Factors associated with condom use among brothel-based female sex workers in Thailand

Factors associated with condom use among brothel-based female sex workers in Thailand
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DOI:
10.1080/09540120412331319697
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发表时间:
2005-07-01
影响因子:
1.7
通讯作者:
Webb, NC
Webb, NC
中科院分区:
医学4区
文献类型:
--
作者:
Buckingham, RW;Moraros, J;Webb, NC

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本研究旨在确定泰国妓院女性性工作者(FSW)使用安全套的实际水平。具体而言,它研究的影响,原籍国的FSW顾客施加在使用安全套,它评估的相关性的结构从健康信念模型预测FSW要求安全套的使用,他们的客户。在泰国的四个地理位置,其中包括:曼谷,清迈,夜丰颂府和其他(主要包括小村庄的妓院)的150名FSW的横断面非随机便利样本进行了调查。数据的统计解释表明,泰国FSW在63%的病例中要求使用避孕套,而避孕套使用的总体平均水平仅为51%。保险套的使用率按顾客原籍国分列如下:西方人76%,亚洲外国人52%,泰国本地男子27%。这些结果远远低于卫生部在泰国妓院100%使用安全套的目标。此外,公共卫生教育举措需要有效地针对泰国本地的FSW顾客,因为他们代表了最不可能使用避孕套的客户(27%)。
This study sought to determine the actual levels of condom use by female sex workers (FSW) in Thailand brothels. Specifically, it examined the influence that the country of origin of the FSW patrons exerted on usage of a condom, and it assessed the relevancy of constructs from the Health Belief Model in predicting FSW requesting condom usage by their clients. A survey was administered to a cross-sectional non-randomized convenience sample of 150 FSW in four geographic locations in Thailand, which included: Bangkok, Chang Mai, Mae Hong Son and Other (comprised mainly of brothels in small villages). Statistical interpretation of the data indicated that Thai FSW requested condom use in 63% of the cases, while the overall mean of condom use was only 51%. Condom use by patrons' country of origin was as follows: westerners 76%, foreign Asians 52% and native Thai men 27%. These results fall considerably short of the Ministry of Health's goal of 100% condom use in Thai brothels. Furthermore, public health education initiatives need to effectively target the native Thai FSW patrons since they represent the clients least likely to use a condom (27%).