Development and Testing of a Sexually Transmitted Diseases Prevention Program in At-Risk Prostitutes

요보호 윤락여성을 위한 성병예방 중재프로그램 개발 및 효과검증

  • Ahn, Yang-Heui (Department of Nursing, Wonju College of Medicine, Yonsei University) ;
  • Jin, Gi-Nam (Department of Health Administration, College of Health Science, Yonsei University)
  • 안양희 (연세대학교 원주의과대학 간호학과) ;
  • 진기남 (연세대학교 원주캠퍼스 보건행정학과)
  • Published : 2005.08.01

Abstract

Purpose: The purpose of the study was to test the effectiveness of an 8 session intervention program to prevent sexually transmitted diseases (STDs) among at-risk prostitutes. Method: An experimental research design was employed. Subjects were 59 prostitutes (29 in the control group and 30 in the experimental group) who agreed to participate in this study. An STD Prevention Framework derived from Cox's Interaction Model of Client Health Behavior guided the overall intervention and the components. The intervention had 8 sessions with STD-prevention strategies and was led by Public Health Nurses. Analysis included change scores, $x^2$-test, and t-test. Result: The results revealed significant increase in feelings and skills of condom use, peer belief on condom use, condom use practice, and satisfaction with service at public health centers (PHC) on STDs knowledge and skills in the experimental group. However, newly contracted STDs were not significant statistically between groups. Conclusion: The 8 session STDs prevention program showed a effect on emotions, skills and' behaviors of condom use even with the limitation of methodological rigors because of subject-specific conditions. In the future, a capacity-building model based on collaborating networks among community-based organizations will be needed to develop in effective STDs prevention.

Keywords

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