Social and behavioral characteristics of gharwalis who operate brothels in the Ganga-Jamuna area of Nagpur, India.

Social and behavioral characteristics of gharwalis who operate brothels in the Ganga-Jamuna area of Nagpur, India.
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DOI:
10.1080/09540121.2012.712663
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发表时间:
2013
期刊:
影响因子:
1.7
通讯作者:
Patterson TL
Patterson TL
中科院分区:
医学4区
文献类型:
--
作者:
Semple SJ;Strathdee SA;Srikrishnan AK;Solomon S;Patterson TL

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那格浦尔是马哈拉施特拉邦的一个工业中心,马哈拉施特拉邦是印度中部的一个州,艾滋病感染率位居全国第二。据估计,在那格浦尔的Ganga-Jamuna红灯区,大约有3000名妓院女性性工作者(FSWs)在工作。妓院老鸨(被称为gharwalis)在多大程度上支持女服务员预防艾滋病毒/性传播感染还没有得到调查。本研究试图确定那格浦尔的加尔瓦里的个人、社会和行为特征,并加强我们对加尔瓦里在塑造妓院fsw性行为中的作用的理解。30名加尔瓦利人参加了一项调查,内容涉及个人、社会、行为和环境特征。受访者的年龄从29岁到50岁不等(M = 38.9),平均担任加尔瓦里5.3年;80%的人没有受过正规教育,43%的人从未结婚,30%的人离婚或分居,93%的人通过自己的性工作赚钱。Gharwalis平均管理4.2个fsw(范围2至10)。总体而言,gharwalis报告了对避孕套的积极态度,促进他们的女服务员与客户使用避孕套,教女服务员如何使用避孕套,知道在哪里可以免费获得避孕套,并要求他们的女服务员进行艾滋病毒检测;然而,艾滋病预防知识水平很低。Gharwalis还报告说,向住在妓院的女妓女提供了一系列支持服务,包括庇护所、保护她们不受醉酒和有攻击性的嫖客和警察的伤害、情感支持、关怀和关爱以及保健。这些数据表明,将gharwalis纳入以妓院为基础的艾滋病预防项目是可行的。
Nagpur is an industrial hub in Maharashtra, a state in Central India that has the second highest HIV prevalence in the country. Approximately 3000 brothel-based female sex workers (FSWs) are estimated to be working in Nagpur’s Ganga-Jamuna red light district. The extent to which brothel madams, known as gharwalis, support HIV/STI prevention for FSWs has not been examined. The present study sought to identify personal, social, and behavioral characteristics of gharwalis in Nagpur as well as enhance our understanding of the gharwali’s role in shaping the sexual practices of brothel-based FSWs. Thirty gharwalis participated in a survey that covered personal, social, behavioral, and environmental characteristics. Respondents ranged in age from 29 to 50 years (M = 38.9) and had worked as a gharwali for an average of 5.3 years; 80% had no formal education, 43% had never married and 30% were divorced or separated, and 93% earned money from their own sex work. Gharwalis managed an average of 4.2 FSWs (range 2 to 10). Overall, gharwalis reported positive attitudes toward condoms, promoted use of condoms by their FSWs with clients, taught FSWs how to use condoms, knew where to obtain condoms for free, and required HIV testing for their FSWs; however, levels of HIV prevention knowledge were low. Gharwalis also reported providing a range of support services to FSWs who lived in their brothels, including shelter, protection from drunk and aggressive clients and police, emotional support, caring and love, and health care. These data suggest the feasibility of involving gharwalis in brothel-based HIV prevention programs.
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