"There is no other option; we have to feed our families…who else would do it?": The financial lives of women engaging in sex work in Ulaanbaatar, Mongolia.
"There is no other option; we have to feed our families…who else would do it?": The financial lives of women engaging in sex work in Ulaanbaatar, Mongolia.
复制标题
DOI：
10.5539/gjhs.v5n5p41
复制
发表时间：
2013-05-24
期刊：
影响因子：
--
通讯作者：
Ssewamala F
中科院分区：
文献类型：
--
作者：
Tsai LC;Witte SS;Aira T;Riedel M;Hwang HG;Ssewamala F
本文概述了蒙古乌兰巴托从事性工作的女性（n = 204）的财务状况。本文介绍了一项基于计算机的、访谈者管理的基线评估的结果，该评估对蒙古从事性工作的妇女进行了随机对照试验，以测试降低艾滋病毒风险和以储蓄为主导的小额信贷干预相结合的可行性。调查结果表明，大多数妇女是家庭的主要经济提供者，她们利用一系列赚钱策略养活自己和其他受抚养人，性工作往往是家庭的主要收入来源。从事性工作的人生活中的经济不稳定可能会增加他们感染艾滋病毒和性传播感染的风险，因为在经济危机或需要时与伴侣协商安全性行为的能力受到损害。对家庭福利负有高度的经济责任，再加上报告的储蓄少、负债、为不戴避孕套的性行为提供较高的保费以及大量有害饮酒，可能会增加妇女感染艾滋病毒和其他性传播感染的风险。需要进一步研究记录从事性工作的人的财务状况，以便了解财务稳定与从事性工作之间的复杂关系，并为针对风险的经济决定因素的结构性艾滋病毒预防干预措施的开发和测试提供信息。这些发现突出了在蒙古经济快速变革时期为从事性工作的妇女制定经济支持方案的重要性。
This article provides an overview of the financial lives of women (n = 204) engaging in sex work in Ulaanbaatar, Mongolia. This paper presents findings from a computer-based, interviewer-administered baseline assessment administered with women recruited for participation in a randomized controlled trial testing the feasibility of a combined HIV risk reduction and savings-led microfinance intervention for women engaging in sex work in Mongolia. Findings demonstrate that most women are the primary financial providers for their households, using an array of earning strategies to provide for themselves and other dependents, with sex work often constituting the primary household income source. Financial instability in the lives of people engaging in sex work may increase their risk for HIV and STIs due to a compromised ability to negotiate safer sex with partners in times of economic crisis or need. High levels of financial responsibility for household welfare, when combined with low reported savings, the presence of debt, higher premiums offered for sex without a condom, and high levels of harmful alcohol use, may heighten women's risk for HIV and other STIs. Further research that documents the financial lives of people working in sex work is needed in order to understand the complex relationship between financial stability and engagement in sex work, and to inform the development and testing of structural HIV prevention interventions which target the economic determinants of risk. These findings highlight the importance of economic support programming for women engaged in sex work in Mongolia at a time of rapid economic change in Mongolia.