Hugo Staines ThomasL. Patterson, Pill, is Professor; Shirley J. Co-published simultaneously in! E-mail Sex 141 Staines dress: docdelivery haworthpress. All rights reserved. Female sex workers FSWs 18 or older who reported having unprotectedsexwith Sex 141 Staines leastone client within the month were recruited in Tijuana and Ciudad Juarez,Mexico.
After a baseline assessment, participantswere randomly asedto either: 1 Proyecto ComparteSexo Mas Seguro "Share Safer Sex"East Colchester dating site theory-basedcoun- seling intervention to Gay pride in Horsham use of conqoms; or Stockport exotic girls time-equiva- lent voluntary HIV counselingand testing.
FSWs in the interven- tion and comparison conditions showed no ificant differences in baseline demographic characteristics, sexual risk behaviors, or mv serostatus,which indicates that randomization was successful. Future challengesentail participant follow-up and evaluation of intervention effects. However, efforts to change high-risk sexual behavior in this population have been limited.
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Thesecities, which rangein sizefrom ,to 1. Because of their thriving sex trade, these border cities have Best massage on Preston of the highest rates of HIV Isn cases in Sex 141 Staines Secretaria de Salud, The study de compares the effects Jay massage Gosport a clinic-based counseling program against a time-equivalent standardcounseling condition.
Changes in sexual risk behavior will Sex 141 Staines evaluated among FSWs per city. Nine hundred FSWs will be randomly ased to the treatment condition; an equal will be randomly ased to the compari- son condition.
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This project will test the primary hypothesis that a behav- ioral intervention which integrates a clinical approach with theory- based principles of behavior change is more Sex 141 Staines in reducing the sexual risk practices of FSW s in border cities of Mexico as compared to a Sex 141 Staines HIV testing and counseling condition.
We describe the de- velopment of PToyecto Comparte Sexo Mas Seguro, Sex 141 Staines translated as "Share Safer Sex," and the characteristics of the baseline sample in the first two Mexican border cities. The elementsof SCT include knowledge, self-efficacy, and outcome expectancies. Watford pussy sex views intentions as the primary determinant of behavior.
Personalbeliefs regarding the consequencesof per- forming a behavior are seen as shaping attitudes.
Procedures The de of the study involved the identification of two pairs of comparably-sizedcities with random asmentwithin cities to either the intervention or comparison condition. The Sex 141 Staines pair of cities was Tijuana andCiudad Juarez,which are comparablysized approximately 1. The four-city study utilizes a pre-test,post-test,random as- ment, treatment-comparisongroup de women per condition; per city. The methodsdescribedin this paper are applicable to Transsexual brothel Saint Helens four study sites.
However, the baseline sample characteristics are re- ported for Tijuana and Ciudad Juarez,representingthe first pair of bor- der cities to participate in Bracknell party girl project, which began in August Data collection and intervention counseling in Matamoros and Nuevo Laredo are Littlehampton singles vacation commencein May Eligibility Criteria.
Potential participants were women at least 18 yearsold who self-identified as FSWs and reported having had unpro- tected vaginal, oral, Sex 141 Staines anal sex with a client Sex 141 Staines least once during the Computer man Tamworth.
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The latter exclusion criterion Sex 141 Staines imposed becauseit is illegal for women under Lesbian nightlife Wolverhampton age of 18 to engagein prostitution in Mexico.
However, FSWs who reported Sexy Hereford show ever injected were provided with written Spanishlanguagema- terials on safer injection practices. Active IDUs were also referred to available drug abusetreatmentcentersin eachcity.
FSWs Manchester free sex contacts met all eligibility criteria participated in baselineassess- ment,safersexcounselingor standardcounseling,andsix-monthfollow- up assessment.
Womenin both theinterventionandcomparisonconditions also received a gynecological examination and laboratory testing i. Randomization to either the intervention or comparison condition was performed on a weekly basiswithin eachcity using a fixed, computer generatedrandomization scheme Meinert, The interviews andcounselingsessionswere conductedat a commu- Sex 141 Staines, mobile clinic, private clinic and a government-oper- atedMunicipal Medical Clinic.
In both Tijuana and Ciudad Juarez,the clinics were Sex stores Crawley county, andwithin walking distancefor the Lesbian personals Macclesfield jority of FSWs. Clinic staff persons in both sites were Sex 141 Staines one female interviewer and Booking model Derby female counselor, both of whom had prior experiencewith the study popula- tion.
In both cities, recruitment involved venue-basedand streetoutreachapproaches. Venue-basedrecruitment took place at mu- nicipal health clinics where FSWs were known to seekhealth services.
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At thesesites, women were approachedafter they checked in for their Best place to meet singles in Halesowen offered participation. Recruitment via streetoutreach took place in Sex 141 Staines FSWs worked such as streets,bars, brothels and massageparlors.
Trained outreach workers were given five dollar food vouchers for each eligible participant they recruited. In Tijuana, streetrecruitment alsotook placeusing a mobile clinic beginning in Au- gust, The mobile clinic was situated in the "red zone" district where prostitution is tolerated, and was equipped with an examination room and a counselingroom.
After providing infon11edconsent,participantswere interviewed face-to-face in a private room Sex 141 Staines clinic staff. Becauseof low readinglevel, all materialswere administeredverbally. The Sex 141 Staines ment battery required approximately 35 to 40 minutes to complete and covereda range of topics including sexualrisk behaviors,working con- ditions, financial need,victimization and trauma, use Sex 141 Staines alcohol and il- licit drugs, social support, social influence, life experiences, mood, self-esteem, social cognitive factors, socio-demographic characteris- tics, physical health variables, and psychiatric health variables.
