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Effectiveness of a Community Empowerment Intervention to Improve Access to Pre-exposure Prophylaxis in Migrant Women Sex Workers: Protocol for a Mixed Methods Implementation Study

dc.rights.licenseopenen_US
hal.structure.identifierSciences Economiques et Sociales de la Santé & Traitement de l'Information Médicale [SESSTIM - U1252 INSERM - Aix Marseille Univ - UMR 259 IRD]
hal.structure.identifierInstitut des sciences de la santé publique [Marseille] [ISSPAM]
hal.structure.identifierUniversity of Health Sciences [Phnom-Penh, Cambodia] [UHS]
dc.contributor.authorMOSNIER, Emilie
hal.structure.identifierProspective Cooperation NGO [Marseille] [PC-NGO]
dc.contributor.authorARTIGAS, Fernanda
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorRICHARD, Elodie
hal.structure.identifierSciences Economiques et Sociales de la Santé & Traitement de l'Information Médicale [SESSTIM - U1252 INSERM - Aix Marseille Univ - UMR 259 IRD]
hal.structure.identifierInstitut des sciences de la santé publique [Marseille] [ISSPAM]
dc.contributor.authorHOYER, Maxime
hal.structure.identifierCoalition PLUS [Pantin, France] [Community Research Laboratory Pantin]
dc.contributor.authorMICHELS, David
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorVANDENTORREN, Stephanie
hal.structure.identifierSciences Economiques et Sociales de la Santé & Traitement de l'Information Médicale [SESSTIM - U1252 INSERM - Aix Marseille Univ - UMR 259 IRD]
hal.structure.identifierInstitut des sciences de la santé publique [Marseille] [ISSPAM]
dc.contributor.authorGIRARD, Gabriel
hal.structure.identifierPathogenesis and Control of Chronic and Emerging Infections [PCCEI]
dc.contributor.authorNAGOT, Nicolas
hal.structure.identifierSciences Economiques et Sociales de la Santé & Traitement de l'Information Médicale [SESSTIM - U1252 INSERM - Aix Marseille Univ - UMR 259 IRD]
hal.structure.identifierInstitut des sciences de la santé publique [Marseille] [ISSPAM]
dc.contributor.authorREGNAULT, Hippolyte
hal.structure.identifierProspective Cooperation NGO [Marseille] [PC-NGO]
dc.contributor.authorMOSNIER, Marine
hal.structure.identifierProspective Cooperation NGO [Marseille] [PC-NGO]
dc.contributor.authorINEGBEZE, Grâce
hal.structure.identifierSciences Economiques et Sociales de la Santé & Traitement de l'Information Médicale [SESSTIM - U1252 INSERM - Aix Marseille Univ - UMR 259 IRD]
hal.structure.identifierInstitut des sciences de la santé publique [Marseille] [ISSPAM]
dc.contributor.authorROUX, Perrine
hal.structure.identifierSciences Economiques et Sociales de la Santé & Traitement de l'Information Médicale [SESSTIM - U1252 INSERM - Aix Marseille Univ - UMR 259 IRD]
hal.structure.identifierInstitut des sciences de la santé publique [Marseille] [ISSPAM]
dc.contributor.authorSPIRE, Bruno
hal.structure.identifierUnité des Virus Emergents [UVE]
dc.contributor.authorELDIN, Carole
dc.date.accessioned2024-10-30T10:32:43Z
dc.date.available2024-10-30T10:32:43Z
dc.date.issued2023-08-04
dc.identifier.issn1929-0748en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/202989
dc.description.abstractEnBackground The World Health Organization recommends pre-exposure prophylaxis (PrEP) for all populations at substantial risk of HIV infection. However, at-risk women very rarely use PrEP in France—this represents a critical issue among migrant women sex workers (MWSWs). Previous studies on PrEP use among women sex workers or migrants focused on individual or social determinants of motivation. However, operational studies in real-word settings using a holistic population approach to maximize PrEP adherence among MWSWs are lacking. Objective FASSETS (ie, “Favoriser l’Accès à la Santé Sexuelle des Travailleuses du Sexe”; English: “facilitate the access to Sexual Health in women sex workers”) is a participative, multilevel, mixed methods study aiming to improve global knowledge of and access to sexual health care and PrEP among MWSWs through targeted empowerment strategies. Methods This study comprises several phases: (1) phase 1: an