Unprotected intercourse for extra money among commercial sex workers in Kinshasa, Democratic Republic of Congo
Unprotected intercourse for extra money among commercial sex workers in Kinshasa, Democratic Republic of Congo
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DOI：
10.1080/09540120500412824
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发表时间：
2006-10-01
影响因子：
1.7
通讯作者：
Merson, M. H.
中科院分区：
文献类型：
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作者：
Ntumbanzondo, M.;Dubrow, R.;Merson, M. H.
这项研究评估了刚果民主共和国金沙萨商业性工作者(CSWS)为赚取额外收入而进行无保护措施性行为的程度和相关性。我们对136名性服务工作者进行了一项横断面调查，采用的是访谈者管理的结构化问卷。超过四分之一的性服务工作者(26.5%)为了额外的钱而进行无保护的性行为。这些性服务提供者对无保护措施的性交收取的费用大约是有保护措施的性交费用的3.5倍。多因素Logistic回归分析显示，为赚取额外收入而进行无保护性行为的暗娼更有可能在金沙萨非市中心(社会经济水平较低)地区生活或工作(优势比[OR]=3.07)，至少有一个6岁以下的子女(OR=2.95)，以及认识其他从事同样行为的暗娼(OR=9.38)。我们假设，绝望的社会经济条件与同伴/社会规范相结合，推动了为了额外收入而进行不受保护的性行为的做法。金沙萨性服务工作者参与无保护性行为的其他情况包括与客户发生性关系，这些顾客撕毁避孕套以增加性快感(58.8%的性服务工作者)，安全套失效(56.8%的性服务工作者)，以及与常规的非商业性伴侣发生无保护的性行为(只有5.3%的性服务工作者与这些性伴侣总是使用安全套)。
This study assessed the extent and correlates of the practice of engaging in unprotected intercourse for extra money among commercial sex workers (CSWs) in Kinshasa, Democratic Republic of the Congo. We conducted a cross-sectional survey using a structured, interviewer-administered questionnaire among a convenience sample of 136 CSWs. More than one-quarter of CSWs (26.5%) engaged in unprotected intercourse for extra money. These CSWs charged about 3.5 times more for unprotected intercourse than for protected intercourse. Multivariate logistic regression showed that CSWs who engaged in unprotected intercourse for extra money were significantly more likely to live or work in non-downtown (lower socioeconomic) areas of Kinshasa (odds ratio [OR] = 3.07), to have at least one child less than six years of age (OR = 2.95), and to know other CSWs who engaged in the same practice (OR = 9.38). We hypothesize that desperate socioeconomic conditions combined with peer/social norms drive the practice of engaging in unprotected intercourse for extra money. Additional circumstances under which Kinshasa CSWs engaged in unprotected intercourse included intercourse with clients who tore their condoms to increase sexual pleasure (58.8% of CSWs), episodes of condom failure (56.8% of CSWs), and unprotected intercourse with regular noncommercial partners (only 5.3% of CSWs with noncommercial partners always used condoms with these partners).