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-chaw dvrcw tcrw Thy would be more elegant if you try to specify the URL to the webpage. For example, jsoup.connect("").get(); The high rates of drug use, the potential for HIV-transmission and problems with access to healthcare highlight the need to provide health services within the communities that these individuals are living in. One of the key challenges in expanding HIV/AIDS care is ensuring that people living with HIV/AIDS have the opportunity to access optimal healthcare when and where they need it. To address this challenge, we propose an intervention to link male and female sex workers to HIV care, an approach that is supported by several studies and has been adapted by NIMH for HIV care research, the "primary care approach." The overall goal of this study is to evaluate the effectiveness of an intervention to improve the retention and adherence of sex workers in HIV care. The primary hypothesis is that sex workers who receive both a face-to-face home visit with a community-based nurse as well as a mobile health worker appointment will have better retention in and adherence to HIV care as compared to sex workers receiving either intervention only. We will evaluate this by comparing the rates of retention and adherence in two groups of sex workers receiving either the face-to-face home visit and mobile health worker visit (the home and mobile group) to a third group receiving a single intervention (the home or mobile group). Participants will be sex workers receiving HIV care at 2 medical centers in San Francisco, California (the San Francisco AIDS Foundation [SFAF] and the City-University of San Francisco [CUSF]). In a purposive sampling strategy, we will recruit 100 sex workers from the SFAF patient database who are linked to HIV care. A subset of these individuals will also have an appointment with the mobile health worker. A total of 60 sex workers from the CUSF patient database will be recruited as a comparison group. We will use a randomization procedure to assign 100 sex workers to the home and mobile group and 60 to the home and mobile group. We will conduct a telephone survey of study participants at baseline, 6 months, and 12 months after intervention initiation, collecting data on various aspects of sex work, HIV care, and psychosocial functioning. Participants will be surveyed in either English or Spanish, depending on their preference, and responses will be recorded and transcribed into an N

 

 

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