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Risk reduction and perceived collective efficacy and community support among female sex workers in Tamil Nadu and Maharashtra, India: the importance of context

Guha, Mohua, Baschieri, Angela, Bharat, Shalini, Bhatnagar, Tarun, Sane, Suvarna Sanjay, Godbole, Sheela V., Saravanamurthy, P.S., Mainkar, Mandar Keshav, Williams, Joseph and Collumbien, Martine (2012) Risk reduction and perceived collective efficacy and community support among female sex workers in Tamil Nadu and Maharashtra, India: the importance of context Journal of Epidemiology & Community Health (doi:10.1136/jech-2011-200562). (PMID:22760217).

Record type: Article

Abstract

Background Empowering sex workers to mobilise and influence the structural context that obstructs risk reduction efforts is now seen an essential component of successful HIV prevention programmes. However, success depends on local programme environments and history.

Methods The authors analysed data from the Integrated Behavioural and Biological Assessment Round I cross-sectional survey among female sex workers in Tamil Nadu and Maharashtra. The authors used propensity score matching to estimate the impact of participation in intervention activities on reduction of risk (consistent condom use) and vulnerability (perceived collective efficacy and community support).

Results Background levels of risk and vulnerability as well as intervention impact varied widely across the different settings. The effect size ATT of attending meetings/trainings on consistent condom use was as high as 21% in Tamil Nadu (outside of Chennai) where overall use was lowest at 51%. Overall, levels of perceived collective efficacy were low at the time of the survey; perceived community support was high in Tamil Nadu and especially in Chennai (93%) contrasting with 33% in Mumbai. Consistent with previous research, the context of Mumbai seems least conducive to vulnerability reduction, yet self-help groups had a significant impact on consistent condom use (ATT=10%) and were significantly associated with higher collective efficacy (ATT=31%).

Conclusions Significant risk reduction can be achieved by large-scale female sex worker interventions, but the impact depends on the history of programming, the complexity of the context in which sex work happens and pre-existing levels of support sex workers perceive from their peers.

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More information

e-pub ahead of print date: 3 July 2012
Organisations: Social Statistics & Demography

Identifiers

Local EPrints ID: 341080
URI: http://eprints.soton.ac.uk/id/eprint/341080
ISSN: 0143-005X
PURE UUID: bb60a198-af97-40d4-a64d-7f8341aa0935

Catalogue record

Date deposited: 12 Jul 2012 15:41
Last modified: 18 Jul 2017 05:39

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Contributors

Author: Mohua Guha
Author: Angela Baschieri
Author: Shalini Bharat
Author: Tarun Bhatnagar
Author: Suvarna Sanjay Sane
Author: Sheela V. Godbole
Author: P.S. Saravanamurthy
Author: Mandar Keshav Mainkar
Author: Joseph Williams
Author: Martine Collumbien

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