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HIV Prevention & Health Promotion for Asian Women Working at Massage Parlors in San Francisco

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.

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HIV Prevention & Health Promotion for Asian Women Working at Massage Parlors in San Francisco

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  1. 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)

  2. 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

  3. BackgroundAsian 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

  4. Underserved population Immigrants Monolingual Harmful practices to women’s heath Multiple sex partners Lack of access to health care services Inconsistent condom use with clients and private partners Substance use due to highly stressful job BackgroundAsian Masseuses in San Francisco

  5. HPAW is…… • Service Component • Daily outreach activities • Research Component • HIV/AIDS and Drug abuse intervention study • Masseuse’s Counseling Program • Owner’s Education Program

  6. Outreach Effort • Clinic escort • Safer sex kits distribution • Health education • Translation • Referral services • Advocating

  7. Outreach Efforts - Challenges • Highly mobilized population • Stigmatized population • Owners/Managers acceptance • Demographic changes in business

  8. Outreach Efforts - Challenges • Frequent disruptions by customers • Unfamiliarity with research • Law enforcement • Limited English proficiency

  9. Outreach Effort– Lesson & Learned • Consistent outreach • Clinic escorts • Safer sex kits distribution • Respect toward massage parlor business

  10. Outreach Effort– Lesson & Learned • Recruitment through masseuses’ referrals • Flexibility • Confrontation

  11. Intervention Programs

  12. Counseling Program • 1st Session

  13. Counseling Program • 2nd Session

  14. Counseling Program • 3rd Session

  15. 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

  16. Thank you! supported by the National Institute on Drug Abuse (NIDA) Grant No: R01DA13896

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