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首页> 外文期刊>Sexually Transmitted Infections >Randomised controlled trial of alternative male and female condom promotion strategies targeting sex workers in Madagascar.
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Randomised controlled trial of alternative male and female condom promotion strategies targeting sex workers in Madagascar.

机译：针对马达加斯加性工作者的替代性男用和女用避孕套促进策略的随机对照试验。

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OBJECTIVES: To assess whether individual clinic-based counselling as a supplement to peer education for male and female condom promotion leads to greater use of protection and lower STI prevalence among sex workers in Madagascar already exposed to intensive male condom promotion. METHODS: In two public dispensaries in Madagascar, a total of 901 sex workers were randomly allocated between two alternative male and female condom promotion INTERVENTIONS: peer education only, or peer education supplemented with individual clinic-based counselling. Participants were followed for 12 months. Every 2 months they made clinic visits, where they were interviewed on condom use. Peer educators counselled all participants on condom use as they accompanied their assigned participants to study visits. Participants assigned to receive the supplemental intervention were counselled by a trained clinician following study interviews. Participants were tested and treated for chlamydia, gonorrhoea and trichomoniasis every 6 months. We used logistic regression to assess whether the more intensive intervention was associated with reduced STI prevalence. Use of protection with clients and non-paying partners was assessed by study arm, site, and visit. RESULTS: There was no statistically significant association between study arm and aggregated STI prevalence. No substantial differences in levels of reported protection were noted between study groups. CONCLUSIONS: This study found little evidence for gains from more thorough clinical counselling on male and female condom use. These findings suggest that less clinically intensive interventions such as peer education could be suitable for male and female condom promotion in populations already exposed to barrier method promotion.
机译：目的：评估在已经接受强化男用安全套宣传的马达加斯加，以诊所为基础的个人咨询作为对男用和女用避孕套推广同伴教育的补充是否会导致更多使用保护，并降低性工作者的性传播感染患病率。方法：在马达加斯加的两个公共药房中，总共901名性工作者被随机分配在两种替代性的男用和女用避孕套推广之间。干预措施：仅同伴教育或同伴教育加上基于诊所的个人咨询。参与者被追踪了12个月。他们每2个月就诊一次，并就使用安全套的情况进行访谈。同行教育者陪同他们指定的参与者进行研究访问时，为所有参与者提供了使用安全套的建议。在研究访谈之后，由受过训练的临床医生为分配接受补充干预的参与者提供咨询。每6个月对参与者进行一次衣原体感染，淋病和毛滴虫病检测和治疗。我们使用逻辑回归分析来评估更深入的干预是否与STI患病率降低相关。通过研究部门，现场和访问评估了与客户和非付费合作伙伴的保护使用情况。结果：研究组与性传播感染总体流行率之间无统计学意义的关联。研究组之间报告的保护水平没有显着差异。结论：这项研究发现很少有证据表明从更全面的男性和女性使用安全套临床咨询中获益。这些发现表明，在同等教育中，临床密集程度较低的干预措施可能适合在已经接受屏障方法推广的人群中推广男性和女性安全套。

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