TY - JOUR
T1 - An intervention study assessing a peer outreach model to promote safer-sex for tourism workers
AU - Milhausen, Robin R.
AU - Crosby, Richard A.
AU - Yarber, William L.
AU - Graham, Cynthia A.
AU - Sanders, Stephanie A.
AU - Ingram, Hailey
AU - Barr, Vanessa Moffitt
AU - MacDonald, Ian R.
PY - 2016
Y1 - 2016
N2 - Tourism destinations provide unique social contexts which foster sexual risk-taking. Banff, Alberta, Canada is one such destination with high rates of STI and risk-taking, particularly among tourism workers (TWs).Twenty-five TWs (14 women and 11 men) completed a single session intervention designed to promote the consistent and correct use of condoms. The intervention, comprised of motivational and skills-based training and the provision of a range of high-quality condoms and lubricants, was delivered in a one-to-one format in community settings. Pre- and post-intervention (three weeks following) paper and pencil questionnaires were administered. Sexual experience barriers to condom use significantly decreased (P <.001) after the intervention and confidence in condom use negotiation (P =.005) significantly increased. Confidence in using condoms without loss of pleasure (P =.001) also significantly increased. The number of condom use errors significantly decreased (P <.001). All except two of the behavioral outcomes were also significant: TWs were more likely to discuss condom use before having sex (P =.025), more likely to report condom use the last time sex occurred (P =.005), and more likely to add lubrication to condoms for penile-vaginal sex (P =.027). Significant changes in frequency of unprotected penile-anal sex and frequency of unprotected penile-vaginal sex were not observed; however a large effect size was observed relative to decreases in unprotected penile-vaginal sex. Together the behavioural outcomes and psychosocial outcomes suggest the potential utility for this single session program to be applied in other tourist destinations.
AB - Tourism destinations provide unique social contexts which foster sexual risk-taking. Banff, Alberta, Canada is one such destination with high rates of STI and risk-taking, particularly among tourism workers (TWs).Twenty-five TWs (14 women and 11 men) completed a single session intervention designed to promote the consistent and correct use of condoms. The intervention, comprised of motivational and skills-based training and the provision of a range of high-quality condoms and lubricants, was delivered in a one-to-one format in community settings. Pre- and post-intervention (three weeks following) paper and pencil questionnaires were administered. Sexual experience barriers to condom use significantly decreased (P <.001) after the intervention and confidence in condom use negotiation (P =.005) significantly increased. Confidence in using condoms without loss of pleasure (P =.001) also significantly increased. The number of condom use errors significantly decreased (P <.001). All except two of the behavioral outcomes were also significant: TWs were more likely to discuss condom use before having sex (P =.025), more likely to report condom use the last time sex occurred (P =.005), and more likely to add lubrication to condoms for penile-vaginal sex (P =.027). Significant changes in frequency of unprotected penile-anal sex and frequency of unprotected penile-vaginal sex were not observed; however a large effect size was observed relative to decreases in unprotected penile-vaginal sex. Together the behavioural outcomes and psychosocial outcomes suggest the potential utility for this single session program to be applied in other tourist destinations.
KW - Condom use
KW - Intervention
KW - Sexual health
KW - Tourism workers
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U2 - 10.3138/cjhs.253-A5
DO - 10.3138/cjhs.253-A5
M3 - Article
AN - SCOPUS:85009348956
SN - 1188-4517
VL - 25
SP - 216
EP - 224
JO - Canadian Journal of Human Sexuality
JF - Canadian Journal of Human Sexuality
IS - 3
ER -