Condom use among brothel-based sex workers and clients in Bali, Indonesia.
Condom use among brothel-based sex workers and clients in Bali, Indonesia.
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DOI：
10.1071/sh04051
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发表时间：
2005-01-01
期刊：
影响因子：
1.6
通讯作者：
Wirawan, Dewa Nyoman
中科院分区：
文献类型：
--
作者：
Ford, Kathleen;Wirawan, Dewa Nyoman
背景技术背景：方法：1992 ~ 1999年对印尼巴厘岛的性工作者和嫖客进行了5次调查。结果：该地区女性性工作者听说过艾滋病和使用安全套的比例明显增加。1992- 1993年，51%的妇女报告曾听说过艾滋病，到1999年，这一比例上升到97%（P < 0.01）。据报告，嫖客使用安全套的比例从1992- 1993年的19%上升到1999年的78%（P < 0.01）。然而，避孕套的使用率仍远未达到100%，女性性工作者及其男性顾客对艾滋病毒感染的敏感性仍然很低。无效的预防策略，如药物使用仍然很常见。艾滋病毒感染是非常低的，在这一人群中，虽然其他性传播感染，如淋病和衣原体的患病率是非常高的。结论：教育干预措施进行了性工作者，但主要来源的教育客户一直通过媒体。未来的方案需要更加集中精力接触客户。这些干预措施可能包括工作场所干预、大众媒体宣传、青年方案或其他模式。
BACKGROUND: The objective of this paper is to describe the situation among Indonesian sex workers and clients in Bali, Indonesia, through a series of studies conducted during the 1990s.METHODS: Five surveys of sex workers and clients were conducted from 1992 through to 1999.RESULTS: The proportion of female sex workers who have heard about AIDS and condom use has increased tremendously in this area. In 1992-93, 51% of women reported ever hearing of AIDS and this had increased to 97% by 1999 (P < 0.01). Reported condom use with clients increased from 19% in 1992-93 to 78% in 1999 (P < 0.01). However, condom use is still far from 100% and perceived susceptibility towards HIV infection among female sex workers and their male clients remains low. Ineffective preventive strategies such as medication use remain common. HIV infection was very low in this population, although the prevalence of other sexually transmitted infections such as gonorrhea and chlamydia was very high.CONCLUSIONS: Educational interventions have been conducted with the sex workers, but the main source of education for clients has been through the media. Future programs need to develop more focused efforts to reach clients. These interventions may include worksite interventions, mass media campaigns, youth programs or other models.