轻女性娱乐工作者与健康和基于性别的暴力服务联系起来的移动干预:随机控制试验”，期刊=“J Med Internet Res”，年=“2022”，月=“Jan”，日=“4”，卷=“24”，数=“1”，页=“e27696”，关键词=“mHealth;女性性工作者;艾滋病毒;性传播感染;与服务的链接;性健康和生殖健康;基于性别的暴力;背景:柬埔寨女性娱乐工作者(FEWs)比普通女性人口更容易感染人类免疫缺陷病毒(HIV)、其他性传播感染(STIs)、心理困扰、药物滥用和基于性别的暴力(GBV)。由于妇女不为人知和受到歧视，向她们提供卫生教育并将她们与服务联系起来十分困难。目的:本研究评估了移动链接干预措施在改善FEWs健康方面的效果，通过让他们参与并连接现有的艾滋病毒、性和生殖健康以及基于性别的暴力服务。 Methods: A randomized controlled trial was conducted between March 2018 and June 2019 in the capital city and 3 other provinces in Cambodia. FEWs in the intervention arm received automated twice-weekly Short Message Service messages and voice messages with health information and direct links to outreach workers. The control group received the existing standard care, including free HIV and STI counseling and testing and a toll-free helpline staffed by trained counselors. We used a stratified random sampling method to select participants from 5 study sites in the 4 selected provinces. Initially, we randomly selected 600 participants from a list of 4000 FEWs by age group (18-24 and 25-30 years) and study site using a random number generator and enrolled them in person. The primary outcome measures included self-reported HIV and STI testing, condom use, and contraceptive use assessed through a face-to-face structured interview. We also measured secondary outcomes, including contact with outreach workers, escorted referral service use, forced drinking, and GBV experiences. Intervention effects were modeled using repeated measures, multilevel mixed-effects logistic regression. Results: A total of 1118 participants were recruited and enrolled in the study. We included 218 FEWs in the intervention arm and 170 FEWs in the control arm in the per protocol analyses after removing 730 dropouts. Evidence of positive intervention effects was detected for the following secondary outcomes: contacting an outreach worker (at 30 weeks: adjusted odds ratio [AOR] 3.29, 95{\%} CI 1.28-8.47), receiving an escorted referral (at 30 weeks: AOR 2.86, 95{\%} CI 1.09-7.52; at 60 weeks: AOR 8.15, 95{\%} CI 1.65-40.25), and never being forced to drink at work (at 60 weeks: AOR 3.95, 95{\%} CI 1.62-9.60). Over time, no significant differences between intervention and control groups were observed for any primary outcomes in the fully adjusted models. Conclusions: The Mobile Link intervention effectively connected FEWs with outreach workers and escorted referrals but did not show an effect on primary outcomes. Reduced forced drinking at work was also significantly more extensive in the intervention group than in the control group. Longer-term messaging may increase access to services and impact FEWs' health outcomes in the future. Trial Registration: Clinicaltrials.gov NCT03117842; https://clinicaltrials.gov/ct2/show/NCT03117842 International Registered Report Identifier (IRRID): RR2-10.1186/s13063-018-2614-7 ", issn="1438-8871", doi="10.2196/27696", url="//www.mybigtv.com/2022/1/e27696", url="https://doi.org/10.2196/27696", url="http://www.ncbi.nlm.nih.gov/pubmed/34982716" }