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. 2016 Jun;39(3):502-10.
doi: 10.1007/s10865-016-9713-2. Epub 2016 Jan 18.

Behavioral interventions for Cambodian female entertainment and sex workers who use amphetamine-type stimulants

Adam W Carrico  1   2 , Ean Nil  3 , Chhit Sophal  4 , Ellen Stein  5 , Muth Sokunny  3 , Neak Yuthea  6 , Jennifer L Evans  4 , Song Ngak  3 , Lisa Maher  7 , Kimberly Page  8
Affiliations

Behavioral interventions for Cambodian female entertainment and sex workers who use amphetamine-type stimulants

Adam W Carrico et al. J Behav Med. 2016 Jun.

Abstract

Conditional cash transfer (CCT) and cognitive-behavioral treatments are evidence-based approaches to reduce stimulant use and sexual risk taking. We describe the adaptation and implementation of sequential behavioral interventions for Cambodian female entertainment and sex workers (FESW) who use amphetamine-type stimulants (ATS): (1) a 12-week CCT intervention; and (2) a 4-week cognitive-behavioral aftercare (AC) group. An ongoing cluster randomized stepped wedge trial in 10 Cambodian provinces is enrolling FESW with confirmed recent ATS use to examine the effectiveness of CCT + AC. In the first six provinces, 138 of the 183 eligible FESW (75 %) enrolled in CCT and completed a median of 25 (interquartile range 9-32) of the 36 urine screening visits. Of the 84 participants who were eligible for AC, 79 completed at least one session (94 %) and 57 completed three or more sessions (68 %). Culturally tailored behavioral interventions to reduce ATS use and optimize HIV prevention are feasible in resource-limited settings.

Keywords: Amphetamine-type stimulants; Cognitive-behavioral; Conditional cash transfer; Contingency management; HIV; Sex work.

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Figures

Figure 1
Figure 1
Engagement in conditional cash transfer (CCT) and cognitive-behavioral aftercare (AC) interventions (N = 183)
See this image and copyright information in PMC

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