Condom use as situated in a risk context: women's experiences in the massage parlour industry in Vancouver, Canada
Condom use as situated in a risk context: women's experiences in the massage parlour industry in Vancouver, Canada
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DOI：
10.1080/13691058.2012.712720
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发表时间：
2012-01-01
影响因子：
2.2
通讯作者：
Kolar, Kat
中科院分区：
文献类型：
--
作者：
Handlovsky, Ingrid;Bungay, Vicky;Kolar, Kat
对性工作中使用避孕套的调查引起了人们对促进健康和预防疾病的兴趣。然而，对室内性行业使用避孕套的做法仍然缺乏调查，尤其是在北美。我们对室内性工作的一个方面进行了专题分析，利用了一项大型混合方法研究的数据，该研究调查了加拿大温哥华按摩院行业的女性健康问题。使用风险背景框架，安全套的使用被视为一种由支持和约束动态构成的社会情境实践。研究确定了三个分析类别：(1)安全套谈判过程；(2)安全套的可获得性和性传播感染信息的可获得性；(3)财务脆弱性。在这些类别中，一些支持性因素（行业经验和个人独创性）和限制性因素（缺乏机构支持、客户偏好、有限的语言能力和法律制度）作为对避孕套使用的交互影响进行了探讨。鼓励使用避孕套的举措必须认识到具体情况的作用，以便更有效地支持从事性工作的妇女促进健康的努力。
Investigation into condom use in sex work has aroused interest in health promotion and illness prevention. Yet there remains a dearth of inquiry into condom use practices in the indoor sex industry, particularly in North America. We performed a thematic analysis of one aspect of the indoor sex work by drawing on data from a larger mixed-methods study that investigated women's health issues in the massage parlour industry in Vancouver, Canada. Using a risk context framework, condom use was approached as a socially situated practice constituted by supportive and constraining dynamics. Three analytic categories were identified: (1) the process of condom negotiation, (2) the availability of condoms and accessibility to information on STI and (3) financial vulnerability. Within these categories, several supportive dynamics (industry experience and personal ingenuity) and constraining dynamics (lack of agency support, client preferences, limited language proficiency and the legal system) were explored as interfacing influences on condom use. Initiatives to encourage condom use must recognise the role of context in order to more effectively support the health-promoting efforts of women in sex work.