The influence of power, poverty and agency in the negotiation of condom use for female sex workers in mainland China

The influence of power, poverty and agency in the negotiation of condom use for female sex workers in mainland China
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DOI:
10.1080/13691050701220446
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发表时间:
2007-01-01
影响因子:
2.2
通讯作者:
Holroyd, Eleanor
Holroyd, Eleanor
中科院分区:
医学3区
文献类型:
--
作者:
Choi, Susanne Y. P.;Holroyd, Eleanor

文献摘要

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本文分析了中国大陆女性性工作者在交易性行为背景下持续使用安全套的障碍。它揭示了不同的性工作者群体之间的社会经济状况和组织等级的差异如何对安全套的使用产生不同的障碍。资料的收集是通过对娱乐场所的实地观察和深入访谈的方式进行的。调查结果表明,与其他性工作者相比,街头流浪者不太可能与客户一起使用避孕套,他们的社会经济状况非常不利,并且在孤立的情况下工作。使用避孕套的主要障碍与经济贫困和客户的暴力威胁有关。对于在娱乐场所工作的妇女来说,顾客的醉酒、定价机制和与顾客的熟悉构成了使用安全套的障碍。然而,在所有这些制约因素中,妇女并非无能为力,相反,她们找到了行使代理权、获得个人保护和经济优势的途径。在新兴的中国,工作的结构等级和个人机构都为女性性工作者使用安全套提供了信息。未来的艾滋病毒干预方案需要考虑到这些因素,以满足不同女性性工作者群体的需要。
This paper analyses barriers to consistent condom use in the context of transactional sex among female sex workers in mainland China. It reveals how differences in socioeconomic profile and organisational hierarchies amongst different groups of sex workers create different barriers to condom use. Data was collected by means of field observation of entertainment venues and in-depth interviews. Findings suggest that, compared with other sex workers, street-walkers are less likely to use condoms with their clients, hold highly disadvantaged socioeconomic profiles and work in isolation. Major barriers to condom use link to economic deprivation and threats of violence from clients. For the women working in entertainment venues, drunkenness of clients, pricing mechanisms and familiarity with clients pose barriers to condom use. Yet within all these constraints women are not powerless and instead find ways to exercise agency and gain personal protection and economic advantage. In the newly emerging China, both structural hierarchies of work and individual agency inform condom use by female sex workers. Future HIV intervention programmes need to take these factors into account in order to meet the needs of different groups of women sex workers.