{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T15:45:57Z","timestamp":1773675957304,"version":"3.50.1"},"reference-count":38,"publisher":"BMJ","issue":"Suppl 2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Epidemiol Community Health"],"accepted":{"date-parts":[[2012,2,10]]},"published-print":{"date-parts":[[2012,10]]},"abstract":"<jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>To assess the association between female sex workers' (FSWs) degree of community collectivisation and self-efficacy, utilisation of sexually transmitted infection (STI) services from government-run health centres in Andhra Pradesh, India.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Cross-sectional analyses of 1986 FSWs recruited using a probability-based sampling from five districts of Andhra Pradesh during 2010\u20132011. Multiple logistic regression models were constructed to assess associations. The independent variables included\u2014collective efficacy, collective agency and collective action\u2014measured using a series of items that assessed the grouping of the community on issues that concern most sex workers. An additional independent variable included FSWs belonging to an area where there was a project partnership with government health centres to provide STI treatment services to FSWs. The outcome indicators included self-efficacy for service utilisation from government health facilities and the treatment for STIs from government health facilities at least once in the past year experience of STI symptoms.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Of the 1986 FSWs, nearly two-fifths (39.5%) reported a high level of overall collectivisation (collective efficacy: 89%, collective agency: 50.7%; collective action: 12.7%). Sex workers with a high degree compared with low degree of overall collectivisation were significantly more likely to report high self-efficacy to use government health facilities (75.0% vs 57.3%, adjusted OR 2.5, 95% CI 2.0 to 3.1) and to use government health centres for STI treatment in past 1\u2005year (78.1% vs 63.2%, adjusted OR 2.1, 95% CI 1.6 to 2.8), irrespective of project partnership with government centres.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>The current research findings reinforce the need for stronger community mobilisation for better utilisation of government health facilities for STI and HIV prevention interventions.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/jech-2011-200832","type":"journal-article","created":{"date-parts":[[2012,4,8]],"date-time":"2012-04-08T00:26:54Z","timestamp":1333844814000},"page":"ii62-ii68","source":"Crossref","is-referenced-by-count":22,"title":["Mobilising community collectivisation among female sex workers to promote STI service utilisation from the government healthcare system in Andhra Pradesh, India"],"prefix":"10.1136","volume":"66","author":[{"given":"Prabhakar","family":"Parimi","sequence":"first","affiliation":[{"name":"1India HIV\/AIDS Alliance, Hyderabad, Andhra Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ram Manohar","family":"Mishra","sequence":"additional","affiliation":[{"name":"2HIV and AIDS Program, Population Council, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saroj","family":"Tucker","sequence":"additional","affiliation":[{"name":"3Clinical Services, India HIV\/AIDS Alliance, Hyderabad, Andhra Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Niranjan","family":"Saggurti","sequence":"additional","affiliation":[{"name":"2HIV and AIDS Program, Population Council, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2012,4,6]]},"reference":[{"key":"2025100306405924000_66.Suppl_2.ii62.1","unstructured":"UNAIDS. Sexually transmitted diseases: policies and principles for prevention and care. 1997. http:\/\/www.unaids.org\/en\/media\/unaids\/contentassets\/dataimport\/publications\/irc-pub04\/una97-6_en.pdf (accessed 10 Aug 2011)."