Onyeneho N G
Department of Sociology/Anthropology, University of Nigeria, Nsukka, Enugu State, Nigeria.
Tanzan J Health Res. 2009 Jul;11(3):126-35. doi: 10.4314/thrb.v11i3.47698.
While successes are recorded in the developed world with respect to control of HIV/AIDS, the dream of halting and reversing its spread seems to be a mirage in most parts of the developing world. The forces that drive the transmission of HIV/AIDS in Nigeria, as in many other resource poor societies include the activities of high-risk groups. Commercial sex workers remain a major source of HIV/AIDS transmission in Nigeria. The knowledge, attitude and practice (KAP) of HIV/AIDS among female sex workers (FSWs) faced with the threat of contracting HIV/AIDS were assessed. A total of 135 FSWs from four most popular brothels in Enugu were interviewed with a structured interview schedule. Six focus group discussion (FGD) sessions were held with FSWs from neighbouring communities. FSWs in Enugu were of diverse socioeconomic backgrounds. They were however mostly in their productive ages of 16-47, with a mean age of 26.9 years. Poverty was the common reason for sex work. Some engaged in sex work to provide their school needs and those of other dependants. The respondents were aware of HIV/AIDS and dread being infected by it because of the stigma and absence of cure. Three percent do not use condom at all. Others use unorthodox methods (e.g. douching with salt solution immediately after sex), if a client refuses to use condom. Condom use depended on the client's choice. Misconceptions exist among the respondents on mode of transmission. Perceptual factors, more than demographic differences played great role in the attitude of the FSWs towards HIV/AIDS. Steps need to be taken to improve on the level of knowledge of HIV/AIDS among the respondents. This should cut across socio-demographic lines and should target the perceptual factors, which tended to provide adequate explanation for the attitude of the respondents to HIV/AIDS. The FSWs should be provided with income earning skills to improve their income earner ability and make them self-reliant.
虽然在发达国家控制艾滋病毒/艾滋病方面取得了成功，但在发展中世界的大多数地区，阻止并扭转其传播的梦想似乎只是海市蜃楼。与许多其他资源匮乏的社会一样，在尼日利亚推动艾滋病毒/艾滋病传播的因素包括高危群体的活动。商业性工作者仍然是尼日利亚艾滋病毒/艾滋病传播的主要来源。对面临感染艾滋病毒/艾滋病威胁的女性性工作者（FSW）的艾滋病毒/艾滋病知识、态度和行为（KAP）进行了评估。采用结构化访谈提纲，对来自埃努古四个最受欢迎妓院的135名女性性工作者进行了访谈。与来自邻近社区的女性性工作者举行了六次焦点小组讨论（FGD）会议。埃努古的女性性工作者社会经济背景各异。然而，她们大多处于16至47岁的生育年龄，平均年龄为26.9岁。贫困是从事性工作的常见原因。一些人从事性工作是为了满足自己和其他受抚养人的上学需求。受访者了解艾滋病毒/艾滋病，由于耻辱感和无法治愈而害怕感染。3%的人根本不使用避孕套。如果客户拒绝使用避孕套，其他人会采用非传统方法（例如性交后立即用盐溶液冲洗）。是否使用避孕套取决于客户的选择。受访者对传播方式存在误解。在女性性工作者对艾滋病毒/艾滋病的态度方面，感知因素比人口统计学差异发挥了更大作用。需要采取措施提高受访者对艾滋病毒/艾滋病的了解程度。这应该跨越社会人口界限，并针对感知因素，这些因素往往能充分解释受访者对艾滋病毒/艾滋病的态度。应该为女性性工作者提供创收技能，以提高她们的收入能力，使她们自力更生。
