Centre for Global Health, School of Medicine, Trinity College Dublin, Dublin, Ireland.
The Work for Change, Dublin, Ireland.
Cult Health Sex. 2019 Dec;21(12):1425-1438. doi: 10.1080/13691058.2019.1566572. Epub 2019 Feb 22.
Sex workers are among the most stigmatised people globally, with sex workers in Vietnam being no exception. Self-stigma affects sex workers adversely, harming psychological health and acting as a barrier to seeking health care. To inform programmes and interventions to improve well-being, identifying unhelpful or negative core beliefs may provide the basis from which individuals can be supported. With this in mind, this study aimed to gain the perspective of sex workers in Vietnam on the contexts of their working lives. Data were collected in Hanoi. Fourteen semi-structured interviews were conducted with Vietnamese sex workers over the age of 18 who were working or formerly worked in Vietnam. Data were analysed manually, informed by theoretical models of self-stigma using inductive thematic analysis. The analysis identified negative/unhelpful core beliefs (disclosure, self-stigma and shame, sexuality, sexual pleasure relationships, health care); contextual life circumstances (sex work, violence, traditional education); and coping mechanisms (problem-focused coping, emotion-focused coping). Findings identify the importance of core beliefs in understanding self-stigma, paving the way for programmes and interventions to address self-stigma among sex workers.
性工作者是全球受污名化最严重的人群之一，越南的性工作者也不例外。自我污名化会对性工作者造成负面影响，损害心理健康，并成为寻求医疗保健的障碍。为了为改善幸福感的项目和干预措施提供信息，确定无益或消极的核心信念可能为支持个人提供基础。考虑到这一点，本研究旨在了解越南性工作者对其工作生活背景的看法。数据是在河内收集的。对 18 岁以上在越南工作或曾经在越南工作过的越南性工作者进行了 14 次半结构化访谈。数据采用理论模型进行手动分析，该模型使用自我污名化的归纳主题分析。分析确定了消极/无益的核心信念（披露、自我污名和羞耻、性、性关系、性愉悦、性健康）；背景生活环境（性工作、暴力、传统教育）；和应对机制（问题焦点应对、情绪焦点应对）。研究结果确定了核心信念在理解自我污名化方面的重要性，为解决性工作者中的自我污名化问题的项目和干预措施铺平了道路。