},{"key":"2025100306405924000_66.Suppl_2.ii62.2","doi-asserted-by":"publisher","DOI":"10.1080\/09540120600780542"},{"key":"2025100306405924000_66.Suppl_2.ii62.3","doi-asserted-by":"publisher","DOI":"10.1136\/sti.2006.023572"},{"key":"2025100306405924000_66.Suppl_2.ii62.4","unstructured":"National AIDS Control Organization (NACO). NACP-III - To Halt and Reverse the HIV Epidemic in India. New Delhi: India Ministry of Health & Family Welfare, Government of India, 2006."},{"key":"2025100306405924000_66.Suppl_2.ii62.5","doi-asserted-by":"publisher","DOI":"10.1001\/jama.279.9.680"},{"key":"2025100306405924000_66.Suppl_2.ii62.6","doi-asserted-by":"publisher","DOI":"10.1093\/bmb\/58.1.129"},{"key":"2025100306405924000_66.Suppl_2.ii62.7","doi-asserted-by":"publisher","DOI":"10.1007\/BF02825478"},{"key":"2025100306405924000_66.Suppl_2.ii62.8","unstructured":"International Labour Organization. Prevention of HIV\/ AIDS in the World of Work: A Tripartite Response. Good Practices. New Delhi, India 2009. http:\/\/www.ilo.org\/wcmsp5\/groups\/public\/---ed_protect\/---protrav\/---ilo_aids\/documents\/publication\/wcms_119262.pdf (accessed 2 Sep 2011)."},{"key":"2025100306405924000_66.Suppl_2.ii62.9","first-page":"1066","article-title":"Large-scale public-private partnership for improving TB-HIV services for high-risk groups in India","volume":"14","author":"Kane","year":"2010","journal-title":"Int J Tuberc Lung Dis"},{"key":"2025100306405924000_66.Suppl_2.ii62.10","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.91.12.1978"},{"key":"2025100306405924000_66.Suppl_2.ii62.11","doi-asserted-by":"publisher","DOI":"10.1007\/s10464-009-9254-8"},{"key":"2025100306405924000_66.Suppl_2.ii62.12","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2006.09.009"},{"key":"2025100306405924000_66.Suppl_2.ii62.13","unstructured":"Ghosh S Maheswari T DeZoysa C . Community mobilisation of key populations critically reduces vulnerability and significantly increases positive outcomes of a STI prevention programme: results from a four-year impact evaluation study in Andhra Pradesh, India. AIDS 2008 - XVII International AIDS Conference 2008. http:\/\/www.iasociety.org\/Default.aspx?pageId=11&abstractId=200716502 (accessed 25 Aug 2011)."},{"key":"2025100306405924000_66.Suppl_2.ii62.14","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-3156.2008.02040.x"},{"key":"2025100306405924000_66.Suppl_2.ii62.15","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2009.07.035"},{"key":"2025100306405924000_66.Suppl_2.ii62.16","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2009.01.040"},{"key":"2025100306405924000_66.Suppl_2.ii62.17","doi-asserted-by":"publisher","DOI":"10.1007\/s10464-007-9116-1"},{"key":"2025100306405924000_66.Suppl_2.ii62.18","doi-asserted-by":"publisher","DOI":"10.1080\/09540121.2010.498868"},{"key":"2025100306405924000_66.Suppl_2.ii62.19","doi-asserted-by":"publisher","DOI":"10.1590\/S0034-89102007000900018"},{"key":"2025100306405924000_66.Suppl_2.ii62.20","doi-asserted-by":"publisher","DOI":"10.1080\/09540120410001683457"},{"key":"2025100306405924000_66.Suppl_2.ii62.21","doi-asserted-by":"publisher","DOI":"10.1002\/casp.894"},{"key":"2025100306405924000_66.Suppl_2.ii62.22","first-page":"125","article-title":"Beyond medical model of STD intervention\u2014lessons from Sonagachi","volume":"39","author":"Jana","year":"1995","journal-title":"Indian J Public