School of Public Health, University of California, Berkeley, CA, USA.
AIDS Behav. 2010 Aug;14 Suppl 1(Suppl 1):S136-46. doi: 10.1007/s10461-010-9722-z.
This qualitative study examines the role of alcohol in sexual risk among male migrant workers and female sex workers in two South Indian states. Most men reported using alcohol for increased energy and courage prior to their sexual experiences and to reduce feelings of loneliness and isolation. Sex workers, on the other hand, often stated that they avoided alcohol prior to sex in order to stay alert and reduce the risk of violence. Both groups reported that drinking often increased male aggression and reduced condom use. Research is needed to examine the prevalence of these patterns as well as factors associated with sexual risk and violence, in order to develop targeted interventions for these groups. Future risk reduction programs may benefit from addressing safer ways of meeting the needs expressed by the participants. This may include strategies to defuse volatile situations, safe ways of improving the sexual experience, and interventions aimed at alleviating loneliness and isolation for migrants.
本定性研究考察了在印度两个邦的男性外来务工人员和女性性工作者中，酒精在性行为风险中的作用。大多数男性报告称，在进行性行为之前，他们会饮酒以增加能量和勇气，并减轻孤独感和隔离感。而性工作者则表示，为了保持警觉并降低暴力风险，她们通常会避免在性行为前饮酒。这两组人都报告称，饮酒会增加男性的攻击性，减少使用避孕套。需要研究这些模式的流行程度以及与性行为风险和暴力相关的因素，以便为这些群体制定有针对性的干预措施。未来的减少风险计划可能受益于寻找满足参与者需求的更安全方法。这可能包括化解紧张局势的策略、改善性体验的安全方法，以及针对缓解移民孤独感和隔离感的干预措施。
