Sedyaningsih-Mamahit E R
Communicable Disease Research Center, Ministry of Health, Jakarta, Indonesia.
Soc Sci Med. 1999 Oct;49(8):1101-14. doi: 10.1016/s0277-9536(99)00202-6.
Indonesia is predicted to face a severe AIDS epidemic in the near future. More than 60% of the reported HIV-positive cases in Indonesia can be attributed to heterosexual transmission; therefore, by the nature of their work, female commercial sex workers (FCSWs) constitute one of the communities at risk. No meaningful or effective STD/HIV prevention programs for FCSWs can be planned if there is no contextual understanding of these women as persons, the nature and the risks of their job and their relations with their clients and managers. Just as it is incorrect to assume that all women enter prostitution for the same reasons, educational approaches that are modeled on shallow stereotypes will be ineffective. Interweaving qualitative and quantitative methods, this research investigates the FCSWs in an 'official' brothel complex in Jakarta, Indonesia. Results of this study give insights of four typologies of FCSWs observed in Kramat Tunggak. The personal, professional, social and other differences which influenced the women into full-time sex work and affected their willingness and ability to engage in healthy and protective behaviors, are presented. Finally, based on those findings a recommendation on how to deliver health messages to the FCSWs is offered.
预计印度尼西亚在不久的将来将面临严重的艾滋病疫情。在印度尼西亚报告的艾滋病毒阳性病例中，超过60%可归因于异性传播；因此，就其工作性质而言，女性商业性工作者构成了高危群体之一。如果不了解这些女性作为个体的情况、她们工作的性质和风险以及她们与客户和经理的关系，就无法制定有意义或有效的针对女性商业性工作者的性传播感染/艾滋病毒预防计划。正如认为所有女性从事卖淫的原因都相同是错误的一样，基于肤浅刻板印象的教育方法也将无效。本研究将定性和定量方法相结合，对印度尼西亚雅加达一个“官方”妓院综合体中的女性商业性工作者进行了调查。这项研究的结果揭示了在克拉马特通阿克观察到的四种女性商业性工作者类型。介绍了影响这些女性从事全职性工作并影响她们采取健康和保护行为的意愿及能力的个人、职业、社会及其他方面的差异。最后，基于这些发现，就如何向女性商业性工作者传递健康信息提出了建议。
