Manopaiboon C, Bunnell R E, Kilmarx P H, Chaikummao S, Limpakarnjanarat K, Supawitkul S, St Louis M E, Mastro T D
Thailand MOPH-US CDC Collaboration, DMS 6 Building, Ministry of Public Health, Tivanon Road, Nonthaburi 11000, Thailand.
AIDS Care. 2003 Feb;15(1):39-52. doi: 10.1080/012021000039743.
Factors facilitating or inhibiting women's ability to leave sex work are still poorly characterized, and little is known about women's lives after they leave the profession. This paper presents findings from a qualitative study about factors affecting women's ability to leave sex work and influencing their lives after leaving. We interviewed 42 current and former female sex workers (FSWs) drawn from a cohort study of 500 FSWs in northern Thailand. All but one of the participants had quit sex work at least once. The majority experienced one or more quit-re-entry-quit cycles. Women's ability and decisions to leave sex work were determined primarily by four factors: economic situation, relationship with a steady partner, attitudes towards sex work and HIV/AIDS experience. Economic concerns, ranging from survival needs to materialistic desires, had the strongest influence. Most women perceived their risk for HIV infection to be lower after leaving sex work, but three of the 17 HIV-infected women acquired infection after having left, presumably from their steady partners. Prevention efforts should guide women as they transition out of commercial sex work. Interventions aimed at assisting women wanting to leave sex work need to address the role of economic factors.
促进或阻碍女性脱离性工作的因素仍未得到充分描述，而且对于她们脱离该行业后的生活了解甚少。本文呈现了一项定性研究的结果，该研究探讨了影响女性脱离性工作以及脱离后生活的因素。我们从泰国北部一项针对500名女性性工作者的队列研究中，选取了42名现任和前任女性性工作者进行访谈。除一名参与者外，其他所有人都至少有过一次停止性工作的经历。大多数人经历了一个或多个停止 - 重新进入 - 再停止的循环。女性脱离性工作的能力和决定主要由四个因素决定：经济状况、与固定伴侣的关系、对性工作的态度以及感染艾滋病毒/艾滋病的经历。从生存需求到物质欲望等经济方面的担忧影响最为强烈。大多数女性认为脱离性工作后感染艾滋病毒的风险较低，但17名感染艾滋病毒的女性中有3人在脱离后感染，推测是来自她们的固定伴侣。预防工作应在女性从商业性工作过渡期间给予引导。旨在帮助想要脱离性工作的女性的干预措施需要关注经济因素的作用。
