A profile of HIV risk factors in the context of sex work environments among migrant female sex workers in Beijing, China.
A profile of HIV risk factors in the context of sex work environments among migrant female sex workers in Beijing, China.
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DOI：
10.1080/13548501003623914
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发表时间：
2010-03
期刊：
影响因子：
--
通讯作者：
Wan Y
中科院分区：
文献类型：
--
作者：
Yi H;Mantell JE;Wu R;Lu Z;Zeng J;Wan Y
流动女性性工作者（FSW）是中国艾滋病病毒感染的高危人群之一。本研究以北京市348名流动性暗娼为样本，探讨了多种危险因素在不同性工作环境中的分布情况。参与者报告说，客户拒绝使用避孕套的比例很高（76%），与两个客户发生不安全性行为的比例很高（32%），不付费的固定伴侣（例如，男朋友或丈夫）（76%）和性病症状（79%）。只有22%的性工作者接受了艾滋病毒检测。通过三种类型的性工作环境比较风险因素：（1）娱乐场所，（2）个人服务部门，（3）街头场所，包括路边妓院。与其他FSW相比，街头FSW更有可能年龄较大，已婚有子女，从农村地区迁移，被警察逮捕，并且不太可能受过教育，接触预防服务，了解艾滋病毒，并接受艾滋病毒检测。娱乐场所的FSW比街头FSW更有可能报告受到客户的身体，言语和/或性虐待。多重判别分析区分了两组不同的风险因素：（1）警察逮捕、缺乏免遭暴力的保护、获得预防和保健的机会以及艾滋病毒知识，（2）口头和身体虐待以及客户拒绝使用避孕套。在中国大规模的国内移民中，经济部门的劣势驱使妇女从事性工作。艾滋病毒预防战略必须针对性工作环境中的社会结构因素。
Migrant female sex workers (FSWs) are one of the most at-risk populations for HIV in China. This study demonstrates how multiple risk factors are situated and vary by types of sex work environments in a sample of 348 migrant FSWs in Beijing. Participants reported high rates of clients' refusal to use condoms (76%), unsafe sex with both clients (32%), non-paid regular partners (e.g., boyfriend or husband) (76%), and a STI symptom (79%) last year. Only 22% of FSWs had been tested for HIV. Risk factors were compared by three types of sex work environments: (1) entertainment establishments, (2) personal services sectors, and (3) street-based venues, including roadside brothels. Street-based FSWs, compared to the other FSWs, were more likely to be older, married with children, migrate from rural areas, and be arrested by police, and less likely to be educated, have contact with prevention services, be knowledgeable about HIV, and be tested for HIV. The FSWs in entertainment establishments were more likely than street-based FSWs to have reported being physically, verbally, and/or sexually abused by clients. Multiple discriminant analysis distinguished a profile of two different groups of risk factors: (1) police arrest, lack of protection from violence, access to prevention and health care, and HIV knowledge, and (2) verbal and physical abuse and clients' refusal of condom use. In the massive internal migration in China, disadvantages in economic sectors drive women to become involved in sex work. HIV prevention strategies must target socio-structural factors embedded in sex work environments.
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DOI：
10.1080/09540120701402798
发表时间：
2007-10-01
影响因子：
1.7
作者：
Chiao, C.;Morisky, D. E.;Malow, R. M.
通讯作者：
Malow, R. M.
影响因子：
1.4
作者：
Lin, Keke;McElmurry, Beverly J;Christiansen, Carol
通讯作者：
Christiansen, Carol
影响因子：
2.2
作者：
Choi, Susanne Y. P.;Holroyd, Eleanor
通讯作者：
Holroyd, Eleanor
影响因子：
4.4
作者：
Hong, Yan;Stanton, Bonita;Mao, Rong
通讯作者：
Mao, Rong
影响因子：
1.8
作者：
Li, XM;Fang, XY;Stanton, B
通讯作者：
Stanton, B