Vulnerability and sexual risks:: Vagos and vaguitas in a low income town in Peru

Vulnerability and sexual risks:: Vagos and vaguitas in a low income town in Peru
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DOI:
10.1080/13691050500100849
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发表时间:
2005-07-01
影响因子:
2.2
通讯作者:
Coates, T
Coates, T
中科院分区:
医学3区
文献类型:
--
作者:
Salazar, X;Cáceres, C;Coates, T

文献摘要

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年轻人是性健康研究、政策和规划的优先对象。然而,许多研究认为,青年是一个由发展阶段界定的同质群体,他们的问题是固有的,而不是结构性脆弱性造成的因素。这项研究的人种学数据提供了强有力的证据,证明在预防干预中,将“年轻人”作为一个仅由年龄和性别界定的群体的概念是不适当的。在将社会资源和支助纳入分析时,出现了具有不同性行为和寻求健康行为的特定青年群体。因此,尽管城市地区的大多数年轻人表现出类似的艾滋病毒/性传播感染知识水平,但他们面临的风险因其生活条件而异。这两个人群--“街头男孩”和“快女”--被确定为易受性行为风险的人群。这两个群体都在街上流连,大多数人都参与了酗酒和吸毒,和/或进行交易性行为。这项研究提供了证据,证明需要根据贫困程度和社会脆弱性采取各种办法,以便制定更有效的艾滋病毒/艾滋病和性传播感染预防方案,以满足低收入地区青年男女的需要。
Young people constitute a priority for sexual health research, policy and planning. Many studies, however, regard youth as a homogeneous group defined by developmental stages and their problems as inherent rather than factors resulting from structural vulnerability. Ethnographic data from this study provided strong evidence of the inappropriateness, in prevention interventions, of the concept of 'young people' as a group defined only by age and gender. When incorporating social resources and support into the analysis, specific segments of youth with diverse sexual practices and health seeking behaviours emerge. Thus, although most young people in urban areas show a similar level of HIV/STI knowledge, their exposure to risk varies according to their living conditions. Two population segments - "street guys" and "fast girls" - identified as vulnerable for sexual risk, are characterized. Both groups hang out on the streets, and most are involved in using alcohol and drugs, and/or practicing transactional sex. This study provided evidence for the need of various approaches according to level of poverty and social vulnerability in order to develop more effective HIV/AIDS and STI prevention programs to meet the needs of young men and women in low-income areas.