移动干预将柬埔寨年轻女性娱乐工作者与健康和性别暴力服务联系起来;卡塔尔世界杯8强波胆分析随机对照试验%A Brody,Carinne %A Chhoun,Pheak %A Tuot, sovanannary %A Fehrenbacher,Anne E %A Moran,Alexander %A Swendeman,Dallas %A Yi,Siyan %+ Saw Swee Hock公共卫生学院，新加坡国立大学和国立大学卫生系统，12科学驱动2，#10-01，新加坡，117549，新加坡，65 87533823，siyan@nus.edu.sg %K移动健康%K女性性工作者%K艾滋病毒%K性传播感染%K服务联系%K性健康和生殖健康%K基于性别的暴力%K低收入和中等收入国家%D 2022 %7 4.1.2022 %9原文%J J医学互联网Res %G英语%X背景:柬埔寨女性娱乐工作者(FEWs)比一般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)。向少数族裔妇女提供健康教育并使她们获得服务一直很困难，因为她们的身份是隐藏的和被污名化的。目的:本研究评估了移动链接干预措施的有效性，通过将她们与现有的艾滋病毒、性健康和生殖健康以及性别暴力服务联系起来，改善了少数族裔妇女的健康。方法:2018年3月至2019年6月在柬埔寨首都和其他3个省进行随机对照试验。干预部门的少数妇女每周收到两次自动短信服务信息和语音信息，其中包含健康信息，并与外联工作人员直接联系。对照组接受现有的标准治疗，包括免费的艾滋病毒和性传播感染咨询和检测，以及由训练有素的咨询师组成的免费热线。我们采用分层随机抽样的方法从4个省的5个研究点中选择参与者。 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 %M 34982716 %R 10.2196/27696 %U //www.mybigtv.com/2022/1/e27696 %U https://doi.org/10.2196/27696 %U http://www.ncbi.nlm.nih.gov/pubmed/34982716