Reasons for not using condoms among female sex workers in Indonesia
Reasons for not using condoms among female sex workers in Indonesia
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DOI：
10.1521/aeap.14.2.102.23901
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发表时间：
2002-04-01
影响因子：
1.8
通讯作者：
van Beelen, N
中科院分区：
文献类型：
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作者：
Basuki, E;Wolffers, I;van Beelen, N
这项研究的目的是收集印度尼西亚妓院女性性工作者使用避孕套的数据，并研究不使用避孕套的原因，以便为新的和现有的避孕套推广计划提供信息，以提高她们的表现。定量数据来自KABP调查(n=1450)和204名女性性工作者的避孕套日记。通过对女性性工作者和皮条客进行焦点小组讨论和深入访谈，收集定性数据。据报道，约53%的性行为受到保护，其中12%的受保护性行为之前有客户的反对意见。只有5.8%的性工作者在两周的观察期内持续使用避孕套，而在四周的观察期内，这一数字下降到1.4%。性工作者提到的不使用避孕套的原因被认为是由于避孕套以及认为认识性工作者的顾客不需要防止性传播疾病(STDS)或艾滋病的保护措施而导致的快感较低。女性性工作者不使用避孕套的主要原因是认为男友、印尼原住民和外表健康的客户不会传播性病。另一个原因是性工作者已经采取了其他预防措施，比如服用抗生素。研究还表明，皮条客不太支持印尼的避孕套使用计划。避孕套的不可接受性是不对客户和女性性工作者使用避孕套的一个重要原因，而皮条客最有可能鼓励使用避孕套，但不幸的是，他们认为避孕套的使用对他们的业务构成了威胁。为了成功地引入持续使用避孕套，有必要为性工作者和客户设计干预措施，并提供适当的教育材料和首选的避孕套品牌。此外，皮条客必须参与干预计划。
The aim of this study was to gather data on condom use among brothel-based female sex workers in Indonesia and to study the reasons for not using condoms in order to provide new and existing condom promotion programs with information to improve their performance. Quantitative data were gathered by KABP surveys (n =1450) and a condom diary with a sample of 204 female sex workers. Qualitative data were collected by conducting focus group discussions and in-depth interviews among female sex workers and pimps. Around 53% of sexual intercourses were reported to be protected, and 12% of these protected intercourses were preceded by clients' argumentation against it. Only 5.8% of sex workers consistently used condoms for a 2-week period of observation, and this figure decreased to 1.4% for a 4-week period. Reasons for nor using condoms from the clients' side, as mentioned by the sex workers, were perceived less pleasure due to the condom and the belief that clients that are acquainted with the sex workers do not need protection against sexually transmitted diseases (STDs) or AIDS. The main reasons of female sex workers for not using condoms were the beliefs that boyfriends, native Indonesians and healthy-looking clients cannot spread STDs. Another reason stated was that sex workers had already taken other preventive measures, like taking antibiotics. The research also showed that pimps were not very supportive of condom use programs in Indonesia. Condom unacceptability is an important reason for not using condoms for both clients and female sex workers, whereas pimps, who are in the best position to encourage condom use, unfortunately consider condom use as a threat to their business. For the successful introduction of consistent condom use, it is necessary to design interventions for both sex workers and clients and to provide appropriate educational materials and preferred brands of condoms. Also, pimps must be involved in intervention programs.