HIV & AIDS Program, Population Council, New Delhi, India.
J Biosoc Sci. 2011 Sep;43(5):535-54. doi: 10.1017/S0021932011000277. Epub 2011 Jun 10.
This paper assesses the reasons for entry into sex work and its association with HIV risk behaviours among mobile female sex workers (FSWs) in India. Data were collected from a cross-sectional survey conducted in 22 districts across four high HIV prevalence states in India during 2007-2008. Analyses were limited to 5498 eligible mobile FSWs. The reasons given by FSWs for entering sex work and associations with socio-demographic characteristics were assessed. Reported reasons for entering sex work include poor or deprived economic conditions; negative social circumstances in life; own choice; force by an external person; and family tradition. The results from multivariate analyses indicate that those FSWs who entered sex work due to poor economic conditions or negative social circumstances in life or force demonstrated elevated levels of current inconsistent condom use as well as in the past in comparison with those FSWs who reported entering sex work by choice or family tradition. This finding indicates the need for a careful assessment of the pre-entry contexts among HIV prevention interventions since these factors may continue to hinder the effectiveness of efforts to reduce the spread of HIV/AIDS in India and elsewhere.
本文评估了进入性工作的原因及其与印度流动女性性工作者（FSW）中艾滋病毒风险行为的关系。数据来自于 2007 年至 2008 年期间在印度四个艾滋病毒高发州的 22 个地区进行的横断面调查。分析仅限于 5498 名符合条件的流动 FSW。评估了 FSW 进入性工作的原因及其与社会人口特征的关联。FSW 进入性工作的原因包括经济条件差或贫困；生活中的负面社会环境；个人选择；外部人员的强迫；以及家庭传统。多变量分析的结果表明，与那些出于经济条件差或生活中的负面社会环境或被迫而进入性工作的 FSW 相比，那些出于个人选择或家庭传统而进入性工作的 FSW 当前和过去使用不一致避孕套的比例更高。这一发现表明，需要对艾滋病毒预防干预措施的进入前背景进行仔细评估，因为这些因素可能会继续阻碍印度和其他地区减少艾滋病毒/艾滋病传播的努力的效果。
