TY - JOUR AU - Brody, Carinne AU - Chhoun, Pheak AU - Tuot, Sovannary AU - Fehrenbacher, Anne E AU - Moran, Alexander AU - swendman, Dallas AU - Yi, Siyan PY - 2022 DA - 2022/1/4 TI -移动干预,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:随机对照试验JO - J Med Internet Res SP - e27696 VL - 24 IS - 1kw - mHealth KW -女性性工作者KW -艾滋病毒KW -性传播感染KW -与服务的联系KW -性和生殖健康KW -基于性别的暴力KW -低收入和中等收入国家AB -背景:柬埔寨的女性娱乐工作者比一般女性人口更容易感染人体免疫缺陷病毒(艾滋病毒)、其他性传播感染(性传播感染)、心理困扰、药物滥用和基于性别的暴力。由于她们的隐藏和污名化地位,很难向她们提供卫生教育并使她们获得服务。目的:本研究评估了移动连接干预措施在改善FEWs健康方面的效果,方法是让她们参与现有的艾滋病毒、性健康和生殖健康以及基于性别的暴力服务,并将她们联系起来。方法:2018年3月至2019年6月在柬埔寨首都和其他3个省进行了一项随机对照试验。干预部门的few人员每周两次收到自动短信服务信息和语音信息,其中包括健康信息和与外联工作人员的直接联系。对照组接受现有的标准护理,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提供的免费求助热线。我们采用分层随机抽样的方法,从4个选定省份的5个研究地点选择参与者。最初,我们从4000名FEWs名单中随机选择了600名参与者,按年龄组(18-24岁和25-30岁)和研究地点使用随机数生成器,并亲自登记他们。 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 SN - 1438-8871 UR - //www.mybigtv.com/2022/1/e27696 UR - https://doi.org/10.2196/27696 UR - http://www.ncbi.nlm.nih.gov/pubmed/34982716 DO - 10.2196/27696 ID - info:doi/10.2196/27696 ER -
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