The role of collectives in STI and HIV/AIDS prevention among female sex workers in Karnataka, India
The role of collectives in STI and HIV/AIDS prevention among female sex workers in Karnataka, India
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DOI：
10.1080/09540120500466937
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发表时间：
2006-10-01
影响因子：
1.7
通讯作者：
Blanchard, J. F.
中科院分区：
文献类型：
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作者：
Halli, S. S.;Ramesh, B. M.;Blanchard, J. F.
本文评估了印度卡纳塔克邦女性性工作者(FSW)集体在增加知识和促进向安全性行为转变方面的促进作用。2002年，对1,512名妇女进行了分层抽样，在全州范围内对FSWs进行了调查。在调查之后，制定了一个集团化指数来衡量FSWs参与集体相关活动的程度。结果表明，集团化程度越高，知识的增加和报告的避孕套使用量就越高。在所有女性中，商业客户报告的避孕套使用率高于正常伴侣或丈夫，并且在集体化指数得分低、中、高的女性之间，大多数结果变量都观察到了梯度。集团化似乎在增加知识和使卡纳塔克邦的性工作者采取更安全的性行为，特别是与商业客户发生性行为方面产生了积极影响。尽管这些结果令人鼓舞，但它们可能会被社会合意性、选择性和其他偏见搞糊涂。需要进行更多的纵向和定性研究，以更好地理解性工作者集体的性质及其所能提供的好处。
This paper evaluates the role of female sex worker (FSW) collectives in the state of Karnataka, India, regarding their facilitating effect in increasing knowledge and promoting change towards safer sexual behaviour. In 2002 a state-wide survey of FSWs was administered to a stratified sample of 1,512 women. Following the survey, a collectivization index was developed to measure the degree of involvement of FSWs in collective-related activities. The results indicate that a higher degree of collectivization was associated with increased knowledge and higher reported condom use. Reported condom use was higher with commercial clients than with regular partners or husbands among all women and a gradient was observed in most outcome variables between women with low, medium and high collectivization index scores. Collectivization seems to have a positive impact in increasing knowledge and in empowering FSWs in Karnataka to adopt safer sex practices, particularly with commercial clients. While these results are encouraging, they may be confounded by social desirability, selection and other biases. More longitudinal and qualitative studies are required to better understand the nature of sex worker collectives and the benefits that they can provide.