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Mobilising community collectivisation among female sex workers to promote STI service utilisation from the government healthcare system in Andhra Pradesh, India.
- Source :
- Journal of Epidemiology & Community Health; Oct2012 Supplement, Vol. 66, pii62-ii68, 7p, 3 Charts
- Publication Year :
- 2012
-
Abstract
- Background To assess the association between female sex workers' (FSWs) degree of community collectivisation and self-efficacy, utilisation of sexually transmitted infection (STI) services from government-run health centres in Andhra Pradesh, India. Methods Cross-sectional analyses of 1986 FSWs recruited using a probability-based sampling from five districts of Andhra Pradesh during 2010-2011. Multiple logistic regression models were constructed to assess associations. The independent variables included-collective efficacy, collective agency and collective action-measured using a series of items that assessed the grouping of the community on issues that concern most sex workers. An additional independent variable included FSWs belonging to an area where there was a project partnership with government health centres to provide STI treatment services to FSWs. The outcome indicators included self-efficacy for service utilisation from government health facilities and the treatment for STIs from government health facilities at least once in the past year experience of STI symptoms. Results Of the 1986 FSWs, nearly two-fifths (39.5%) reported a high level of overall collectivisation (collective efficacy: 89%, collective agency: 50.7%; collective action: 12.7%). Sex workers with a high degree compared with low degree of overall collectivisation were significantly more likely to report high self-efficacy to use government health facilities (75.0% vs 57.3%, adjusted OR 2.5, 95% CI 2.0 to 3.1) and to use government health centres for STI treatment in past 1 year (78.1% vs 63.2%, adjusted OR 2.1, 95% CI 1.6 to 2.8), irrespective of project partnership with government centres. Conclusion The current research findings reinforce the need for stronger community mobilisation for better utilisation of government health facilities for STI and HIV prevention interventions. [ABSTRACT FROM AUTHOR]
- Subjects :
- PREVENTION of sexually transmitted diseases
SEX work
GOVERNMENT agencies
COMMUNITY health services
CONFIDENCE
CONFIDENCE intervals
STATISTICAL correlation
EPIDEMIOLOGY
HEALTH services accessibility
HELP-seeking behavior
QUESTIONNAIRES
RESEARCH funding
STATISTICAL sampling
SELF-efficacy
T-test (Statistics)
COMMUNITY support
AFFINITY groups
DATA analysis
MULTIPLE regression analysis
SOCIAL support
SOCIOECONOMIC factors
CROSS-sectional method
STATISTICAL models
DESCRIPTIVE statistics
Subjects
Details
- Language :
- English
- ISSN :
- 0143005X
- Volume :
- 66
- Database :
- Complementary Index
- Journal :
- Journal of Epidemiology & Community Health
- Publication Type :
- Academic Journal
- Accession number :
- 79938110
- Full Text :
- https://doi.org/10.1136/jech-2011-200832