Webber Gail, Edwards Nancy, Amaratunga Carol, Graham Ian D, Keane Vincent, Ros Socheat
Department of Family Medicine, University of Ottawa, 2450 Lancaster Road, Units 11 and 12, Ottawa, ON, Canada K1B 5N3.
Southeast Asian J Trop Med Public Health. 2010 May;41(3):685-95.
Cambodia is experiencing a generalized HIV epidemic; there is evidence some populations within Cambodia are particularly vulnerable to infection. A mixed methods study was conducted in 2006 on the vulnerability to contract HIV of rural-to-urban migrant Cambodian garment factory workers. This paper reports the views of these female migrant workers regarding the use of condoms in their sexual relationships. Semi-structured interviews were conducted among 20 workers about their knowledge and experiences regarding condom use. Both married and single women were knowledgeable about HIV transmission, but there was a spectrum of perspectives about condom use with their current or future partners. Some women insisted partners use condoms, while others did not expect partner compliance, and a third group avoided discussing condom use with their partners. HIV prevention programs should include male partners. For many of these migrant women, interventions focussing on education about HIV transmission and condom negotiation skills are insufficient since implementation requires male cooperation.
柬埔寨正经历一场广泛的艾滋病流行;有证据表明柬埔寨境内的一些人群特别容易感染艾滋病。2006年针对柬埔寨从农村到城市的服装厂流动工人感染艾滋病的易感性开展了一项混合方法研究。本文报告了这些流动女工在其性关系中使用避孕套的看法。对20名工人进行了半结构化访谈,了解她们在使用避孕套方面的知识和经历。已婚和单身女性都了解艾滋病传播知识,但在与当前或未来伴侣使用避孕套方面存在一系列观点。一些女性坚持要求伴侣使用避孕套,而另一些女性则不期望伴侣会依从,还有第三组女性避免与伴侣讨论使用避孕套的问题。艾滋病预防项目应将男性伴侣纳入其中。对于许多这些流动女性而言,仅侧重于艾滋病传播教育和避孕套谈判技巧的干预措施是不够的,因为实施需要男性的配合。