Our previous research efforts focused on STD and HIV prevention for Commercial sex workers (CSWs) and manager/supervisors of establishments which employ them in Philippines. Based on the sucessful results of individual and organization based approaches consisting of peer education and organization change (including educational policy regarding STD prevention and condom use), an expanded program is being conceptualized in our current intervention sites in the southern Philippines. The expanded effort is directed toward high-risk groups outside the commercial Sex establishments and Social Hygiene Clinics where we have successfully implemented organizational changes leading to significant reductions in STD. Included in the cxpanded effort are male clients of CSWs from high-risk communities, military/police, indussrial workers, and taxicab drivers. The expanded efforts will also include high-risk communities, community officials and health care personnel. The objective-of this comprehensive intervention is to build an exploratory model to examine the value expectancies, community norms and values, and social influences on the behaviors and attitudes associated with safer sexual practices. A theoretical/conceptual model consisting of self- efficacy, self-esteem, communication of condom use between client and worker, and intention to use condoms has been developed to examine the relationship between endogenous and exogenous variables. Four, two group quasi-experimental designs wlll be employed with intervention efforts for CSWs and managers as a standard across all four sites. Specifically, interventions will be implemented separately for health workers, industries, high-risk communities, military/police and taxi/pedicab drivers in one of four sites with a second site serving as a control. Approximately 7,000 individuals will participate in the intervention activities. A series of bivariate and multivariate procedures will be used to examine the effects of the intervention including the use of use of structural equation modeling to examine the causal structure between endogenous and exogenous variables. The outcome variables also include type of STD and cost per prevented STD case. In addition, qualitative analyses will be used to identify the process by which the interventions become institutionalized thus maintaining long term effects in the community.

Agency
National Institute of Health (NIH)
Institute
National Institute of Allergy and Infectious Diseases (NIAID)
Type
Research Project (R01)
Project #
2R01AI033845-04
Application #
2431565
Study Section
AIDS and Related Research Study Section 6 (ARRF)
Project Start
1993-12-01
Project End
2000-08-31
Budget Start
1997-09-01
Budget End
1998-08-31
Support Year
4
Fiscal Year
1997
Total Cost
Indirect Cost
Name
University of California Los Angeles
Department
Public Health & Prev Medicine
Type
Schools of Public Health
DUNS #
119132785
City
Los Angeles
State
CA
Country
United States
Zip Code
90095
Urada, Lianne A; Silverman, Jay G; Cordisco Tsai, Laura et al. (2014) Underage youth trading sex in the Philippines: trafficking and HIV risk. AIDS Care 26:1586-91
Regan, Rotrease; Dyer, Typhanye Penniman; Gooding, Taigy et al. (2013) Associations between drug use and sexual risks among heterosexual men in the Philippines. Int J STD AIDS 24:969-76
Regan, Rotrease; Morisky, Donald E (2013) Perceptions about HIV and condoms and consistent condom use among male clients of commercial sex workers in the Philippines. Health Educ Behav 40:216-22
Ang, Alfonso; Morisky, Donald E (2012) A multilevel analysis of the impact of socio-structural and environmental influences on condom use among female sex workers. AIDS Behav 16:934-42
Morisky, Donald E; Urada, Lianne A (2011) Organizational policy recommendations for control of STI/HIV among female sex workers in China: regular examination of workers in social hygiene clinics. AIDS Care 23 Suppl 1:83-95
Morisky, Donald E; Chiao, Chi; Ksobiech, Kate et al. (2010) Reducing alcohol use, sex risk behaviors, and sexually transmitted infections among Filipina female bar workers: effects of an ecological intervention. J Prev Interv Community 38:104-17
Morisky, Donald E; Tiglao, Teodora V (2010) Educational and structural interventions and their impact on condom use and STI/HIV prevention for Filipina women and male customers. Asia Pac J Public Health 22:151S-158S
Morisky, Donald E; Malow, Robert M; Tiglao, Teodora V et al. (2010) Reducing sexual risk among Filipina female bar workers: effects of a CBPR-developed structural and network intervention. AIDS Educ Prev 22:371-85
Peng, Eugene Yu-Chang; Lee, Ming-Been; Morisky, Donald Edward et al. (2010) Psychiatric morbidity in HIV-infected male prisoners. J Formos Med Assoc 109:177-84
Peng, Eugene Yu-Chang; Lee, Ming-Been; Tsai, Shang-Ta et al. (2010) Population-based post-crisis psychological distress: an example from the SARS outbreak in Taiwan. J Formos Med Assoc 109:524-32

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