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Tytuł pozycji:

Using the social ecological model to understand the contextual factors associated with HIV risk in commercial sex workers at high risk for contracting HIV

Tytuł :
Using the social ecological model to understand the contextual factors associated with HIV risk in commercial sex workers at high risk for contracting HIV
Autorzy :
Larios, Sandra Erika
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Index Terms :
UCSD Clinical Psychology. (Discipline) Dissertations, Academic
HIV infections Psychology
Prostitutes Social aspects Diseases
Prostitutes Psychological aspects Diseases
Prostitutes Psychological aspects Social networks
Psychological aspects Condom use
Economic aspects Condom use
Psychological aspects Safe sex in AIDS prevention
Self-efficacy
publication
Wydawca :
eScholarship, University of California 2008-01-01
Dodane szczegóły :
Larios, Sandra Erika
Typ dokumentu :
Zasób elektroniczny
URL :
https://escholarship.org/uc/item/2v458155">https://escholarship.org/uc/item/2v458155
https://escholarship.org/">https://escholarship.org/
Dostępność :
Open access content. Open access content
public
Pozostałe numery :
CDLER oai:escholarship.org/ark:/13030/qt2v458155
1078242559
Źródło wspomagające :
From OAIster®, provided by the OCLC Cooperative.
Numer akcesji :
edsoai.on1078242559
Zasób elektroniczny
Sexually transmitted infections (STIs) and HIV infection are increasing at an alarming rate in Mexico (United Nations Program on AIDS [UNAIDS], 2006). Female sex workers (FSWs) are one of the groups affected by the increase in HIV prevalence in Mexico. Early surveillance of FSWs found seroprevalence rates of 4.8% in Tijuana and 4.9% in Ciudad Juarez, Mexico (Patterson et al., 2006b), while the most recent study of FSWs from these two cities found a seroprevalence rate of 6% (Strathdee et al, in press). Prevention efforts that are culturally sensitive and appropriately tailored are needed to stem the rise of HIV in this high-risk population. The current study examined the applicability of the Social Ecological model for HIV prevention in a sample of female sex workers (FSWs) (N=472) participating in a safe sex counseling intervention in Tijuana, Mexico. Within the framework of the Social Ecological Model we explored differential predictors of condom use by comparing women who work in bar settings to those who work on the street hypothesizing that there would be differences across venue (bar vs street) with higher condom use in bar workers. Baseline models were established using path analysis in bar (N=233); (CFI= .890, RMSEA =.062) and street workers (N=203); (CFI =.928, RMSEA = .040). For bar workers individual level factors, (self-efficacy, condom use beliefs, alcohol use before sex) and institutional level factors (condom access) were directly and indirectly related to condom use, while in street workers interpersonal level factors (social support, previous abuse, client power) and drug use were the most important factors associated with condom use. Multiple group partial structural invariance was then performed comparing street workers (N=79) to bar workers (N=103) on the 5 paths that their baseline models shared, showing that these paths were invariant across groups ([delta][chi]²(5) =6.30). Multiple group comparisons found similarities between the bar and stree

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