Little is known about the structure and context of, and the risks encountered in, sex work in the United States. This community-based participatory research CBPR study explored female sex work and the feasibility of conducting a larger study of sex work within the immigrant Latino community in North Carolina. Twelve abbreviated life story interviews were conducted with Latina women who sold sex, other women who sold sex to Latino men, and Latino men who hired sex workers. Content analysis was used to analyze narrative data. Themes emerged to describe the structure of sex work, motivations to sell and hire sex, and the sexual health-related needs of sex workers. Study findings suggest that it is possible to identify and recruit sex workers and clients and collect formative data within this highly vulnerable and neglected community; the prevention of HIV and STDs is a priority among sex workers, and the need for a larger study to include non-Latino men who report using Latina sex workers, other community insiders e.
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Our enhancement process included incorporating local data on risks and context; identifying community priorities; defining intervention core elements and key characteristics; developing a logic model; developing an intervention logo; enhancing intervention activities and materials; scripting intervention delivery; expanding the comparison intervention; and establishing a materials review committee.
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In an effort to reduce those infection rates, scientists at Wake Forest Baptist Medical Center, in partnership with the U. In the study, the researchers evaluated the Spanish language, small-group behavioral HIV prevention program designed to increase condom use and HIV testing - two methods proven to reduce infection - among Latinos who have sex with men. Participants completed structured assessments at baseline and at six-month follow-up. At follow-up, the HOLA participants reported that consistent condom use during sex had increased from 33 percent to 65 percent, as compared to the control group that reported little change.
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