Fundació Sida i Societat, Barcelona, Spain.
Cult Health Sex. 2013;15(7):759-73. doi: 10.1080/13691058.2013.777474. Epub 2013 Apr 29.
Few interventions have targeted clients of female sex workers in Central America, despite their potential role in HIV/STI prevention. Semi-structured interviews were conducted with 30 clients of female sex workers on attitudes towards prevention of HIV/STIs, barriers to condom use and behaviour towards HIV/STI testing and treatment in Escuintla, Guatemala. Despite high knowledge of condoms as an HIV/STI preventive measure, the decision to use them was often based on the client's social judgment of the woman's sexual conduct. Regular clients reported lower condom use. Clients' risk perception diminished with the awareness of the public HIV/STI clinic addressed to female sex workers. Most preferred private clinics to increase confidentiality and were reluctant to take the HIV test for fear of a positive result. Outreach programmes offering HIV/STI counselling and testing to clients of female sex workers could increase their test uptake and health-seeking behaviour and reduce potential transmission to the general population.
尽管中美洲的性工作者客户在 HIV/性传播感染预防方面可能发挥作用，但针对他们的干预措施很少。在危地马拉的埃斯昆特拉，对 30 名性工作者的客户进行了半结构化访谈，内容涉及他们对 HIV/性传播感染预防的态度、使用避孕套的障碍以及对 HIV/性传播感染检测和治疗的行为。尽管对避孕套作为 HIV/性传播感染预防措施的认识很高，但使用避孕套的决定往往取决于客户对该女性性行为的社会判断。定期客户报告的避孕套使用率较低。随着对面向性工作者的公共 HIV/性传播感染诊所的认识，客户的风险感知会降低。大多数人更喜欢私人诊所以提高保密性，并且由于担心检测结果呈阳性而不愿意接受 HIV 检测。向性工作者的客户提供 HIV/性传播感染咨询和检测的外展计划可以增加他们的检测率和寻求健康的行为，并减少向普通人群传播的潜在风险。
