Citation
Kerrigan, Deanna L.; Barrington, Clare; Donastorg, Yeycy A.; Perez, Martha; & Galai, Noya (2016). Abriendo Puertas: Feasibility and Effectiveness a Multi-Level Intervention to Improve HIV Outcomes among Female Sex Workers Living with HIV in the Dominican Republic. AIDS and Behavior, 20(9), 1919-1927.Abstract
Female sex workers (FSW) are disproportionately affected by HIV. Yet, few interventions address the needs of FSW living with HIV. We developed a multi-level intervention, Abriendo Puertas (Opening Doors), and assessed its feasibility and effectiveness among a cohort of 250 FSW living with HIV in the Dominican Republic. We conducted socio-behavioral surveys and sexually transmitted infection and viral load testing at baseline and 10-month follow-up. We assessed changes in protected sex and adherence to antiretroviral therapy (ART) with logistic regression using generalized estimating equations. Significant pre-post intervention changes were documented for adherence (72-89 %; p < 0.001) and protected sex (71-81 %; p < 0.002). Higher intervention exposure was significantly associated with changes in adherence (AOR 2.42; 95 % CI 1.23-4.51) and protected sex (AOR 1.76; 95 % CI 1.09-2.84). Illicit drug use was negatively associated with both ART adherence and protected sex. Abriendo Puertas is feasible and effective in improving behavioral HIV outcomes in FSW living with HIV.URL
http://dx.doi.org/10.1007/s10461-016-1376-zReference Type
Journal ArticleYear Published
2016Journal Title
AIDS and BehaviorAuthor(s)
Kerrigan, Deanna L.Barrington, Clare
Donastorg, Yeycy A.
Perez, Martha
Galai, Noya