Rushing Rosanne, Watts Charlotte, Rushing Sharon
Loma Linda University School of Public Health, Loma Linda, CA 92350, USA.
J Midwifery Womens Health. 2005 Jul-Aug;50(4):e41-4. doi: 10.1016/j.jmwh.2005.03.008.
Young women are often lured or forced into selling sex as a result of migrating from rural to urban areas to find work. In this setting, they are exposed to high-risk situations, which may leave them vulnerable to exploitation. Using interviews with young migrant women currently working as sex workers in northern Vietnam, we recorded the perspectives of their initiation into sex work and life as a sex worker. The study found that high levels of forced sex and sexual exploitation were experienced by the majority of the young women interviewed. The young women describe their entry into sex work, first sexual experience (intercourse), violence, and condom negotiation and use. Although access to health care was available, the young women perceived the stigma attached to sex work as a barrier to receiving health care, and thus, preferred health education and care from peers. Health education programs focusing on peer education and support are essential for protecting and empowering these young women. In addition, policies and programs must work toward effective strategies to protect young migrant women.
年轻女性常常因从农村迁移到城市找工作而被引诱或被迫从事性交易。在这种情况下，她们面临高风险处境，这可能使她们容易受到剥削。通过对越南北方目前从事性工作的年轻流动妇女进行访谈，我们记录了她们开始从事性工作的经历以及作为性工作者的生活情况。研究发现，接受访谈的大多数年轻女性都遭受过大量的强迫性行为和性剥削。这些年轻女性描述了她们进入性工作的过程、首次性经历（性交）、暴力以及避孕套的协商与使用情况。尽管她们能够获得医疗保健服务，但这些年轻女性认为与性工作相关的污名是获得医疗保健的障碍，因此，她们更倾向于从同伴那里获得健康教育和护理。注重同伴教育和支持的健康教育项目对于保护这些年轻女性并赋予她们权力至关重要。此外，政策和项目必须致力于制定有效的策略来保护年轻的流动妇女。
