Health-seeking behaviour for sexually transmitted infections and HIV testing among female sex workers in Vietnam
Health-seeking behaviour for sexually transmitted infections and HIV testing among female sex workers in Vietnam
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DOI：
10.1080/09540120601163078
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发表时间：
2007-01-01
影响因子：
1.7
通讯作者：
Pham, H. T. B.
中科院分区：
文献类型：
--
作者：
Ngo, A. D.;Ratliff, E. A.;Pham, H. T. B.
这项定性研究旨在探讨越南河内和岘港市女性性工作者 (FSW) 的性传播感染 (STI) 和艾滋病毒检测的求医行为。数据是通过深入访谈、焦点小组和参与者观察收集的。结果表明，女性寻求性传播感染治疗和艾滋病毒检测的决定受到个人风险认知、社会关系和社区话语复杂相互作用的影响。妇女对艾滋病毒表现出足够的了解，但对性传播感染的了解有限。他们表现出对艾滋病毒的高风险认知，但对性传播感染却表现得很少关注。大多数女性在注意到生殖道症状时都会去药房寻求治疗。由于治疗费用高昂、服务提供者的评判态度以及缺乏检测服务信息，他们决定前往医疗机构寻求护理和进行艾滋病毒检测。未来的干预措施需要重点加强对性传播感染和性传播感染-艾滋病毒协会的了解，并提高对艾滋病毒咨询和检测服务的认识。应强调对性传播感染服务提供者（包括药房和私人执业者）进行有关性工作者友好、非评判性服务和咨询技能的培训，以提供性传播感染的及时诊断和治疗，并推荐妇女接受艾滋病毒检测。
This qualitative study was conducted to explore health- seeking behaviour for sexually transmitted infections ( STIs) and HIV testing among female sex workers ( FSWs) in the cities of Hanoi and Da Nang, Vietnam. Data were gathered from in-depth interviews, focus groups and participant observation. Results suggest that women's decision to seek STI treatment and HIV testing is influenced by the complex interplay of personal risk perceptions, social relationships and community discourse. The women exhibited adequate knowledge of HIV while their knowledge of STIs was limited. They demonstrated high- risk perceptions of HIV, but they showed little concern for STIs. Most women sought treatment at pharmacies when they noticed symptoms of the genital tract. Their decision to seek care in health facilities and HIV testing was hampered by the high costs of treatment, judgmental attitudes of service providers, and a lack of information on testing services. Future interventions need to focus on strengthening knowledge of STIs and the STI- HIV association, and increasing awareness of HIV counselling and testing services. Training for STI service providers including pharmacies and private practitioners on sex- worker friendly and non- judgmental services and counselling skills should be emphasized to provide timely diagnosis and treatment of STIs, and to refer women to HIV testing.