Prevalence and correlates of HIV unsafe sex and STIs among women working in China's entertainment industry.
Prevalence and correlates of HIV unsafe sex and STIs among women working in China's entertainment industry.
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在中国娱乐业工作的妇女中，艾滋病毒不安全性和性传播感染的患病率和相关性。
DOI：
10.1080/09540121.2010.525620
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发表时间：
2011-06
期刊：
影响因子：
1.7
通讯作者：
Yang X
中科院分区：
文献类型：
--
作者：
Yang X
中国娱乐业女性工作者存在通过性行为感染艾滋病病毒的风险，但其不安全性行为的风险因素仍未得到充分研究。本文以上海市724名娱乐场所女性工作者为样本，探讨了不安全性行为和性传播感染的流行情况及其危险因素。虽然不安全性行为和常见性传播感染史的测量结果表明，这项研究的参与者似乎有较低的不安全性行为和性传播感染的比率比文献报道的，以场所为基础的女性娱乐工作者在性感染艾滋病毒的风险。不安全性行为的风险因素包括个人认知（信息、动机和行为技能）和社会因素。然而，与艾滋病毒有关的信息和大多数社会因素与不安全性行为没有直接和独立的联系。我国娱乐业女性从业人员需要进行行为干预。然而，以个人为基础的认知方法在减少女性娱乐工作者的不安全性行为方面的有效性可能有限。有效的干预措施需要采取多层次的办法，处理个人认知和社会风险因素，特别是注意增强妇女在性关系中的权能和创造一个支持性的社会和工作环境。
Female entertainment workers in China are at risk of sexually acquiring HIV, but risk factors of their unsafe sex remain understudied. Using information from a venue-based sample of 724 female entertainment workers in Shanghai, this paper examines the prevalence and risk factors of unsafe sex and STIs. While both measures of unsafe sex and history of common STIs suggest that participants in this study appear to have lower rates of unsafe sex and STIs than reported in the literature, venue-based female entertainment workers are at risk of sexually acquiring HIV. Risk factors of unsafe sex include both individual cognitive (information, motivation, and behavioral skills) and social factors. However, HIV related information and most social factors are not directly and independently associated with unsafe sex. Behavioral intervention is needed for female entertainment workers in China. However, individual-based cognitive approach alone may be limited in effectiveness in reducing unsafe sex among female entertainment workers. Effective intervention needs to take a multi-level approach that addresses both individual cognitive and social risk factors and can particularly benefit from attention to empowering women in sexual relationships and creating a supportive social and working environment.
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