Transcript Document

HIV Prevention & Health Promotion for
Asian Women Working at Massage
Parlors in San Francisco
Health Project for Asian Women (HPAW)
Center for AIDS Prevention Studies (CAPS)
University of California, San Francisco (UCSF)
Objectives
 To describe drug use and HIV-related risk behaviors
among Asian masseuses at Asian massage parlors in
San Francisco
 To provide women’s health and HIV/AIDS education to
masseuses as well as owners/managers of parlors
 To implement and evaluate the intervention programs
for masseuses and owners/managers to increase
masseuses’ protective behaviors against HIV/STIs and
drug abuse
Background
Asian Massage Parlors in San Francisco
 Identified 25 Massage
parlors where masseuses
exchanged sex for money
in the Tenderloin area
 12 Vietnamese Owned
 10 Korean Owned
 3 Chinese Owned
Background
Asian Masseuses in San Francisco
 Underserved
population
 Lack of access to
health care services
 Immigrants
 Monolingual
 Inconsistent condom
use with clients and
private partners
 Harmful practices to
women’s heath
 Substance use due
to highly stressful job
 Multiple sex partners
HPAW is……
 Service Component
 Daily outreach activities
 Research Component
 HIV/AIDS and Drug abuse intervention
study
 Masseuse’s Counseling Program
 Owner’s Education Program
Outreach Effort
 Clinic escort
 Safer sex kits distribution
 Health education
 Translation
 Referral services
 Advocating
Outreach Efforts - Challenges
 Highly mobilized population
 Stigmatized population
 Owners/Managers
acceptance
 Demographic changes in
business
Outreach Efforts - Challenges
 Frequent disruptions by
customers
 Unfamiliarity with
research
 Law enforcement
 Limited English
proficiency
Outreach Effort – Lesson & Learned
 Consistent outreach
 Clinic escorts
 Safer sex kits distribution
 Respect toward massage
parlor business
Outreach Effort – Lesson & Learned
 Recruitment through
masseuses’ referrals
 Flexibility
 Confrontation
Intervention Programs
Recruitment through Daily Outreach
Intervention Group
Control Group
Pre-test
Counseling Program
Post-test
6 month Follow-up
Counseling Program
 1st Session
Objectives
Assess &
prioritize
needs
Procedures
Outcomes
Needs Assessment Measure baseline
attitudes toward
 Health Status
health and well-being
 Social Network
 Services Utilization
 Family Issues
Counseling Program
 2nd Session
Objectives
Increase
knowledge
about
general
women’s
health &
STDs/HIV
Procedures
Informative session
 Douching
 Women’s health
 Birth control method
 Symptoms of HIV/STDs
 Challenges for safe sex
Referrals/ Resources
Outcomes
 Increase women’s
health & HIV/STDs
knowledge
 Increase
knowledge & use of
cultural sensitive
CBOs
Counseling Program
 3rd Session
Objectives
Increase
psychosocial skills
Procedures
Discussion
 Stress Reduction
 Social Skills
 Other concerns
Outcomes
 Increase positive
coping strategies
 Higher self-esteem
 Enhance sense of
control toward stress
Referrals/ Resources  Higher level of
adjustment to living in US
 Increase knowledge &
use of cultural sensitive
CBOs
HPAW Staff
 Principal Investigator: Tooru Nemoto, Ph.D.
 Project Director: Mariko Iwamoto, M.A.
 Project Assistant: Samantha Witt
 Health Educators: Ha Chu
Yon-Hee Kim
Yoonjung Kim
Phuong Ngo
Thank you!
supported by
the National Institute on Drug Abuse (NIDA)
Grant No: R01DA13896