Life-circumstances, working conditions and HIV risk among street and nightclub-based sex workers in Lusaka, Zambia
Life-circumstances, working conditions and HIV risk among street and nightclub-based sex workers in Lusaka, Zambia
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DOI：
10.1080/13691050410001680474
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发表时间：
2004-07-01
影响因子：
2.2
通讯作者：
Nchima, MC
中科院分区：
文献类型：
--
作者：
Agha, S;Nchima, MC
本研究的主要目的是在赞比亚卢萨卡的性工作者中进行形成性研究，以了解性工作者对其个人身份的看法如何影响安全性行为。对赞恩比亚卢萨卡的20名性工作者进行了深入访谈，其中包括夜总会和街头性工作者。研究结果表明，夜总会性工作者和街头性工作者之间的自我认知和身份的重要差异。后者有职业身份，愿意公开承认为性工作者。这使他们更容易说服客户使用避孕套。相比之下，夜总会的性工作者不太可能希望被认定为性工作者。他们的动机是渴望遇到一个可能会嫁给他们并改变他们生活的男人。因此，他们不公开承认自己感染性传播感染/艾滋病毒的风险，许多人不使用避孕套，这违背了他们更好的判断。对性工作的污名化、对性工作者的骚扰和缺乏保护等因素与性工作者对其个人身份的看法相互作用，影响了他们在高风险性接触中采取预防措施的能力。
The principal objective of this study,vas to conduct formative research among sex workers in Lusaka, Zambia, to understand how sex workers' perceptions of their personal identity influences safer sex practices. In-depth interviews were conducted with 20 sex workers in Lusaka, Zarnbia, including both nightclub and street-based sex workers. Findings indicate important differences of self perception and identity between nightclub-based sex workers and street-based sex workers. The latter have a professional identity, and are willing to be publicly acknowledged as sex workers. This makes it easier for them to convince clients to use condoms. In contrast, nightclub-based sex workers are less likely to wish to be identified as sex workers. Them, are motivated by the desire to meet a man who will perhaps marry them and change their lives. As a consequence, they do not publicly acknowledge their risk of STI/HIV infection and many go against their better judgement by not using condoms. Factors Such as the stigmatization of sex work, the harassment of sex workers and the lack of protection available to them interact with sex workers' perceptions of their personal identities and influence their ability to take precautions during high-risk sexual encounters.