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中国女性性工作者中的伴侣暴力与 HIV 风险。

Partner violence and HIV risk among female sex workers in China.

机构信息

Department of Social and Behavioral Health, School of Rural Public Health, Texas A&M Health Science Center, College Station, USA.

出版信息

AIDS Behav. 2012 May;16(4):1020-30. doi: 10.1007/s10461-011-9968-0.

Abstract

Global literature suggests that partner violence contributes to HIV-related vulnerability and risk among women. Female sex workers (FSWs) play a significant role in China's skyrocketing increase of heterosexual transmission of HIV. The aim of this article is to examine the association between partner violence and HIV risk among FSWs in China. This study, based on a cross-sectional survey of 1,022 FSWs recruited from communities in China, attempted to address the relationship between partner violence and HIV risk among this vulnerable population. About 58% of the FSWs had experienced violence from their stable partners (including 55.5% reporting emotional violence, 20.1% physical violence, and 16.2% sexual violence) and 45% from their clients (including 39.7% reporting emotional violence, 17.1% physical violence, and 16.8% sexual violence). Partner violence perpetuated by either stable partners or clients was strongly associated with most of the HIV risk measures we assessed. This study confirmed the association of partner violence and HIV risk among FSWs. We call for culturally appropriate interventions for both partner violence and HIV risk reduction among FSWs in China.

摘要

全球文献表明,伴侣暴力会增加女性感染艾滋病毒的脆弱性和风险。性工作者在中国艾滋病毒异性传播的急剧增加中扮演着重要角色。本文旨在探讨中国性工作者中伴侣暴力与艾滋病毒风险之间的关联。这项研究基于对从中国社区招募的 1022 名性工作者进行的横断面调查,试图解决这一脆弱人群中伴侣暴力与艾滋病毒风险之间的关系。约 58%的性工作者曾遭受稳定伴侣的暴力(包括 55.5%的情感暴力、20.1%的身体暴力和 16.2%的性暴力),45%的性工作者曾遭受客户的暴力(包括 39.7%的情感暴力、17.1%的身体暴力和 16.8%的性暴力)。无论是稳定伴侣还是客户实施的伴侣暴力,都与我们评估的大多数艾滋病毒风险措施密切相关。这项研究证实了中国性工作者中伴侣暴力与艾滋病毒风险之间的关联。我们呼吁针对中国性工作者中的伴侣暴力和艾滋病毒风险降低,采取文化上适宜的干预措施。

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