Female streetwalkers' perspectives on migration and HIV/STI risks in a changing economic and social environment: a qualitative study in Shanghai, China.

Female streetwalkers' perspectives on migration and HIV/STI risks in a changing economic and social environment: a qualitative study in Shanghai, China.
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DOI:
10.1080/13691058.2014.990518
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发表时间:
2015
期刊:
Culture, health & sexuality
影响因子:
--
通讯作者:
He N
He N
中科院分区:
其他
文献类型:
--
作者:
Huang ZJ;Hu D;Chang R;Zaccaro H;Iguchi M;Zheng H;He N

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中国30年的经济繁荣为商业性行为以及来自中国农村的流动妇女劳动力创造了一个独特的社会和经济市场。这项定性研究探讨了快速变化的社会和经济环境对上海女性街头流浪者的迁移模式、性传播感染(STI)知识、STI危险行为和健康信念的影响。 2010 年,通过对 16 名街头流浪者进行半结构化深度访谈收集了定性数据,以描述他们的迁徙历程、性健康和行为以及同伴网络。许多街头流浪者报告了童年贫困的历史、家庭或伴侣暴力或创伤的历史、与经济发展的时间表和路线一致的移徙历史、以及缺乏健康、社会或经济支持的历史。他们对艾滋病毒和性传播感染的预防和治疗知识有限。她们在使用安全套方面几乎没有讨价还价的能力,大多数人采取阴道冲洗和抗生素自我管理作为预防措施。该研究确定了街头流浪者对不断变化的环境的看法、他们的选择和行动,以及这一隐藏人群特有的艾滋病毒/性传播感染风险。
China's 30-year economic boom has created a unique social and economic market for commercial sex, as well as for a workforce of migrant women from rural China. This qualitative study explores the impact of the rapidly changing social and economic environment on migration patterns, sexually transmitted infection (STI) knowledge, STI risk behaviours, and health beliefs among female streetwalkers in Shanghai. Qualitative data were collected in 2010 through semi-structured in-depth interviews with 16 streetwalkers to characterise their migration passages, sexual health and behaviours, and peer networks. Many streetwalkers reported histories of childhood impoverishment, of family or partner violence or trauma, of migration consistent with the timeline and routes of economic development, and of a scarcity in health, social, or economic support. Their knowledge of the prevention and treatment of HIV and STIs was limited. They had little bargaining power on condom use, and the majority resorted to vaginal douching and self-management with antibiotics as preventative measures. The study identifies streetwalkers’ perspectives on the changing environment, their options and actions, and finally HIV/STI risks that were unique to this hidden population.
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