Typology of older female sex workers and sexual risk for HIV infection in China: a qualitative study
Typology of older female sex workers and sexual risk for HIV infection in China: a qualitative study
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DOI：
10.1080/13691058.2013.826820
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发表时间：
2014-01-02
影响因子：
2.2
通讯作者：
Zang, Chunpeng
中科院分区：
文献类型：
--
作者：
Hao, Chun;Liu, Hongjie;Zang, Chunpeng
艾滋病毒在中国的老年人中继续蔓延，包括老年女性性工作者。然而，在这个相对隐蔽的人群中进行的研究很少。本研究的目的是调查女性在30多岁进入性工作的原因，并发展老年女性性工作者的类型。2012年，我们在中国三个城市对63名老年女性性工作者进行了半结构化的深度访谈，并对利益相关者进行了六次焦点小组访谈。采用常数比较法对数据进行归纳分析。参与者的平均年龄为43岁，进入性工作的平均年龄为39岁。从事性工作的主要原因包括经济负担沉重、就业机会有限和性工作的吸引力。街头和场所的老年性工作者是根据他们招揽客户的地点来确定的。由于经济刺激，街头的老年性工作者更有可能从事不安全的商业性行为，而娱乐场所的性工作者则不太可能在与固定客户交往时使用安全套。制定有效的艾滋病毒干预措施需要考虑老年女性性工作者的独特特征和阻碍安全性行为的目标因素。
The HIV epidemic continues to develop among older adults in China, including older female sex workers. Yet, few studies have been conducted among this relatively hidden population. The objectives of this study were to investigate the reasons for women's entry into sex work during their 30s and to develop typology of older women sex workers. Semi-structured in-depth interviews were conducted with 63 older women sex workers and six focus-group interviews with stakeholders in three cities in China in 2012. Data were analysed inductively using constant comparative method. The mean age of participants was 43 years and the mean age of entry into sex work was 39 years. The primary reasons for entry into sex work included heavy economic burdens, limited employment opportunities and the appealing nature of sex work. Street-based and venue-based older sex workers were identified based on where they solicited clients. Street-based older sex workers were more likely to engage in unsafe commercial sex due to financial incentives, whereas those in entertainment venues were unlikely to use condoms with regular clients. The development of effective HIV interventions needs to consider older women sex worker's unique characteristics and target factors that impede safer-sex practices.