Abriendo Puertas: Feasibility and Effectiveness a Multi-Level Intervention to Improve HIV Outcomes Among Female Sex Workers Living with HIV in the Dominican Republic

Deanna Kerrigan, Clare Barrington, Yeycy Donastorg, Martha Perez, Noya Galai

Research output: Contribution to journalArticlepeer-review

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.

Original languageEnglish
Pages (from-to)1919-1927
Number of pages9
JournalAIDS and Behavior
Volume20
Issue number9
DOIs
StatePublished - 1 Sep 2016

Bibliographical note

Funding Information:
We would like to acknowledge the women who participated in the Abriendo Puertas cohort and intervention. Their time and dedication made this work possible. We would also like to thank all the research and intervention team members from IDCP, MODEMU and COIN for their commitment, skill and enthusiasm. This Research to Prevention (R2P) project was supported by USAID|Project SEARCH, Task Order No. 2, funded by the US Agency for International Development under Contract No. GHH-I-02-07-00032-00, beginning 30 September 2008, and supported by the President’s Emergency Plan for AIDS Relief. The Johns Hopkins University Center for AIDS Research, 1P30AI094189, provided additional support.

Publisher Copyright:
© 2016, Springer Science+Business Media New York.

Keywords

  • HIV
  • Multi-level intervention
  • Multi-level intervention
  • Protected sex
  • STI
  • Sex workers
  • Viral suppression

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

Fingerprint

Dive into the research topics of 'Abriendo Puertas: Feasibility and Effectiveness a Multi-Level Intervention to Improve HIV Outcomes Among Female Sex Workers Living with HIV in the Dominican Republic'. Together they form a unique fingerprint.

Cite this