initial qualitative study combining semistructured interviews, informal interviews, and participative observations will be performed among MWSWs, local community nongovernmental organizations, and institutions providing sexual reproductive health services to identify the determinants of PrEP access among MWSWs and for respondent-driven sampling (RDS); (2) phase 2: the size of the hidden MWSW population is estimated in Marseille through capture-recapture (the RDS survey will serve as “recapture”); (3) phase 3: a longitudinal cohort will be formed through RDS to represent the MWSW population with a goal of 150 inclusions—this cohort will be followed up for 12 months, and sequential questionnaires exploring medical history; knowledge of sexual health, HIV, and sexually transmitted infections; migration route; and current living conditions will be administered at inclusion (month 0) and months 3, 6, and 12 to measure the following interventional phase’s outcomes; and (4) phase 4: an interventional study with community empowerment actions about sexual health and PrEP will be conducted with community health workers; standardized questionnaires and semistructured interviews, observations, and focus groups will highlight MWSWs’ experiences with empowerment resources, concerns about sexual health, and especially PrEP use or uptake, and we will evaluate whether and how community-adapted empowerment actions conducted by community health workers are effective in increasing access to sexual health, prevention and screening of sexually transmitted infections, and PrEP knowledge and access among MWSWs. Results Recruitment commenced on March 1, 2022. We estimate the follow-up period to end on September 30, 2023. Conclusions This multiphase study will provide robust evidence about the magnitude of the MWSW population in Marseille (the second largest town in France) and their current conditions of living, access to and knowledge of sexual health, and PrEP access. Using a mixed methods analysis, we will investigate whether individual and collective community health empowerment approaches can facilitate access to PrEP and its initiation, use, and adherence in this vulnerable population. International Registered Report Identifier (IRRID) DERR1-10.2196/42844
dc.language.isoENen_US
dc.rightsAttribution 3.0 United States*
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/us/*
dc.subject.enFrance
dc.subject.enPrEP
dc.subject.encare
dc.subject.encommunity
dc.subject.encommunity empowerment
dc.subject.enhealth care
dc.subject.enhealthcare
dc.subject.enimplementation science
dc.subject.enintervention
dc.subject.enmigrants
dc.subject.enmixed methods
dc.subject.enpre-exposure prophylaxis
dc.subject.ensex workers
dc.subject.ensexual health
dc.subject.entreatment
dc.subject.enwomen.
dc.title.enEffectiveness of a Community Empowerment Intervention to Improve Access to Pre-exposure Prophylaxis in Migrant Women Sex Workers: Protocol for a Mixed Methods Implementation Study
dc.title.alternativeJMIR Res Protocen_US
dc.typeArticle de revueen_US
dc.identifier.doi10.2196/42844en_US
dc.subject.halSciences du Vivant [q-bio]en_US
dc.subject.halSciences du Vivant [q-bio]/Immunologieen_US
dc.subject.halSciences du Vivant [q-bio]/Médecine humaine et pathologieen_US
dc.subject.halSciences du Vivant [q-bio]/Médecine humaine et pathologie/Maladies infectieusesen_US
dc.identifier.pubmed37540547en_US
bordeaux.journalJMIR Research Protocolsen_US
bordeaux.pagee42844en_US
bordeaux.volume12en_US
bordeaux.hal.laboratoriesBordeaux Population Health Research Center (BPH) - UMR 1219en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.institutionINSERMen_US
bordeaux.teamPHARES_BPHen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
bordeaux.identifier.funderIDSidactionen_US
bordeaux.identifier.funderIDViiV Healthcareen_US
bordeaux.import.sourcehal
hal.identifierhal-04241170
hal.version1
hal.popularnonen_US
hal.audienceInternationaleen_US
hal.exportfalse
workflow.import.sourcehal
dc.rights.ccPas de Licence CCen_US
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