Factors related to female sex workers' willingness to utilize VCT service: a qualitative study in Jinan city, northern China.

Factors related to female sex workers' willingness to utilize VCT service: a qualitative study in Jinan city, northern China.
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DOI:
10.1007/s10461-008-9446-5
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发表时间:
2009-10
期刊:
影响因子:
4.4
通讯作者:
Henderson, Gail E.
Henderson, Gail E.
中科院分区:
医学2区
文献类型:
--
作者:
Wang, Ying;Li, Bing;Zheng, Jianhong;Sengupta, Sohini;Emrick, Catherine B.;Cohen, Myron S.;Henderson, Gail E.

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虽然中国全国艾滋病毒感染率仍然很低,但女性性工作者(FSWs)的感染率很高。近年来提供了免费自愿艾滋病毒咨询和检测(VCT);但其利用率较低。本研究探讨了影响妇女自愿到VCT诊所就诊的因素。采用生态视角对中国北部山东省省会济南市23家娱乐场所的17名fsw和12名经理进行了定性访谈。虽然大多数家庭服务人员表示愿意使用VCT服务,但他们描述了实际利用服务的障碍,包括:对艾滋病毒的误解;低感知风险和艾滋病毒流行率;对自由VCT的不信任;尤其是对可能的测试结果的影响感到焦虑。这一研究表明,要提高fsw对VCT的利用,需要增加对艾滋病毒和VCT的认识,并接受检测和现场VCT服务。
While national HIV prevalence remains low in China, female sex workers (FSWs) have become infected at high rates. Free voluntary HIV counseling and testing (VCT) has been offered in recent years; however, its utilization rate is low. This study explored factors related to FSWs' willingness to utilize a VCT clinic. Qualitative interviews informed by the Ecological Perspective were conducted to interview 17 FSWs and 12 managers from 23 selected entertainment establishments in Jinan, the capital of Shandong province in northern China. While the majority of FSWs professed willingness to use VCT services, they described barriers to actual utilization of services which included: misunderstandings about HIV; low perceived risk and HIV prevalence; mistrust of the free VCT; and especially anxiety about the implications of possible test results. This research suggests that increasing FSWs' utilization of VCT will require increased knowledge of HIV and VCT, and acceptance of testing and on-site VCT services.
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