AIDS KNOWLEDGE, RISK BEHAVIORS, AND CONDOM USE AMONG 4 GROUPS OF FEMALE SEX WORKERS IN BALI, INDONESIA

AIDS KNOWLEDGE, RISK BEHAVIORS, AND CONDOM USE AMONG 4 GROUPS OF FEMALE SEX WORKERS IN BALI, INDONESIA
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DOI:
10.1097/00042560-199510050-00011
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发表时间:
1995-12-15
期刊:
JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES AND HUMAN RETROVIROLOGY
影响因子:
--
通讯作者:
FAJANS, P
FAJANS, P
中科院分区:
其他
文献类型:
--
作者:
FORD, K;WIRAWAN, DN;FAJANS, P

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本研究的目的是了解四组女性职业性工作者(n=614)的艾滋病知识、危险行为和安全套使用情况。对在低价妓院、中高价位房屋和旅游区工作的妇女进行了个人访谈,在低价妓院工作的妇女中只有51%听说过艾滋病,尽管其他群体中的大多数妇女都听说过艾滋病。所有人群对传播和症状的了解都很薄弱,大多数妇女都不知道无症状传播。由于服用药物或选择客户的做法等无效策略,大多数妇女感到免受艾滋病毒感染是安全的。不同人群的避孕套使用情况差异很大,低价妓院的女性报告的安全套使用率最低(前一周的性行为比例为19%),而中等和高价位群体的女性报告的安全套使用率较高(68%的中价;71%的高价)。在旅游区工作的女性报告的使用率最高(90%)。对每个群体的干预需要反映这些知识的差异以及他们的工作背景;需要考虑的重要背景因素包括他们所在环境中的艾滋病和性病知识水平、服务对象的特征以及他们接受监督的程度。
The objectives of this study were to discover the AIDS knowledge, risk behaviors, and condom use of four groups of female professional sex workers (n = 614). Personal interviews were conducted with women working in low-price brothels, mid-price and high-price houses, and tourist areas, Only 51% of women in the low-price brothels had heard of AIDs, although most of the women in the other groups had heard of it. Knowledge of transmission and symptoms was weak in all groups, and most women were unaware of asymptomatic transmission. Most women felt safe from HIV due to ineffective strategies such as taking medications or client selection practices. Condom use with clients varied widely by group, Women in the low-price brothels reported the lowest levels of use (19% of encounters in the previous week), with women from the mid- and high-price groups reporting higher levels (68% mid-price; 71% high-price). Women working in the tourist areas reported the highest levels of use (90%). Interventions for each group need to reflect these differences in knowledge as well as the contexts of their work; important contextual factors to consider include the level of AIDS and STD knowledge in their environment, the characteristics of the clients served, and the degree of supervision that they receive.