The proposed 5-year, Miami-based study is motivated by the need to develop and evaluate an alternative model of HIV/HCV/HBV risk reduction for drug-using women sex workers that is brief, cost- effective, easily replicable, and that goes beyond a purely didactic, expert-designed message. Training active sex workers as outreach workers and former sex workers as HIV/HCV/HBV interventionists, and designing an appropriate intervention together with members of this community are ways of empowering women sex workers to control their own risk reduction activities. As such, the general purposes of the study are to: 1) implement and evaluate the effectiveness of two interventions by randomly assigning 800 participants to one of two treatment conditions: a) a sex worker-focused intervention developed in conjunction with street-based sex workers and delivered by former sex workers; and b) a conventional intervention (the augmented """"""""NIDA Standard"""""""") delivered by former sex workers; 2) examine the effects of demographics and other variables in predicting changes in sexual, drug, and other risk behaviors; 3) examine the suitability of using active sex workers for outreach, and using former sex workers now in recovery for delivering the proposed interventions; 4) evaluate the cost and cost-effectiveness of the two interventions in reducing sexual and drug risk behaviors. The field site for the project will be located in the heart of Miami's major prostitution districts, and extensive pilot work was conducted to inform the development of the sex worker focused intervention and the proposal as a whole. The sample includes African-Americans, white-Anglos, and Latinas in proportion to their estimated representation in the active Miami sex worker population. Data analyses will use a variety of statistical techniques to describe the population and the prevalence of risk behaviors. Subsequent analyses will use advanced multivariate techniques to assess changes in risk behaviors. A vigorous publication and technology transfer program is proposed.

Agency
National Institute of Health (NIH)
Institute
National Institute on Drug Abuse (NIDA)
Type
Research Project (R01)
Project #
5R01DA013131-02
Application #
6379005
Study Section
Special Emphasis Panel (ZRG1-AARR-7 (01))
Program Officer
Lambert, Elizabeth
Project Start
2000-09-01
Project End
2005-07-31
Budget Start
2001-08-01
Budget End
2002-07-31
Support Year
2
Fiscal Year
2001
Total Cost
$512,005
Indirect Cost
Name
University of Delaware
Department
Social Sciences
Type
Schools of Arts and Sciences
DUNS #
059007500
City
Newark
State
DE
Country
United States
Zip Code
19716
Levi-Minzi, Maria A; Surratt, Hilary L; O'Grady, Catherine L et al. (2016) Finding what works: Predicting health or social service linkage in drug using, African American, female sex workers in Miami, FL. Health Care Women Int 37:744-59
Varga, Leah M; Surratt, Hilary L (2014) Predicting health care utilization in marginalized populations: Black, female, street-based sex workers. Womens Health Issues 24:e335-43
Buttram, Mance E; Surratt, Hilary L; Kurtz, Steven P (2014) Risk and Protective Factors Associated with Personal Mastery Among Sexual Minority African American Female Sex Workers. J Gay Lesbian Soc Serv 26:407-425
Surratt, Hilary L; O'Grady, Catherine L; Kurtz, Steven P et al. (2014) HIV testing and engagement in care among highly vulnerable female sex workers: implications for treatment as prevention models. J Health Care Poor Underserved 25:1360-78
Surratt, Hilary L; O'Grady, Catherine; Kurtz, Steven P et al. (2014) Outcomes of a behavioral intervention to reduce HIV risk among drug-involved female sex workers. AIDS Behav 18:726-39
Buttram, Mance E; Surratt, Hilary L; Kurtz, Steven P (2014) Resilience and syndemic risk factors among African-American female sex workers. Psychol Health Med 19:442-52
Surratt, Hilary L; Kurtz, Steven P (2012) Foster care history and HIV infection among drug-using African American female sex workers. AIDS Behav 16:982-9
Surratt, Hilary L; Kurtz, Steven P; Chen, Minxing et al. (2012) HIV risk among female sex workers in Miami: the impact of violent victimization and untreated mental illness. AIDS Care 24:553-61
Surratt, Hilary L; Inciardi, James A (2010) An effective HIV risk-reduction protocol for drug-using female sex workers. J Prev Interv Community 38:118-31
Inciardi, James A; Surratt, Hilary L; Cicero, Theodore J et al. (2009) The ""black box"" of prescription drug diversion. J Addict Dis 28:332-47

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