Condom negotiation across different relationship types by young women engaged in sex work in Phnom Penh, Cambodia.
Condom negotiation across different relationship types by young women engaged in sex work in Phnom Penh, Cambodia.
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DOI：
10.1080/17441692.2013.767930
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发表时间：
2013
影响因子：
3.3
通讯作者：
Young Women's Health Study Collaborative
中科院分区：
文献类型：
--
作者：
Maher L;Mooney-Somers J;Phlong P;Couture MC;Kien SP;Stein E;Bates AJ;Sansothy N;Page K;Young Women's Health Study Collaborative
柬埔寨的100%安全套使用规划提高了在商业性行为中持续使用安全套的人数，并降低了女性性工作者的艾滋病毒感染率。在女伴和非商业伙伴之间使用避孕套的情况几乎没有改善，这促使人们呼吁采取更创新的方法来增加这些关系中避孕套的使用。为了理解为什么在涉及fsw的性互动中使用或不使用避孕套，我们研究了不同类型关系中的避孕套谈判。我们对金边从事性工作的年轻（15至29岁）妇女进行了33次深度访谈。在使用避孕套的意义和女性关系的意义之间存在着重要的相互作用。商业关系具有固有的风险，因此必须使用避孕套。尽管缺乏类似的性忠诚，但恋人关系很少被认为是有风险的，而且通常不涉及使用避孕套。丈夫和妻子对彼此性行为的理解不同，这使得在使用避孕套的问题上很难达成一致。我们需要从性工作和更广泛的柬埔寨性文化两方面来理解，在性服务人员的非商业性关系中，避孕套的使用缺乏改善。
Cambodia's 100% Condom Use Programme is credited with an increase in consistent condom use in commercial sexual interactions and a decrease in HIV prevalence among female sex workers (FSWs). There has been little improvement in condom use between FSWs and non-commercial partners, prompting calls for more innovative approaches to increasing condom use in these relationships. To understand why condoms are used or not used in sexual interactions involving FSWs, we examined condom negotiation across different types of relationships. We conducted 33 in-depth interviews with young (15 to 29 years) women engaged in sex work in Phnom Penh. There was an important interplay between the meanings of condom use and the meanings of women's relationships. Commercial relationships were characterised as inherently risky and necessitated condom use. Despite a similar lack of sexual fidelity, sweetheart relationships were rarely construed as risky and typically did not involve condom use. Husbands and wives constructed their sexual interactions with each other differently, making agreement on condom use difficult. The lack of improvement in condom use in FSWs' non-commercial sexual relationships needs to be understood in relation to both sex work and the broader Cambodian sexual culture within which these relationships are embedded.
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影响因子：
3.2
作者：
Graffigna, Guendalina;Olson, Kaerin
通讯作者：
Olson, Kaerin
影响因子：
3.1
作者：
Couture MC;Sansothy N;Sapphon V;Phal S;Sichan K;Stein E;Evans J;Maher L;Kaldor J;Vun MC;Page K
通讯作者：
Page K
影响因子：
3.1
作者：
Kim, AA;Sun, LP;Page-Shafer, K
通讯作者：
Page-Shafer, K
影响因子：
1.6
作者：
Chapman, Jenifer;Estcourt, Claudia S.;Hua, Zhou
通讯作者：
Hua, Zhou
影响因子：
4.4
作者：
Maher L;Mooney-Somers J;Phlong P;Couture MC;Stein E;Evans J;Cockroft M;Sansothy N;Nemoto T;Page K;Young Women's Health Study Collaborative
通讯作者：
Young Women's Health Study Collaborative