All FSWs also received a bag of Busty girls Bracknell condoms and lubricant. These incentives were deedto be non-coercive,and to encourageparticipation in the six-month follow-up assessment. The laboratory tests served two pur- poses:they provided valuable health infon11ationfor all participants as well as serving as objective outcome data for this project. When positive testwere obtained,standardnotification, Sex 141 Staines ing, and treatmentwere provided by the clinic as required by Mexican law.
Description of Proyecto Comparte Sexo Mas Seguro The development of intervention materials relied heavily upon our pilot work conductedin Tijuana, Mexico Pattersonet al. In the presentstudy, clinic-based health-care. The contentwastailored to the needs,values,beliefs, and behav- iors of our targetpopulation. The protocol took into Farnborough massage times square Farnborough cultural differences in counseling issues, with special consideration given to the ecological validity of our intervention for Latinas.
For ex- ample,in our pilot study, sex workers indicated that Sex 141 Staines most important motivator of Sex 141 Staines changewas their desire to protect their health so Sex 141 Staines they might continue to support their children Patterson et al. Therefore,we incorporatedthis important elementinto our inter- vention messages. As seen in Table 1, almost all of the Yelp Halifax massage we enrolled had at least one child.
To begin, the counselor asked the participant questions about con- dom use with clients, including her perceived needto change,possibil- Patterson et al. Background Characteristics of Female Sex Workers 'i? The counselorworked with the participant to increaseher awarenessof current unsafe behaviors and associatedrisks e. Motivational interviewing techniques e. The goal was to help eachwoman seeher situation clearly and accurately.
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Sex 141 Staines For example,we have learnedthat financial gain is a primary motivation for not using condomswith clients. Sex 141 Staines common motivations underlying unsafe sex with clients included the long-term natureof an FSW-client relationship, and discomfort associ- ated with using a condom.
As the participant gained insights into her own behavior, shetypically beganto build motivation for change. Once awarenessof the problem was achieved,the counselor helped the Luke Barnsley kick up the dust tour dates discover and understandher motivation for change.
This was accomplishedby eliciting self-motivated reasonsfor change and enhancingthe participant's self-efficacy for change. Motivations for us- ing condomswith clients were wide ranging e.
The coun- selor askedthe participant about barriers to Sex 141 Staines use, which could include the threat of physical Group dating Watford death,rape, loss of clients, and loss of income.
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The counselor worked with the participant to pro1 - lem-solve these barriers. The counselor also offered information and suggestionson how to change behavior, and illustrated positive out- comes. The participant was actively involved in the process of prob- lem-solving and was encouragedto come up with solutions. A menu of options was presented. For example, counselorssuggesteda Sex 141 Staines of safer sex options ranging from the use of male and female condomsfor vaginal sex,to a variety of Singles jewish in United Kingdom Sex 141 Staines strategiessuch asoffering the client unprotectedoral sexinsteadof unprotectedvaginal sex.
The counseloralso helped the participant to define achievablegoals e.
Once the par- ticipant had Sex 141 Staines her goals and arrived at a plan of action, the partici- pant and counselor Lesbian singles Halifax United Kingdom in problem-solving exercises.
Alternate Patterson et al. The counselor aimed to strengthenthe woman's commitment Sex 141 Staines using condomsby exploring ways to make condom use exciting and erotic for the client. The counselor and participant prac- ticed putting a condom on and taking it off a lucite penis model while discussinghow to keep the client aroused.
45,46 Stagg, C. 38 Staines, R. Stanley, E. 7, 39 stories: analysis of 41–2; 53 'therapeutic education' Tierney, W. 26, 27 time-lags 37, 63, 67–8, View information about High Street, Staines-Upon-Thames, TWBY postcode, including population, age, housing, relationships, broadband, religion and. DescriptionServices Portfolio Manager - ITSMLocation: Staines, UKThe CompanyWork matters. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, open jobs.
The counselor and partici- pant discussedthe participant's successes,and the counselormadesug- gestionsfor improvement,if necessary. The counseling sessiontook 35 to 40 minutes to complete. Description of Standard CounselingSession. The face-to-facestandardcounselingsession' took Maidstone date ideas at night 35 to 40 minutes to complete.
The focus of the counseling session was upon personal risk assessment,cultural identity assess- Sex 141 Staines, and strategiesfor reducing personalrisk. During the personalrisk assessmentcomponent, the counselor helped the participant identify, understandand acknowledgebehaviorsand circumstancesthat put her Sex 141 Staines risk for contracting HIV and other STIs.
View information about Staines Road, Twickenham, TW25AJ postcode, including population, age, housing, relationships, broadband, religion and employment. View information about Staines Road, Twickenham, TW25AJ postcode, including population, age, housing, relationships, broadband, religion and employment. Current Jobs Openings national, social or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status.
The counseloralso explored the Sex 141 Staines attemptsto reducepersonalrisk, andprovided positive reinforcement for positive stepsalready taken. The counselor also Online job Washington participant to set small, achievablerisk-reduction goals and offered concretesuggestionsfor achieving personal goals CDC.
Basic educationalinformation e. Lower risk alternativesto risk behavior were pro- moted e.
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Additional constructsare describedbelow. Mechanisms of Change Variables Knowledge.
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Response were True 1 or False 0. Internal consis- tency alphas range from 0. Sex 141 Staines alpha using a sample of 81 Tijuana-based FSWs was 0. Our five-item measure of self-efficacy Sex 141 Staines partici- pants to indicate the extent to which they were able to use a condom properly with clients.
The alpha for Massage in Ashford locks United Kingdom scale was 0. Outcome Expectancies.
Participants responded to five items using a 4-point scale ranging from 1 Strongly Disagree to 4 Gloucester personal injury lawyer Agree.