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Understanding the Hierarchical Relationships in Female Sex Workers’ Social Networks Based on Knowledge, Attitude, and Practice

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School of Business, Shandong Normal University, Jinan 250358, China
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National Science Library, Chinese Academy of Science, Beijing 100190, China
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Department of Library Information and Archives Management, UCAS, Beijing100039, China
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Information Systems and Operation Management, College of Business, University of Texas at Arlington, Arlington, TX 76019, USA
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Statistics with Data Science, School of Mathematics, The University of Edinburgh, Edinburgh EH8 9YL, UK
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School of Business, Shandong Normal University, Jinan 250358, China
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Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2019, 16(20), 3841; https://doi.org/10.3390/ijerph16203841
Received: 11 August 2019 / Revised: 23 September 2019 / Accepted: 3 October 2019 / Published: 11 October 2019
Female sex workers (FSWs) represent a high-risk population for HIV infection and transmission. In general, their fellow FSWs (peers) also play a role in their level of susceptibility to HIV/AIDS. This paper draws from interview data of 93 FSWs to construct a multi-layer FSW social network model based on their knowledge, attitude, and practice (KAP). Statistical analyses of the correlation among the three dimensions of KAP as well as their social interactions indicated that FSWs had basic knowledge of HIV/AIDS prevention but demonstrated little enthusiasm in acquiring relevant information. Their knowledge, attitude, and practice were highly positively correlated. Their attitude was more likely to be negatively influenced by their companions, while their practice was more likely to be positively affected. Besides, FSWs exhibited high homophily in KAP with their neighbors. Thus, during HIV/AIDS interventions, FSWs should receive individualized education based on their specific KAP. Considering the high level of homophily among FSWs, their propensity to be positive or negative in their KAP are significantly influenced by their companions. Making full use of peer education and social interaction-based interventions may help prevent and control the spread of HIV/AIDS.
Keywords: hierarchical social network; knowledge, attitude, and practice (KAP); HIV/AIDS; individual character hierarchical social network; knowledge, attitude, and practice (KAP); HIV/AIDS; individual character
MDPI and ACS Style

Dong, X.; Sun, M.; Wang, J.; Yang, Z.; Hu, B. Understanding the Hierarchical Relationships in Female Sex Workers’ Social Networks Based on Knowledge, Attitude, and Practice. Int. J. Environ. Res. Public Health 2019, 16, 3841.

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