Behavioral studies of female sex workers in China: A literature review and recommendation for future research

Behavioral studies of female sex workers in China: A literature review and recommendation for future research
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DOI:
10.1007/s10461-007-9287-7
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发表时间:
2008-07-01
期刊:
影响因子:
4.4
通讯作者:
Li, Xiaoming
Li, Xiaoming
中科院分区:
医学2区
文献类型:
--
作者:
Hong, Yan;Li, Xiaoming

文献摘要

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在中国身上,商业性行为在艾滋病病毒的异性传播中起着至关重要的作用。本研究回顾了1990年至2006年间有关中国女性性工作者的英文文献中的行为研究。已有研究表明,中国地区暗娼年龄偏小、流动人口多,多有商业性和非商业性伴侣,安全套使用率低,性病感染率高。一些性服务工作者也在滥用药物。在不同的工作环境中,性工作者的性行为和艾滋病毒风险有很大的差异。数量有限的干预研究报告了在增加避孕套使用和/或减少性病感染方面的积极效果。确定了现有研究的文献差距和经验教训,并讨论了未来的研究需求。未来的行为干预计划需要是多方面的,并针对不同的FSWs群体纳入环境和结构因素。
Commercial sex plays a critical role in the heterosexual transmission of HIV in China. This study reviews behavioral studies in English literature on female sex workers (FSWs) in China from 1990 to 2006. Existing studies indicate that FSWs in China are young, mobile, most of them have both commercial and non-commercial sex partners; they have low rates of consistent condom use and high rates of STD infection. Some FSWs are also engaged in drug abuse. There is a great variation of sexual practices and HIV risks among FSWs across different work settings. Limited numbers of intervention studies have reported positive effects on increasing condom use and/or decreasing STD infections. Literature gaps and lessons learned from existing studies are identified and future research needs are discussed. Future behavioral intervention programs need to be multi-faceted and incorporate environmental and structural factors for different groups of FSWs.