日本性工作者（CSWs）采取的预防艾滋病毒传播的行为。

Preventive behaviors against HIV transmission adopted by Japanese commercial sex workers (CSWs).

机构信息

School of International Health, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, 113, Tokyo, Japan.

出版信息

Environ Health Prev Med. 1997 Oct;2(3):132-4. doi: 10.1007/BF02931979.

DOI:10.1007/BF02931979

PMID:21432467

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2723543/

Abstract

To assess self-protective behaviors of commercial sex workers (CSWs) against HIV transmission, a consecutive study was conducted at an obstetric-gynecology clinic in the largest "soapland" area in Tokyo. Among 208 CSWs interviewed, only half (107) regularly requested (RR) the clients to use condoms. Sixty-two percent of RR had learned from others ("learners") oral application of condoms while only 39% of NRR (non-regular requesters) did ("non-learners") (p = 0.001). Seventy-six percent of the learners were only "rarely" or "never" detected by the clients regarding condom application compared with only 23% of the non-learners (p< 0.001). While 90% of additionally recruited 40 NRR reported that they would request condom use by a "suspicious" client, none had experienced violence even when the clients found the secretive application. The oral application of condoms appears to be a transferable and potentially effective preventive behavior.

摘要

为了评估商业性工作者（CSWs）预防艾滋病毒传播的自我保护行为，在东京最大的“洗浴中心”地区的一家妇产科诊所进行了一项连续研究。在接受采访的 208 名 CSWs 中，只有一半（107 名）定期要求（RR）客户使用避孕套。62%的 RR 从他人那里（“学习者”）学习了口服避孕套的使用方法，而只有 39%的非 RR（非定期要求者）（NRR）（p = 0.001）。学习者中只有 76%的人在客户检查避孕套使用情况时被“偶尔”或“从不”发现，而只有 23%的非学习者被发现（p<0.001）。虽然另外招募的 40 名 NRR 中有 90%报告说他们会要求“可疑”客户使用避孕套，但即使客户发现了秘密使用避孕套的情况，也没有人经历过暴力。口服避孕套的使用似乎是一种可转移且具有潜在效果的预防行为。