Determinants of condom use in female sex workers in Surabaya, Indonesia
Determinants of condom use in female sex workers in Surabaya, Indonesia
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DOI：
10.1258/0956462001915679
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发表时间：
2000-04-01
影响因子：
1.4
通讯作者：
Idajadi, A
中科院分区：
文献类型：
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作者：
Joesoef, MR;Kio, D;Idajadi, A
在发展中国家，性工作者及其嫖客使用安全套在艾滋病毒/性病传播中发挥着主导作用。在印度尼西亚泗水，1993 年对女性性工作者（妓院、街头、按摩院、理发店、应召女郎屋和夜总会）性病患病率调查的数据显示，在接受采访时，只有 5% (33/692) 的妓院工作者和 14% (25/177) 的街头妓女持有安全套。在最近一次有偿性行为中，妓院、街头和夜总会的性工作者很少使用安全套（分别为 14%、20% 和 25%）。按摩院、理发店和应召女郎使用安全套的可能性是夜总会性工作者的 5 至 3 倍（调整后的优势比分别为 3.5、4.9 和 4.2）；因此，安全套推广方案应针对妓院、街头和夜总会的性工作者。方案应包括：（1）前期向性场所免费发放安全套，后期进行安全套社会营销； (2) 对不一贯使用安全套的性场所的处罚，包括法律制裁； (3) 妓院老板和女士参与鼓励性工作者在性交过程中始终让嫖客使用安全套； (4) 建立哨点监测来监测性病/艾滋病毒和安全套使用依从性。
In the developing world condom use among sex workers and their clients plays a dominant role in the transmission of HIV/STD. In Surabaya, Indonesia, data from the 1993 STD prevalence survey in female sex workers (brothels, street, massage parlours, barber shops, call-girl houses, and nightclubs) reveal that only 5% (33/692) of the brothel workers and 14% (25/177) of the street walkers had condoms in their possession at the time of the interview. During the last paid sexual intercourse, sex workers from the brothels, streets, and nightclubs used condoms infrequently (14%, 20%, and 25%, respectively). Sex workers from massage parlours, barber shops, and call girls were about 5 to 3 times more likely to use condoms than sex workers from nightclubs (adjusted odds ratio of 3.5, 4.9, and 4.2, respectively); thus condom promotion programmes should be targeted at sex workers at brothels, streets, and nightclubs. Programmes should include: (1) free distribution of condoms to sex establishments at the initial stage, and condom social marketing at later stages; (2) penalties, including legal sanctions, against any sex establishments that do not consistently use condoms; (3) participation of brothel owners and madams in encouraging sex workers to consistently have clients use condoms during sexual intercourse; and (4) establishment of sentinel surveillance to monitor STD/HIV and condom-use compliance.