a Centre for Global Public Health, Department of Community Health Sciences , University of Manitoba , Winnipeg , Manitoba , Canada.
b Department of Communication , University of Texas at San Antonio , San Antonio , TX , USA.
Glob Public Health. 2018 Dec;13(12):1767-1780. doi: 10.1080/17441692.2018.1442487. Epub 2018 Mar 5.
This paper highlights important environmental dimensions of HIV vulnerability by describing how the sex trade operates in Nairobi, Kenya. Although sex workers there encounter various forms of violence and harassment, as do sex workers globally, we highlight how they do not merely fall victim to a set of environmental risks but also act upon their social environment, thereby remaking it, as they strive to protect their health and financial interests. In so doing, we illustrate the mutual constitution of 'agency' and 'structure' in social network formations that take shape in everyday lived spaces. Our findings point to the need to expand the focus of interventions to consider local ecologies of security in order to place the local knowledges, tactics, and capacities that communities might already possess on centre stage in interventions. Planning, implementing, and monitoring interventions with a consideration of these ecologies would tie interventions not only to the risk reduction goals of global public health policy, but also to the very real and grounded financial priorities of what it means to try to safely earn a living through sex work.
本文通过描述肯尼亚内罗毕的性交易如何运作，强调了艾滋病毒脆弱性的重要环境层面。尽管那里的性工作者像全球其他地区的性工作者一样，遭遇了各种形式的暴力和骚扰，但我们强调的是，她们不仅是一系列环境风险的受害者，而且还会对自己的社会环境采取行动，从而重塑环境，以保护自己的健康和经济利益。这样做，我们说明了在日常生活空间中形成的社会网络形成中“能动性”和“结构”的相互构成。我们的研究结果表明，需要扩大干预措施的重点，以考虑安全的地方生态系统，以便将社区可能已经拥有的地方知识、策略和能力置于干预措施的中心。在考虑这些生态系统的情况下，规划、实施和监测干预措施，不仅可以将干预措施与全球公共卫生政策的减少风险目标联系起来，还可以将通过性工作安全谋生的实际和具体的经济优先事项联系起来。
