Incarcerated sex workers and HIV prevention in China: Social suffering and social justice countermeasures
Incarcerated sex workers and HIV prevention in China: Social suffering and social justice countermeasures
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DOI：
10.1016/j.socscimed.2009.10.010
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发表时间：
2010-01-01
影响因子：
5.4
通讯作者：
Sapio, Flora
中科院分区：
文献类型：
--
作者：
Tucker, Joseph;Ren, Xin;Sapio, Flora
在中国，性工作者通常通过法律的程序之外的行政机制被拘留，但人们对这些政策的人类学和公共卫生背景知之甚少。本研究采用人种学、法律的和公共卫生数据，对中国女性性工作者的监禁进行了生物社会分析，以描述中国监禁性工作者（ISW）的社会痛苦和抵消社会正义的反应。与未在中国被拘留的性工作者相比，ISW面临着身体和心理痛苦方面的实质性不平等。中国性工作者拘留营的做法不仅可能系统地增加ISW中的艾滋病毒/梅毒风险，而且还缩小了妇女的社会影响范围，这在高度重视社会和个人关系的中国社会制度中是一个特别残酷的悲剧。对广西省性病门诊数据的有限经验分析表明，与不拘留性工作者的城市相比，拘留性工作者的城市具有更高的平均艾滋病感染率。虽然中国初期的医疗和法律的运动为扩大ISW服务和资源提供了动力，但在确保基本救生医疗的法律执行方面仍存在很大差异。迫切需要为性工作者提供监禁后社会正义方案，将妇女与基本的性传播感染/艾滋病毒资源联系起来，重新连接破碎的社会生活，并帮助恢复人际关系。(C)2009爱思唯尔有限公司保留所有权利。
Sex workers in China are routinely coercively detained through administrative mechanisms outside of legal procedures, but very little is known about the anthropologic and public health context of these policies. This biosocial analysis of female Chinese sex worker detention uses ethnographic, legal, and public health data to describe social suffering and countervailing social justice responses among incarcerated sex workers (ISW) in China. Compared to sex workers not detained in China, ISW face substantive inequalities inscribed in physical and psychological suffering. Chinese sex worker detention camp practices may not only systematically increase HIV/syphilis risk among ISW, but also work to narrow women's social spheres of influence, a particularly cruel tragedy in a Chinese social system that highly values social and personal connections. A limited empiric analysis of Guangxi Province STI clinic data shows that cities detaining sex workers have higher mean HIV prevalence compared to cities that do not detain sex workers. While incipient medical and legal movements in China have generated momentum for expanding ISW services and resources, there is still substantial variation in the implementation of laws that ensure basic life-saving medical treatments. Post-incarceration social justice programs for sex workers linking women to essential STI/HIV resources, reconnecting broken social lives, and helping restore interpersonal relationships are urgently needed. (C) 2009 Elsevier Ltd. All rights reserved.