RESEARCH AND PRACTICE:
Deanna Kerrigan, Luis Moreno, Santo Rosario, Bayardo Gomez, Hector Jerez, Clare Barrington, Ellen Weiss, and Michael Sweat
EnvironmentalStructural Interventions to Reduce HIV/STI Risk Among Female Sex Workers in the Dominican Republic
Am J Public Health 2006; 96: 120-125
[Abstract][Full text][PDF]
The article by Kerrigan et al (1) certainly adds to the literature on
HIV prevention and control and is an innovative way of estimating
behavioral changes after an intervention. The use of interviewers as
potential sex workers' clients would certainly mimimise information bias
as opposed to the situation where the interwier is appropriately
identified as such. Although the authors suggest that " other researchers
interested in adopting this methodology refer to the International Ethical
Guidelines for Biomedical Subjects and consult with a bioethicist, asc we
did.." it does not seem to me that the expected ethical approvals were
obtained nonetheless. The authors had clearance of their methodology by
the local sex workers' organisation, MODEMU (Movimiento de Mujeres Unidas)
and IRB approval from the Johns Hopkins Bloomberg School of Public Health
and the Population Council but give no indication of local IRB approval.
Did the approval by the local MODEMU stand for local IRB approval? It
would be helpful to reader if the authors were to respond to this lack of
or a special case of local IRB approval.
The reader may also be interested to learn what safeguards were in place
to ensure that the interviewers themselves did nit end up being 'real'
clients of the sex workers.
1. Kerrigan D et al. Environmental-Structural Interventions to Reduce
HIV/STI among female sex workers in the Dominican Republic. Am J Public
Health. 2006;96: 120-125