Parmley Lauren, Fielding-Miller Rebecca, Mnisi Zandile, Kennedy Caitlin E
Department of International Health, Johns Hopkins Bloomberg School of Public Health , Baltimore , Maryland , USA.
Center on Gender Equity and Health, Division of Global Public Health, University of California , San Diego , USA.
Afr J AIDS Res. 2019 Sep;18(3):254-257. doi: 10.2989/16085906.2019.1639521. Epub 2019 Jul 23.
Parental obligations influence sexual behaviour among female sex workers (FSW) and may serve as a risk or protective factor for HIV acquisition. How these obligations affect behaviours beyond HIV prevention, including HIV care, is understudied. We analysed 25 interviews conducted with 11 mothers who sell sex and are living with HIV, and 4 key informants as part of a larger study examining the positive health, dignity, and prevention needs of FSW in eSwatini. Despite awareness of HIV reinfection, FSW initiated sex work and engaged in condomless sex due to financial pressures of providing for children. While women attributed having condomless sex to their obligations as a provider, motherhood also served as motivation to engage in HIV care. Further, FSW described children as a source of support in HIV care. Children reminded mothers to take their medications, prepared food to take with medications, and assisted with travel to the clinic.
父母的责任会影响女性性工作者（FSW）的性行为，并且可能成为感染艾滋病毒的风险因素或保护因素。这些责任如何影响除艾滋病毒预防之外的行为，包括艾滋病毒护理，目前研究较少。作为一项更大规模研究的一部分，我们分析了对11名感染艾滋病毒且从事性交易的母亲和4名关键信息提供者进行的25次访谈，该研究旨在调查斯威士兰女性性工作者的积极健康、尊严和预防需求。尽管了解艾滋病毒再感染的情况，但由于抚养孩子的经济压力，女性性工作者仍开始从事性工作并进行无保护性行为。虽然女性将无保护性行为归因于她们作为供养者的责任，但母亲身份也成为她们接受艾滋病毒护理的动力。此外，女性性工作者称孩子是她们接受艾滋病毒护理的支持来源。孩子提醒母亲服药，准备与药物一起服用的食物，并协助她们前往诊所。
