Behavioral Changes, Adaptation, and Supports among Indonesian Female Sex Workers Facing Dual Risk of COVID-19 and HIV in a Pandemic.
Behavioral Changes, Adaptation, and Supports among Indonesian Female Sex Workers Facing Dual Risk of COVID-19 and HIV in a Pandemic.
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DOI：
10.3390/ijerph19031361
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发表时间：
2022-01-26
影响因子：
--
通讯作者：
Januraga PP
中科院分区：
文献类型：
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作者：
Wirawan GBS;Wardhani BDK;Pradnyani PE;Nurhalina A;Sulaiman N;Sukmaningrum E;Wulandari LPL;Januraga PP
本研究的目的是探讨新冠肺炎疫情对印尼女性性工作者群体的影响和发生的变化，以及这些变化的预测因素。我们进行了一项横断面在线调查，并使用有目的的滚雪球抽样技术选择了参与者。以5美元电子钱包余额的形式向参与者提供奖励。感兴趣的变量包括对网络性工作的适应、在性工作期间遵守新冠肺炎预防措施、客户数量、收入减少、社会支持、获得避孕套和避孕套使用频率。还收集了社会人口数据和新冠肺炎恐惧指数。最终分析对象为951名暗娼，36.4%的暗娼适应了网络性服务，48.6%的暗娼实施了新冠肺炎预防措施。分别有67.8%和71.1%的受访者报告客户频率和收入大幅减少。然而，只有36.3%的性服务工作者报告说，他们曾经从任何公共或私人团体那里获得过任何形式的社会支持。同时，16.7%的人在获取避孕套方面遇到困难，12.5%的人报告在大流行期间避孕套的使用频率较低。容易获得避孕套是影响避孕套使用频率的主要因素。正如预期的那样，继续就业保护了FSWs不会遭受重大收入损失，而受教育程度和年龄更小的人预测了适应性行为的变化，比如从事网性工作。新冠肺炎疫情扰乱了性服务工作者获得社会经济支持系统和艾滋病毒预防服务的渠道，进一步使他们面临艾滋病毒和新冠肺炎感染的双重危险。
The objective of this study is to explore the impacts of COVID-19 and changes taking place among the Indonesian female sex worker (FSW) community during the COVID-19 pandemic and the predictors of these changes. We conducted a cross-sectional online survey and selected the participants using a purposive snowball sampling technique. Incentives were provided to participants in the form of a 5 USD e-wallet balance. Variables of interest included adaptation to online sex work, adherence to COVID-19 prevention measures during sex work, number of clients, income reduction, social support, condom access, and condom use frequency. Sociodemographic data and COVID-19 fear index values were also collected. Final analysis included 951 FSWs, of whom 36.4% of had adapted to online sex work and 48.6% had practiced COVID-19 prevention measures. Major reductions in client frequency and income were reported by 67.8% and 71.1% of respondents, respectively. However, only 36.3% of FSWs reported they had ever received any form of social support from any parties, public or private. Meanwhile, 16.7% encountered difficulties in accessing condoms and 12.5% reported less frequent condom use during the pandemic. Easy access to condoms was the main factor influencing the frequency of condom use. As expected, staying in employment protected FSWs from major income loss, while education and younger age predicted adaptive behavioral changes, such as taking up online sex work. The COVID-19 pandemic has disrupted access to socioeconomic support systems and HIV prevention services among FSWs and has further exposed them to the dual jeopardy of HIV and COVID-19 infections.
影响因子：
4.5
作者：
Wirawan GBS;Januraga PP;Mahendra IGAA;Harjana NPA;Mahatmi T;Luhukay L;Rewari BB;Johnson C;Katz DA
通讯作者：
Katz DA