Jochelson K, Mothibeli M, Leger J P
St. Antony's College, Oxford, England.
Int J Health Serv. 1991;21(1):157-73. doi: 10.2190/11UE-L88J-46HN-HR0K.
The authors investigate the impact of the migrant labor system on heterosexual relationships on South African mines and assess the implications for the future transmission of human immunodeficiency virus (HIV) infection. The migrant labor system has created a market for prostitution in mining towns and geographic networks of relationships within and between urban and rural communities. A section of the migrant workforce and a group of women dependent on prostitution for economic support appear especially vulnerable to contracting HIV infection since they are involved in multiple sexual encounters with different, changing partners, usually without condom protection. Furthermore, sexually transmitted disease morbidity is extensive in the general and mineworker populations. Historically, migration facilitated the transmission of sexually transmitted diseases and may act similarly for HIV. Problems of combating the HIV epidemic in South Africa are discussed.
作者们研究了流动劳工制度对南非矿区异性恋关系的影响，并评估了其对未来人类免疫缺陷病毒（HIV）感染传播的影响。流动劳工制度在矿业城镇催生了性交易市场，并在城乡社区内部及之间形成了人际关系的地理网络。一部分流动劳动力以及一群依靠卖淫获取经济支持的女性似乎特别容易感染HIV，因为他们与不同且不断更换的性伴侣发生多次性行为，且通常没有采取安全套保护措施。此外，性传播疾病在普通人群和矿工群体中发病率很高。从历史上看，人口流动促进了性传播疾病的传播，对HIV可能也有类似作用。文中还讨论了南非抗击HIV疫情的问题。
