Punto Seguro: A Randomized Controlled Pilot Using Conditional Economic Incentives to Reduce Sexually Transmitted Infection Risks in Mexico.
Randomized controlled pilot evaluated effect of conditional economic incentives (CEIs) on number of sex partners, condom use, and incident sexually transmitted infections (STIs) among male sex workers in Mexico City. Incentives were contingent on testing free of new curable STIs and/or clinic attend...
| Publicado en: | AIDS & Behavior Vol. 21; no. 12; pp. 3440 - 3457 |
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| Autores principales: | , , , , , , , , , , |
| Formato: | research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Springer Nature
Dec2017
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=126406073&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 126406073 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10907165 G1T jtl: AIDS & Behavior issn: 10907165 maglogo: N pubinfo: dt: Dec2017 vid: 21 iid: 12 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 126406073 126406073 143977981 126406073 10.1007/s10461-017-1960-x 126406073 ppf: 3440 ppct: 17 formats: fmt: @attributes: type: P tig: atl: Punto Seguro: A Randomized Controlled Pilot Using Conditional Economic Incentives to Reduce Sexually Transmitted Infection Risks in Mexico. aug: au: Galárraga, Omar Sosa-Rubí, Sandra Kuo, Caroline Gozalo, Pedro González, Andrea Saavedra, Biani Gras-Allain, Nathalie Conde-Glez, Carlos Olamendi-Portugal, Maria Mayer, Kenneth Operario, Don affil: Brown University School of Public Health , Providence USA sug: subj: Sexually Transmitted Diseases Prevention and Control Sexuality Unsafe Sex Human Male Randomized Controlled Trials Random Assignment Mexico Motivation Male ab: Randomized controlled pilot evaluated effect of conditional economic incentives (CEIs) on number of sex partners, condom use, and incident sexually transmitted infections (STIs) among male sex workers in Mexico City. Incentives were contingent on testing free of new curable STIs and/or clinic attendance. We assessed outcomes for n = 227 participants at 6 and 12 months (during active phase with incentives), and then at 18 months (with incentives removed). We used intention-to-treat and inverse probability weighting for the analysis. During active phase, CEIs increased clinic visits (10-13 percentage points) and increased condom use (10-15 percentage points) for CEI groups relative to controls. The effect on condom use was not sustained once CEIs were removed. CEIs did not have an effect on number of partners or incident STIs. Conditional incentives for male sex workers can increase linkage to care and retention and reduce some HIV/STI risks such as condomless sex, while incentives are in place. Este estudio controlado aleatorizado evaluó el efecto de los incentivos económicos condicionados (IECs) sobre el número de parejas sexuales, el uso del condón y las infecciones de transmisión sexual (ITS) entre los trabajadores sexuales masculinos en la Ciudad de México. En los grupos experimentales, los participantes recibieron IECs por estar libres de nuevas ITS curables y/o por asistencia a la clínica. Se evaluaron resultados para n = 227 participantes a los 6 y 12 meses (durante la fase activa con incentivos) y luego a los 18 meses (sin incentivos). Se utilizó modelos de intención de tratar y ponderación de probabilidad inversa. Durante la fase activa, los IECs aumentaron las visitas clínicas (10-13 puntos porcentuales) y el uso del condón (10-15 puntos porcentuales) en relación al grupo control. El efecto sobre el uso del condón no se mantuvo una vez que se eliminaron los incentivos. Los IECs no tuvieron efecto sobre el número de parejas sexuales o la incidencia de ITS. Los incentivos condicionales para los trabajadores sexuales pueden aumentar el vínculo y la retención en los servicios clínicos y reducir algunos riesgos como el sexo sin preservativo. pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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