Xia Guomei, Yang Xiushi
Institute of Sociology, Shanghai Academy of Social Sciences, Shanghai, China.
AIDS Educ Prev. 2005 Apr;17(2):143-56. doi: 10.1521/aeap.17.3.143.62904.
Using qualitative information from in-depth interviews of 40 female entertainment workers (FEWs) in Shanghai, this article explores factors associated with unprotected sex and barriers to consistent condom use among FEWs. Results suggest that not all FEWs were at high risk, nor did they all engage in unprotected sex for the same reasons. Prevalence of unprotected sex varied by individual characteristics, across different settings where commercial sex took place, and by the FEWs' relationship to pimps or establishment owners. Factors contributing to unprotected sex included lack of HIV transmission knowledge, economic hardship, client refusal/coercion, and control by pimps/establishment owners. Incorrect beliefs also contributed to use of methods that offered no protection. Study participants endorsed the need for HIV/sexually transmitted disease prevention, but were suspicious about government programs. Prevention interventions need to target simultaneously clients of commercial sex and pimps/business owners and to promote a social environment supportive of 100% condom use in commercial sex.
本文利用对上海40名女性娱乐工作者进行深度访谈所获得的定性信息，探讨了与无保护性行为相关的因素以及女性娱乐工作者在持续使用避孕套方面的障碍。结果表明，并非所有女性娱乐工作者都处于高风险状态，她们进行无保护性行为的原因也不尽相同。无保护性行为的发生率因个人特征、商业性行为发生的不同场所，以及女性娱乐工作者与皮条客或场所老板的关系而异。导致无保护性行为的因素包括缺乏艾滋病毒传播知识、经济困难、客户拒绝/胁迫，以及皮条客/场所老板的控制。错误观念也导致了使用无保护措施的方法。研究参与者认可预防艾滋病毒/性传播疾病的必要性，但对政府项目持怀疑态度。预防干预措施需要同时针对商业性行为的客户和皮条客/企业主，并营造一个支持在商业性行为中100%使用避孕套的社会环境。
