Aral S O, St Lawrence J S, Uusküla A
Division of Sexually Transmitted Disease, National Centers for HIV, STD and TB Prevention, Centers for Disease Control and Prevention, 1600 Clifton Road NE, Mailstop E02, Atlanta, GA 30333, USA.
Sex Transm Infect. 2006 Oct;82(5):348-53. doi: 10.1136/sti.2006.020677. Epub 2006 Jun 28.
It is important to describe and understand the underlying patterns and dynamics that govern sex work in societies undergoing rapid political and social changes, its heterogeneity across populations, and its evolution through time in order to inform future research, sound policy formation, and programme delivery.
To describe the socioeconomic and cultural determinants, organisational structure, distinct categories, and spatial patterning of sex work in Tallinn, Estonia, and identify recent temporal changes in sex work patterns.
In-depth interviews with key informants; naturalistic observations of sex work and drug use venues, geo-mapping of sex work sites, review of media, public policy, and commissioned reports, and analyses of existing data.
Sex work takes place in a hierarchy of locations in Tallinn ranging from elite brothels and "love flats" to truck stops. These sites vary in terms of their public health importance and social organisation. There are full time, part time, and intermittent male and female sex workers. Among others, the taxi driver, madam and the bartender are central roles in the organisation of sex work in Tallinn. Cell phone and internet technology enable sex work to be highly dispersed and spatially mobile.
Future research and programmatic service delivery or outreach efforts should respond to the changing profile of sex work in Tallinn and its implications for STD/HIV epidemiology.
在经历快速政治和社会变革的社会中，描述和理解控制性工作的潜在模式与动态、其在不同人群中的异质性以及随时间的演变，对于为未来研究、合理政策制定和项目实施提供信息至关重要。
描述爱沙尼亚塔林性工作的社会经济和文化决定因素、组织结构、不同类别及空间分布，并确定性工作模式近期的时间变化。
对关键信息提供者进行深入访谈；对性工作和吸毒场所进行自然观察、对性工作地点进行地理绘图、查阅媒体、公共政策及委托报告，并分析现有数据。
在塔林，性工作场所存在等级差异，从高档妓院和“情人公寓”到卡车停靠点不等。这些场所的公共卫生重要性和社会组织形式各不相同。有全职、兼职和间歇性的男性及女性性工作者。其中，出租车司机、鸨母和酒保在塔林性工作组织中扮演核心角色。手机和互联网技术使性工作高度分散且具有空间流动性。
未来的研究以及项目服务提供或外展工作应应对塔林性工作不断变化的情况及其对性传播感染/艾滋病毒流行病学的影响。
