Tsai Laura Cordisco, Witte Susan S, Aira Toivgoo, Riedel Marion, Hwang Hyesung Grace, Ssewamala Fred
Columbia University School of Social Work, New York, NY.
Glob J Health Sci. 2013 May 24;5(5):41-50. doi: 10.5539/gjhs.v5n5p41.
This article provides an overview of the financial lives of women (n = 204) engaging in sex work in Ulaanbaatar, Mongolia.
This paper presents findings from a computer-based, interviewer-administered baseline assessment administered with women recruited for participation in a randomized controlled trial testing the feasibility of a combined HIV risk reduction and savings-led microfinance intervention for women engaging in sex work in Mongolia.
Findings demonstrate that most women are the primary financial providers for their households, using an array of earning strategies to provide for themselves and other dependents, with sex work often constituting the primary household income source. Financial instability in the lives of people engaging in sex work may increase their risk for HIV and STIs due to a compromised ability to negotiate safer sex with partners in times of economic crisis or need. High levels of financial responsibility for household welfare, when combined with low reported savings, the presence of debt, higher premiums offered for sex without a condom, and high levels of harmful alcohol use, may heighten women's risk for HIV and other STIs.
Further research that documents the financial lives of people working in sex work is needed in order to understand the complex relationship between financial stability and engagement in sex work, and to inform the development and testing of structural HIV prevention interventions which target the economic determinants of risk. These findings highlight the importance of economic support programming for women engaged in sex work in Mongolia at a time of rapid economic change in Mongolia.
本文概述了蒙古乌兰巴托从事性工作的女性（n = 204）的财务状况。
本文介绍了一项基于计算机、由访谈员进行的基线评估的结果，该评估是对招募来参与一项随机对照试验的女性进行的，该试验旨在测试针对蒙古从事性工作的女性的艾滋病毒风险降低与储蓄导向型小额融资相结合的干预措施的可行性。
结果表明，大多数女性是其家庭的主要经济支柱，她们采用一系列赚钱策略来养活自己和其他受抚养人，性工作往往是家庭的主要收入来源。从事性工作的人的财务不稳定可能会增加他们感染艾滋病毒和性传播感染的风险，因为在经济危机或有需求时，他们与性伴侣协商更安全性行为的能力会受到损害。对家庭福利承担的高度经济责任，再加上储蓄报告较低、存在债务、无保护性行为的报酬较高以及有害酒精使用水平较高，可能会增加女性感染艾滋病毒和其他性传播感染的风险。
需要开展进一步的研究，记录从事性工作的人的财务状况，以便了解财务稳定与从事性工作之间的复杂关系，并为针对风险的经济决定因素的结构性艾滋病毒预防干预措施的制定和测试提供信息。这些发现凸显了在蒙古经济快速变化之际，为蒙古从事性工作的女性提供经济支持项目的重要性。
