Sex Work Clinical Trial
— EMERALDOfficial title:
A Structural HIV Prevention Intervention Targeting High-risk Women
Verified date | October 2022 |
Source | Johns Hopkins Bloomberg School of Public Health |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The purpose of this study is to assess the effectiveness of a community based combination HIV prevention package, including biomedical, behavioral, and structural services for female sex workers (FSW) in Baltimore, Maryland. This study is a prospective two-group trial comparing the efficacy of a community-based comprehensive HIV/STI prevention package compared to standard of care (HIV testing, counseling, and referrals) among FSWs. Outcomes will be assessed through self-reported illicit drug use and sexual risk behaviors (behavioral) as well as HIV/STI testing (biological).
Status | Completed |
Enrollment | 385 |
Est. completion date | September 22, 2020 |
Est. primary completion date | September 22, 2020 |
Accepts healthy volunteers | No |
Gender | Female |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - Age 18 or older; - Assigned female at birth and identify with female gender - Have exchanged sex in Baltimore City at least 3 times in the past 3 months; - Willing to undergo testing for HIV, gonorrhea, and chlamydia - Willing to provide locator information. Exclusion Criteria: - Inability to provide informed consent in English; - Women who are determined as too high or drunk; - Women who are cognitively impaired. - Currently enrolled in the SAPPHIRE study |
Country | Name | City | State |
---|---|---|---|
United States | Johns Hopkins Bloomberg School of Public Health | Baltimore | Maryland |
Lead Sponsor | Collaborator |
---|---|
Johns Hopkins Bloomberg School of Public Health | National Institute on Drug Abuse (NIDA) |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | Implementation evaluation using SPARC Center client satisfaction surveys | SPARC Center client satisfaction surveys will be used to determine the fit, facilitators and barriers, quality, and general experience of women who have used the SPARC Center. | 12-month, 18-month | |
Other | Implementation evaluation using in-depth interviews with SPARC staff and clients | An in-depth interview guide will be developed by experienced study staff and used to interview SPARC guests and staff with the goal of examining program reach, fit, facilitators and barriers, and program costs. | 18 months | |
Other | Implementation evaluation using cross-sectional surveys | A cross-sectional survey will be developed by study staff and used to determine the reach of the implementation within the FSW community of southwest Baltimore. | 18 months | |
Primary | Change in HIV/STI cumulative incidence over time | Participants will be tested for HIV, chlamydia and gonorrhea at each study visit. | Baseline, 6 month, 12 month, 18 month, 24 month visits. | |
Secondary | Sexual Risk Behaviors | Participants will be asked for detailed information about sexual partners in the last 6 months.
For each listed partner, the investigators will ask: gender; age; drug use; incarceration history; type of partner (primary, casual, one-time); frequency of sexual activity and condom use; type of sex (oral, vaginal, anal); and if partner had other sexual partners during the time of their sexual involvement. This data collection method allows for calculation of the number of unprotected sexual acts. |
Baseline, 6 month, 12 month, 18 month visits. | |
Secondary | Illicit Drug Use | The investigators will ascertain the initiation and frequency of all illicit drugs through the use of a modified NIDA Risk Assessment Battery that has been used and adapted over the past decade. | Baseline, 6 month, 12 month, 18 month visits. |
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