Saving 'face' and 'othering': getting to the root of barriers to condom use among Chinese female sex workers
Saving 'face' and 'othering': getting to the root of barriers to condom use among Chinese female sex workers
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DOI：
10.1071/sh07057
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发表时间：
2008-01-01
期刊：
影响因子：
1.6
通讯作者：
Hua, Zhou
中科院分区：
文献类型：
--
作者：
Chapman, Jenifer;Estcourt, Claudia S.;Hua, Zhou
背景：中国是世界上传播最迅速的艾滋病毒流行之一，女性性工作者和嫖客之间的性传播在新感染病例中所占比例不断上升。成功的艾滋病毒预防依赖于传递相关的、文化上合适的信息来影响行为改变。然而，在中国女工中导致避孕套使用障碍的文化体系却没有得到很好的检验。更好地了解这些障碍对于全球艾滋病毒预防工作至关重要，特别是考虑到越来越多的中国妇女在移民国家从事性工作的国际移民。方法：对2004-07-08在深圳市劳教看守所服刑的23名暗娼中国进行半结构式访谈。结果：所有被调查者均为国内经济流动人口，为追求更高的经济回报而进入性行业。受访者解释说，如果他们移民归来时身无分文，他们会“丢脸”。女性对商业性伴侣和非商业性伴侣的区别非常微妙；“男友”关系的性质多种多样，而且往往是交易性的。避孕套的使用受到性别规范、熟悉度、“保全”和“给予”面子的渴望的影响，以及在交易性关系中，是否提供更多的钱。女性认为艾滋病毒是一种“其他人”的疾病；只有两名女性觉得自己处于危险之中。结论：本研究强调了独特的文化结构在中国女性性行为决策中的重要性，对此的理解将促进全球艾滋病预防努力的成功。
Background: China has one of the most rapidly expanding HIV epidemics in the world with sexual transmission between female sex workers ( FSW) and clients accounting for a rising fraction of new infections. Successful HIV prevention relies on the delivery of relevant, culturally appropriate messages to influence behaviour change. However, the cultural systems that give rise to barriers to condom use among Chinese FSW have been poorly examined. A better understanding of these barriers is fundamental to global HIV prevention efforts particularly considering increasing international migration of Chinese women who go on to engage in sex work in their migrant country. Methods: We conducted semistructured interviews with 23 FSW incarcerated in a re-education and detention centre in Shenzhen, China in July to August 2004. Results: All respondents were internal economic migrants who had entered the sex industry in pursuit of greater financial reward. Respondents explained that they would 'lose face' if they returned from their migration penniless. Women's distinction between commercial and non-commercial partners was very subtle; the nature of 'boyfriend' relationships was diverse and these were often transactional. Condom use was influenced by gender norms, familiarity, a desire to 'save' and 'give' face and, in transactional relationships, whether more money was offered. Women felt HIV was a disease of 'others'; only two women felt personally at risk. Conclusions: The present study has highlighted the importance of unique cultural structures in Chinese FSW sexual decision-making, an understanding of which will enhance the success of HIV-prevention efforts globally.