Decision-Making at the Intersection of Risk and Pleasure: A Qualitative Inquiry with Trans Women Engaged in Sex Work in Lima, Peru.
Decision-Making at the Intersection of Risk and Pleasure: A Qualitative Inquiry with Trans Women Engaged in Sex Work in Lima, Peru.
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DOI：
10.1007/s10461-021-03445-z
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发表时间：
2022-03
影响因子：
4.4
通讯作者：
Perez-Brumer, Amaya
中科院分区：
文献类型：
--
作者：
Naz-McLean, Sarah;Clark, Jesse L.;Reisner, Sari L.;Prenner, Joshua C.;Weintraub, Brendan;Huerta, Leyla;Salazar, Ximena;Lama, Javier R.;Mayer, Kenneth H.;Perez-Brumer, Amaya
为了了解与文化相关的艾滋病预防干预措施，我们探讨了秘鲁变性妇女性工作的复杂性。2015年，我们对秘鲁利马的跨性别女性进行了20次深度访谈和人口调查，以研究跨性别女性如何在普遍边缘化的背景下制定个人和社区层面的抵抗策略。尽管40%的人自认为是“性工作者”，但最近有70%的人从事性交易。参与者描述了围绕有偿性交易的细致入微的风险-收益分析。将客户分类为“风险”或“回报”，包括健康、暴力和快乐问题。访谈强调了根据具体情况做出的决策（拒绝不尊重的客户，坚持与特定类型的伴侣使用安全套），表明动机不限于艾滋病毒预防或经济报酬，而是考虑到安全、健康、吸引力、性别认同、卫生和便利。这些发现强调了秘鲁跨性别女性所采用的复杂风险评估。这些个人层面的决策和具体情况的健康促进战略是预防艾滋病毒工作的关键框架。
To inform culturally relevant HIV prevention interventions, we explore the complexity of sex work among Peruvian transgender women. In 2015, we conducted twenty in-depth interviews and demographic surveys with transgender women in Lima, Peru to examine how transgender women enact individual- and community-level resistance strategies within a context of pervasive marginalization. Although 40% self-identified as “sex workers,” 70% recently exchanged sex for money. Participants described nuanced risk–benefit analyses surrounding paid sexual encounters. Classification of clients as “risky” or “rewarding” incorporated issues of health, violence, and pleasure. Interviews highlighted context-informed decision-making (rejecting disrespectful clients, asserting condom use with specific partner types) demonstrating that motivations were not limited to HIV prevention or economic renumeration, but considered safety, health, attraction, gender validation, hygiene, and convenience. These findings underscore the complex risk assessments employed by Peruvian trans women. These individual-level decision-making and context-specific health promotion strategies represent critical frameworks for HIV prevention efforts.
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影响因子：
12.7
作者：
Bockting, W. O.;Miner, M. H.;Coleman, E.
通讯作者：
Coleman, E.
影响因子：
4.4
作者：
Reisner SL;Perez-Brumer AG;McLean SA;Lama JR;Silva-Santisteban A;Huerta L;Sanchez J;Clark JL;Mimiaga MJ;Mayer KH
通讯作者：
Mayer KH
影响因子：
4.4
作者：
Miller WM;Miller WC;Barrington C;Weir SS;Chen SY;Emch ME;Pettifor AE;Paz-Bailey G
通讯作者：
Paz-Bailey G
影响因子：
1.7
作者：
Lama, Javier R.;Mayer, Kenneth H.;Reisner, Sari L.
通讯作者：
Reisner, Sari L.
影响因子：
3.3
作者：
Miller, William M.;Miner, William C.;Paz-Bailey, Gabriela
通讯作者：
Paz-Bailey, Gabriela