Promoting HIV testing and condom use among Filipina commercial sex workers: findings from a quasi-experimental intervention study

AIDS Behav. 2009 Oct;13(5):892-901. doi: 10.1007/s10461-008-9418-9. Epub 2008 Jun 10.


This study examines the effects of a multi-level social action-based theory (SABT) intervention to increase HIV testing and consistent condom use among female commercial sex workers (FCSWs). Respondents in four socio-demographically similar Philippine cities received an SABT intervention based on: (1) peer influence; (2) manager training; (3) combined peer/manager influence; or (4) usual care (control condition). HIV testing increased 86% from baseline (N = 980) to follow-up (N = 903), and was significantly associated with higher HIV/AIDS knowledge, lower probability of contracting HIV and increased condom use. After adjusting for socio-demographic, HIV knowledge and perceived control variables, FCSWs in the manager training and combined peer/manager conditions were significantly more likely to engage in consistent condom use. Mediational analyses revealed higher HIV/AIDS risk perceptions and a supportive work environment related to increased condom use. These findings support a growing body of research suggesting the need for multi-level sexual risk reduction interventions among FCSWs.

Publication types

  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Condoms / statistics & numerical data*
  • Female
  • HIV Infections / diagnosis
  • HIV Infections / prevention & control*
  • HIV Infections / psychology
  • Harm Reduction
  • Health Knowledge, Attitudes, Practice*
  • Health Promotion*
  • Homosexuality, Male
  • Humans
  • Logistic Models
  • Male
  • Multilevel Analysis
  • Peer Group
  • Philippines / epidemiology
  • Program Evaluation
  • Risk Factors
  • Sex Work / statistics & numerical data*
  • Socioeconomic Factors