Health"},{"key":"2025100306405924000_66.Suppl_2.ii62.23","doi-asserted-by":"publisher","DOI":"10.1080\/09540120500466937"},{"key":"2025100306405924000_66.Suppl_2.ii62.24","doi-asserted-by":"publisher","DOI":"10.1097\/01.aids.0000343769.92949.dd"},{"key":"2025100306405924000_66.Suppl_2.ii62.25","first-page":"5151","article-title":"Sex workers in Sonagachi- Pioneers of a revolution","volume":"40","author":"Nag","year":"2005","journal-title":"Econ Political Weekly"},{"key":"2025100306405924000_66.Suppl_2.ii62.26","doi-asserted-by":"publisher","DOI":"10.1521\/aeap.16.5.405.48734"},{"issue":"Suppl 2","key":"2025100306405924000_66.Suppl_2.ii62.27","doi-asserted-by":"crossref","first-page":"S67","DOI":"10.1097\/01.aids.0000172879.20628.e1","article-title":"Review of sampling hard-to-reach and hidden populations for HIV surveillance","volume":"19","author":"Magnani","year":"2005","journal-title":"AIDS"},{"issue":"Suppl 5","key":"2025100306405924000_66.Suppl_2.ii62.28","doi-asserted-by":"crossref","first-page":"S17","DOI":"10.1097\/01.aids.0000343761.77702.04","article-title":"Baseline integrated behavioural and biological assessment among most at-risk populations in six high-prevalence states of India: design and implementation challenges","volume":"22","author":"Saidel","year":"2008","journal-title":"AIDS"},{"key":"2025100306405924000_66.Suppl_2.ii62.29","doi-asserted-by":"publisher","DOI":"10.1136\/jech-2011-200478"},{"key":"2025100306405924000_66.Suppl_2.ii62.30","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-10-476"},{"key":"2025100306405924000_66.Suppl_2.ii62.31","unstructured":"Avahan. Avahan\u2014The India AIDS Initiative: The Business of HIV Prevention at Scale. New Delhi, India: Bill & Melinda Gates Foundation, 2008."},{"key":"2025100306405924000_66.Suppl_2.ii62.32","doi-asserted-by":"publisher","DOI":"10.1097\/00126334-200407010-00012"},{"key":"2025100306405924000_66.Suppl_2.ii62.33","doi-asserted-by":"publisher","DOI":"10.1016\/S0277-9536(01)00289-1"},{"issue":"Suppl 1","key":"2025100306405924000_66.Suppl_2.ii62.34","doi-asserted-by":"crossref","first-page":"S102","DOI":"10.1080\/09540120500121185","article-title":"Micro-social structural approaches to HIV prevention: a social ecological perspective","volume":"17","author":"Latkin","year":"2005","journal-title":"AIDS Care"},{"key":"2025100306405924000_66.Suppl_2.ii62.35","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2008.03.045"},{"key":"2025100306405924000_66.Suppl_2.ii62.36","doi-asserted-by":"publisher","DOI":"10.1007\/s11524-005-9007-4"},{"key":"2025100306405924000_66.Suppl_2.ii62.37","unstructured":"Kothari U . Power, knowledge and social control in participatory development. In: Cooke B Kothari U , eds. Participation: The New Tyranny?. London: Zed Books, 2001."},{"key":"2025100306405924000_66.Suppl_2.ii62.38","doi-asserted-by":"crossref","unstructured":"Chambers R . Whose Reality Counts? Putting the First Last. UK: Intermediate Technology Publications, 1997.","DOI":"10.3362\/9781780440453.000"}],"container-title":["Journal of Epidemiology and Community Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/jech-2011-200832","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,3]],"date-time":"2025-10-03T13:41:11Z","timestamp":1759498871000},"score":1,"resource":{"primary":{"URL":"https:\/\/jech.bmj.com\/lookup\/doi\/10.1136\/jech-2011-200832"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,4,6]]},"references-count":38,"journal-issue":{"issue":"Suppl 2","published-online":{"date-parts":[[2012,9,3]]},"published-print":{"date-parts":[[2012,10]]}},"alternative-id":["10.1136\/jech-2011-200832"],"URL":"https:\/\/doi.org\/10.1136\/jech-2011-200832","relation":{},"ISSN":["0143-005X","1470-2738"],"issn-type":[{"value":"0143-005X","type":"print"},{"value":"1470-2738","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,4,6]]}}}