Vulnerability on the streets: female sex workers and HIV risk

Vulnerability on the streets: female sex workers and HIV risk
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DOI:
10.1080/713613193
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发表时间:
1997-10-01
影响因子:
1.7
通讯作者:
Warr, DJ
Warr, DJ
中科院分区:
医学4区
文献类型:
--
作者:
Pyett, PM;Warr, DJ

文献摘要

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有目的地选择了24名女性性工作者进行了深入访谈,她们被认为容易受到与她们的生活方式和职业相关的风险的影响。调查发现,妓院工作人员比在街头工作的妇女面临的风险要小得多。嫖客的抵制是妇女维持安全性行为的主要障碍。嫖客的人身威胁和胁迫、街头工作者得不到法律的保护、工作者在社会上的极端孤立和缺乏社区支持,使妇女在坚持所有性服务都使用避孕套方面遇到更多困难。青年、无家可归和大量吸毒使妇女有时甚至更加脆弱,因为她们管理潜在暴力或性传播疾病风险的能力较弱。无论是通过性:工作还是在私人关系中,艾滋病毒对其中一些妇女来说仍然是一种风险。这项研究强调了与非法性工作有关的危险。虽然卖淫合法化将减少妇女面临的一些危险,并提高妇女坚持安全性行为的能力,但社区教育方案也必须解决男子在寻求性工作者服务时不承担使用避孕套的责任的问题。
In-depth interviews were conducted with 24 purposively selected female sex workers who were perceived to be vulnerable to risks associated with their lifestyle and occupation. Brothel workers were found to be considerably less exposed to risk than the women working on the streets. Client resistance was the major obstacle to women maintaining safe sex practices. Physical threats and coercion from clients, the absence of legal protection for street workers, the workers' extreme social isolation and lack of community support added to the difficulties experienced by women in their attempts to insist on condoms for all sex services. Youth, homelessness and heavy drug use had contributed to women being at times even more vulnerable because they had less capacity to manage situations of potential violence or STD risk. Whether through sex: work or in their private relationships, HIV remains a risk for some of these women. This study highlights the dangers associated with illegal sex work. While decriminalization of prostitution would reduce some of the dangers to which women were exposed and increase women's capacity to insist on safe sex practices, it is also important for community education programmes to address men's failure to accept responsibility for condom use when seeking the services of sex workers.