A qualitative exploration of female sex work in Tijuana, Mexico
A qualitative exploration of female sex work in Tijuana, Mexico
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DOI：
10.1023/b:aseb.0000028887.96873.f3
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发表时间：
2004-08-01
影响因子：
3.8
通讯作者：
Patterson, TL
中科院分区：
文献类型：
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作者：
Bucardo, J;Semple, SJ;Patterson, TL
以前的研究记录了墨西哥女性性工作者的高性病患病率和艾滋病毒感染风险；然而，对这一人群的性危险行为知之甚少。这项研究的目的是在墨西哥提华纳的暗娼中调查工作历史、性工作背景、性风险行为、客户特征、对避孕套的态度以及使用避孕套的潜在障碍。对25名FSWs的定性数据分析表明，大多数妇女在年轻时(23岁)就进入了性交易，主要是因为经济需要。40%的人是养育孩子的单身母亲。妇女平均每周工作6至7天；工作班次为每天4至13小时。客户既有墨西哥人，也有外国人(主要是美国人和亚洲人)，年龄从18岁到80岁不等。这份工作的积极方面包括灵活的工作时间和良好的收入。性工作的消极方面包括与身体攻击、疾病和意外怀孕相关的风险。大多数客户不想使用避孕套，许多人为无保护措施的性行为提供额外的钱。性服务工作者不喜欢使用避孕套，因为他们被认为不舒服。大多数性服务工作者不协商避孕套的使用，对避孕套的正确使用知之甚少，也不愿报告自己的不安全性行为。这些结果表明，有必要为墨西哥边境城市的暗娼制定文化上适当的更安全的性行为干预措施。
Previous research has documented high rates of STDs and increased risk of HIV infection among female sex workers (FSWs) in Mexico; however, little is known about the sexual risk behaviors of this population. The purpose of this study was to explore work history, context of sex work, sexual risk practices, client characteristics, attitudes toward condoms, and potential barriers to condom use in a sample of FSWs in Tijuana, Mexico. Analysis of qualitative data from 25 FSWs revealed that most women entered the sex trade at a young age ( M D 23 years), primarily as a result of financial need. Forty percent were single mothers supporting children. Women worked an average of 6 - 7 days per week; work shifts ranged from 4 to 13 hr per day. Clients were both Mexican and foreign ( mostly American and Asian), and ranged in age from 18 to 80 years. Positive aspects of the job included flexible work hours and good income. Negative aspects of sex work included risks associated with physical assault, diseases, and unwanted pregnancies. Most clients did not want to use a condom and many offered additional money for unprotected sex. FSWs did not like to use condoms because they were perceived as uncomfortable. Most FSWs did not negotiate the use of condoms, had a low knowledge regarding the proper use of condoms, and were reticent to report their own unsafe sex practices. These results suggest the need to develop culturally appropriate safer sex interventions for FSWs in Mexican border cities.