Reducing sexual HIV/STI risk and harmful alcohol use among female sex workers in Mongolia: a randomized clinical trial

Witte, Susan S.; Altantsetseg, Batsukh; Aira, Toivgoo; Riedel, Marion; Chen, Jiehua; Potocnik, Katie; El-Bassel, Nabila; Wu, Elwin; Gilbert, Louisa; Carlson, Catherine; Yao, Hanfei

doi:10.1007/s10461-011-9984-0

Cited by 48Sex work and related issuesHIV, Drug Use, Sexual RiskHIV/AIDS Research and Interventions

Reducing sexual HIV/STI risk and harmful alcohol use among female sex workers in Mongolia: a randomized clinical trial

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Witte, Susan S., Altantsetseg, Batsukh, Aira, Toivgoo, Riedel, Marion, Chen, Jiehua, Potocnik, Katie, El-Bassel, Nabila, Wu, Elwin +3 more·2011·AIDS and Behavior

DOI 10.1007/s10461-011-9984-0PMC PMC4298226

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Abstract

This study examined the efficacy of an enhanced intervention to reduce sexual risk of HIV/STI and harmful alcohol use among female sex workers in Mongolia. Women (n = 166) were recruited and randomized to either (1) a relationship-based HIV sexual risk reduction intervention; (2) the same sexual risk reduction intervention plus motivational interviewing; or (3) a control condition focused on wellness promotion. At three and six month follow-up, both treatment interventions and the wellness promotion condition were effective in reducing the percentage and the number of unprotected acts of vaginal sex with paying partners in the past 90 days. All three conditions demonstrated efficacy in reducing harmful alcohol use. No significant differences in effects were observed between conditions. Findings suggest that even low impact behavioral interventions can achieve considerable reductions of HIV/STI risk and harmful alcohol use with a highly vulnerable population in a low resourced setting.

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The majority of health promotion and education programs addressed alcohol use in the context of HIV/AIDS prevention and risk reduction.
“The majority of programs addressed alcohol use in the context of HIV/AIDS prevention and risk reduction [38–40,43,56,57,95].”
From Patient-level interventions to reduce alcohol-related harms in low- and middle-income countries: A systematic review and meta-summary (2022) · cites this paper as [95]
A majority of the health promotion and education studies that found no effect were either not adequately powered to detect the alcohol-related outcome or were compared to another intervention rather than a control.
“Meanwhile, a majority of the studies that found no effect of their interventions either were not adequately powered to detect the alcohol-related outcome [23,43] or were compared to another intervention rather than a control, thus potentially obscuring some potential reduction in harm [95].”
From Patient-level interventions to reduce alcohol-related harms in low- and middle-income countries: A systematic review and meta-summary (2022) · cites this paper as [95]

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Authors: Witte, S. S., Altantsetseg, B., Aira, T., Riedel, M., Chen, J., Potocnik, K., El-Bassel, N., Wu, E., Gilbert, L., Carlson, C., & Yao, H.
Affiliations: Columbia University (US)
Corresponding author: Witte, Susan S.
ORCID: Witte, Susan S.
Riedel, Marion
Chen, Jiehua
Wu, Elwin
Gilbert, Louisa
Carlson, Catherine
Venue: AIDS and Behavior
Publisher: Springer Science and Business Media LLC
Published: 2011-07-08
Volume: 15
Issue: 8
Pages: 1785-1794
ISSN: 1090-7165 (ISSN-L)
1573-3254
DOI: 10.1007/s10461-011-9984-0
PMC: PMC4298226
OpenAlex: W2077874624
Semantic Scholar: 5b449f3118aecb3fd90072200ce22b90bde39dde
Cited by: 48
References: 49
Citations by year: 2025: 3 · 2024: 1 · 2023: 5 · 2022: 6 · 2021: 2 · 2020: 2 · 2019: 4 · 2018: 1 · 2017: 3 · 2016: 3 · 2015: 6 · 2014: 5 · 2013: 4 · 2012: 2
FWCI: 12.81
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.springer.com/tdm (tdm)
Locations: AIDS and Behavior (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: National Institute on Alcohol Abuse and Alcoholism (R21AA016286)
Topics: Social Sciences › Sociology and Political Science › Sex work and related issues
Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
Keywords: female sex workers, HIV risk reduction, sexually transmitted infections, hazardous drinking, relationship-based intervention, motivational interviewing, unprotected vaginal sex, well-being promotion, resource-limited settings, Mongolia
MeSH terms: Alcohol Drinking, Counseling, Female, Follow-Up Studies, Health Promotion, Humans, Interviews as Topic, Middle Aged, Mongolia, Motivation, Risk-Taking, Sexual Behavior, Sexual Partners, Sexually Transmitted Diseases, HIV Infections, Condoms, Risk Reduction Behavior, Young Adult, Sex Workers

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Reducing sexual HIV/STI risk and harmful alcohol use among female sex workers in Mongolia: a randomized clinical trial

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