Cult Health Sex. 2004 Jul;6(4):283-99. doi: 10.1080/13691050410001680474.
The principal objective of this study was to conduct formative research among sex workers in Lusaka, Zambia, to understand how sex workers' perceptions of their personal identity influences safer sex practices. In-depth interviews were conducted with 20 sex workers in Lusaka, Zambia, including both nightclub and street-based sex workers. Findings indicate important differences of self perception and identity between nightclub-based sex workers and street-based sex workers. The latter have a professional identity and are willing to be publicly acknowledged as sex workers. This makes it easier for them to convince clients to use condoms. In contrast, nightclub-based sex workers are less likely to wish to be identified as sex workers. They are motivated by the desire to meet a man who will perhaps marry them and change their lives. As a consequence, they do not publicly acknowledge their risk of STI/HIV infection and many go against their better judgement by not using condoms. Factors such as the stigmatization of sex work, the harassment of sex workers and the lack of protection available to them interact with sex workers' perceptions of their personal identities and influence their ability to take precautions during high-risk sexual encounters.
本研究的主要目的是在赞比亚卢萨卡的性工作者中进行形成性研究，以了解性工作者对个人身份的看法如何影响安全性行为。在卢萨卡对 20 名性工作者进行了深入访谈，包括夜总会性工作者和街头性工作者。研究结果表明，夜总会性工作者和街头性工作者之间存在重要的自我认知和身份差异。后者有专业身份，愿意公开承认自己是性工作者。这使她们更容易说服客户使用避孕套。相比之下，夜总会性工作者不太愿意被认定为性工作者。她们的动机是希望遇到一个可能会娶她们并改变她们生活的男人。因此，她们并不公开承认自己感染性传播感染/艾滋病的风险，许多人违背自己的判断，不使用避孕套。性工作的污名化、对性工作者的骚扰以及缺乏对她们的保护等因素与性工作者对个人身份的看法相互作用，影响她们在高风险性行为中采取预防措施的能力。
