The Role of Brothels in Reducing HIV Risk in Sonagachi, India

The Role of Brothels in Reducing HIV Risk in Sonagachi, India
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DOI:
10.1177/1049732310395328
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发表时间:
2011-05-01
影响因子:
3.2
通讯作者:
George, Sheba M.
George, Sheba M.
中科院分区:
医学2区
文献类型:
--
作者:
Ghose, Toorjo;Swendeman, Dallas T.;George, Sheba M.

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在印度索纳加奇,性工作者的高赋权率、艾滋病毒相关知识和安全套使用率被归因于一项名为索纳加奇艾滋病毒/艾滋病干预方案(SHIP)的社区主导干预措施。在这项研究中,我们研究了妓院在干预成功中的关键作用。深入,半结构化访谈进行了55名参与者的船舶。结果表明,妓院通过以下方式帮助性工作者降低艾滋病毒风险:(a)作为SHIP艾滋病毒干预工作的目标场所,(B)由老鸨经营(c)规范与性工作有关的经济交易和性行为,从而规范与性有关的行为,以及(d)在妓院居民中促进社区赋权。这些结果的影响进行了讨论,为今后的努力复制船舶的成功,在其他性工作社区。
High rates of empowerment, HIV-related knowledge, and condom use among sex workers in Sonagachi, India have been attributed to a community-led intervention called the Sonagachi HIV/AIDS Intervention Program (SHIP). In this research we examined the crucial role of brothels in the success of the intervention. In-depth, semistructured interviews were conducted with 55 participants of SHIP. The results indicate that brothels help sex workers reduce HIV risk by (a) serving as targeted sites for SHIP's HIV intervention efforts, (b) being operated by madams (women managers of brothels) who participate in SHIP's intervention efforts and promote healthy regimes, (c) structuring the economic transactions and sexual performances related to sex work, thus standardizing sex-related behavior, and (d) promoting community empowerment among brothel residents. Implications of these results are discussed for future efforts to replicate SHIP's success in other sex work communities.