Metrics details. We assessed the effectiveness of an integrated individual, community, and structural intervention to reduce risks of HIV and sexually transmitted infections STIs among female sex workers FSWs. The integration individual, community, and structural intervention was implemented from to in six counties of Shandong Province.
Post-intervention cross-sectional surveys were conducted in six intervention counties and 10 control counties. Of female sex workers were recruited and analyzed in the post-intervention survey with from intervention sites and from control sites.
No HIV positive was found in both intervention and control counties. The rate of syphilis was 0. The proportion of participants correctly answered at least six out of eight HIV-related questions Peer Review reports. Efforts in HIV risk reduction for female sex workers FSWs have often relied on not only individual- level interventions, e.
Some countries have sought to adopt or adapt either the community mobilization [ 11 , 12 ] or government policy approach [ 13 , 14 ] to prevent HIV and STI among FSWs and their partners. Structural factors, including political, legal, social, cultural, economic, and environmental factors, are known to affect individual risk and vulnerability to HIV, and to operate at several different societal levels individual, interpersonal, community, culture and policy [ 16 , 17 ].
Structural interventions played a critical role in the process, e. However, following the economic reforms which began in the s, STDs reappeared and today constitute a major public health problem in China. This resurgence parallels the privatization of the economy, the breakdown of the national health insurance system, the return of prostitution, and other factors. The commercial sex was driven and reinforced following the growing economic disparities, population migration, increased disposable income, changing in sexual attitude, reestablishment and growth of sex trade [ 21 โ 26 ], that fueled the resurgence of STDs in the nation [ 22 ].
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