HIV/AIDS risk among brothel-based female sex workers in China: Assessing the terms, content, and knowledge of sex work
HIV/AIDS risk among brothel-based female sex workers in China: Assessing the terms, content, and knowledge of sex work
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DOI：
10.1097/01.olq.0000143107.06988.ea
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发表时间：
2004-11-01
影响因子：
3.1
通讯作者：
Cohen, MS
中科院分区：
文献类型：
--
作者：
Huang, YY;Henderson, GE;Cohen, MS
背景资料：中国艾滋病毒的性传播正在迅速增加，部分原因是商业性工作。目标：本文探讨了中国一种妓院妓女的职业控制差异，以及这种工作的条款和内容与艾滋病毒/艾滋病风险之间的关系。组织因素被讨论的一部分，目前的政治，经济和社会背景下的性workinginChina.Study：该分析是基于人种学观察和深入访谈，在2000年和2001年在中国南方涉及158名妓女从45个妓院在4个红灯区。访谈和观察数据的定性分析使用测量职业控制的主题代码的开发。中国的妓院女性性工作者是一个异质性群体，在生活和工作安排、与管理人员和客户的关系、协商使用安全套的能力、对性传播疾病和艾滋病毒的了解以及职业认同方面表现出相当大的差异，结论：在中国开展艾滋病预防活动必须关注性工作的社会文化方面。这种干预依赖于对其组织的详细了解。这项研究的结果表明，针对妓院管理人员和嫖客以及性工作者开展预防活动十分重要。
Background: Sexual transmission of HIV in China is rapidly increasing, in part driven by commercial sex work.Goal: This article examines variations in occupational control among one type of brothel-based prostitutes in China, and the relationship between the terms and content of this work and the risk of HIV/AIDS. Organizational factors are discussed as part of the current political, economic, and social context of sex work in China.Study: The analysis is based on ethnographic observation and in-depth interviews conducted in south China in 2000 and 2001 involving 158 female prostitutes from 45 brothels in 4 red light districts. Qualitative analysis of interview and observational data used development of thematic codes measuring occupational control.Results: Brothel-based female sex workers in China are a heterogeneous population, displaying considerable variability in the organization of life and work, relationships with managers and clients, ability to negotiate condom use, knowledge of sexually transmitted diseases and HIV, and occupational identity, all of which may result in different risks of acquiring HIV.Conclusion: HIV prevention activities in China must focus on sociocultural aspects of sex work. Such interventions depend on detailed knowledge of its organization. The results of this study demonstrate the importance of prevention activities directed at the brothel managers and clients, as well as the sex workers.