Basnyat Iccha
a Department of Communications & New Media , National University of Singapore , Singapore.
Cult Health Sex. 2014;16(9):1040-51. doi: 10.1080/13691058.2014.922620. Epub 2014 Jun 18.
The lived experiences of women sex workers illustrate that sex work is frequently a manifestation of limited access to education, resources and jobs due to violence, oppression and patriarchy. However, some Nepalese sex workers reconstitute sex work as a viable form of work that provides food and shelter for their families and allows fulfillment of their duties as mothers. Through a culture-centred approach to research, which emphasis the voices of the marginalised and their own articulations of how marginalised spaces are negotiated, this paper offers an entry point to locating sex workers as active participants in their day-to-day lives. Thirty-five in-depth, semi-structured interviews were conducted with street-based female sex workers. Thematic analysis revealed the following three themes: (1) surviving through sex work, (2) financial security in sex work and (3) surviving sex work stigma. These findings have implications for health promotion involving members of this population. Lived experiences illustrate the need to move away from traditional, top-down, linear behaviour-change health campaigns to reconstitute health interventions within a participatory bottom-up approach that includes the voices of participants and is situated within their own context and needs.
女性性工作者的生活经历表明，由于暴力、压迫和父权制，性工作往往是受教育机会、资源和工作机会受限的一种表现。然而，一些尼泊尔性工作者将性工作重新构建为一种可行的工作形式，为其家庭提供食物和住所，并使她们能够履行母亲的职责。通过以文化为中心的研究方法，该方法强调边缘化群体的声音以及他们对如何在边缘化空间中进行协商的自我表述，本文提供了一个切入点，将性工作者定位为其日常生活中的积极参与者。对街头女性性工作者进行了35次深入的半结构化访谈。主题分析揭示了以下三个主题：（1）通过性工作生存，（2）性工作中的经济保障，以及（3）忍受性工作的污名。这些发现对涉及该人群成员的健康促进具有启示意义。生活经历表明，需要摆脱传统的、自上而下的、线性的行为改变健康运动，在一种自下而上的参与式方法中重新构建健康干预措施，该方法包括参与者的声音，并基于他们自身的背景和需求。
