McKeganey N, Barnard M
Public Health Research Unit, University of Glasgow, United Kingdom.
AIDS Care. 1992;4(4):395-407. doi: 10.1080/09540129208253111.
Female prostitutes have often been seen as a major source of HIV infection. In this paper we report on a study of HIV-related risk behaviour among street prostitutes in Glasgow. This paper is based on street interviews using a standardized schedule with 68 women. We focus on the extent of HIV testing amongst the women, travel, the sexual services provided, the use of condoms with clients and private partners, and the extent of drug injecting and equipment sharing by the women. It is shown that female street prostitution within Glasgow is, at present, unlikely to be associated with significant heterosexual spread of HIV as most commercial sex is with a condom. However, some risk activities are continuing. Additionally, prostitutes report worrying rates of condom failure with clients. It is suggested that attention should switch away from an exclusive focus on women selling sexual services to target the men who purchase sex. These data indicate that much of the pressure for these women to provide unprotected sex comes from their clients.
女性性工作者常常被视为艾滋病毒感染的主要源头。在本文中，我们报告了一项关于格拉斯哥街头性工作者中与艾滋病毒相关风险行为的研究。本文基于对68名女性进行的标准化问卷调查的街头访谈。我们关注这些女性的艾滋病毒检测情况、出行情况、提供的性服务、与嫖客及固定伴侣使用避孕套的情况，以及这些女性注射毒品和共用器具的情况。结果显示，目前格拉斯哥市内的街头女性性工作不太可能与艾滋病毒通过异性传播有显著关联，因为大多数商业性行为都使用了避孕套。然而，一些风险行为仍在继续。此外，性工作者报告称与嫖客使用避孕套时失败率令人担忧。建议关注点应从单纯关注提供性服务的女性转向购买性服务的男性。这些数据表明，这些女性提供无保护性行为的诸多压力来自她们的嫖客。
