Nelson Ediomo-Ubong E
Centre for Research and Information on Substance Abuse, Uyo, Akwa Ibom State, Nigeria.
Cult Health Sex. 2020 Sep;22(9):1018-1031. doi: 10.1080/13691058.2019.1648872. Epub 2019 Aug 13.
This study examined the lived experience of violence and health-related risks among street sex workers in Uyo, Nigeria. Data were collected through in-depth, individual interviews with 27 female sex workers recruited through venue-based snowball sampling. Thematic coding and analysis were undertaken on interview transcripts. Findings show that sex workers experienced physical, emotional, sexual and economic violence linked to the criminalisation and stigmatisation of sex work. Violence, perpetrated by clients, police, sexual partners and co-sex workers, was used to coerce unprotected sex and free and unacceptable sexual services; to extort money; to prevent client-snatching; and as moral punishment. Violence harms sex workers' health, undermines condom negotiation and increases STI/HIV risk. Sex workers displayed agency by adopting safety strategies, including screening clients, collaboration, bribing the police for protection and self-defence. Agency was constrained by criminalisation and lack of legal protection. Within this context, the decriminalisation of sex work, the regulation of sex work premises, community mobilisation, economic empowerment and health services are relevant measures for addressing violence and improving sex workers' health.
本研究调查了尼日利亚乌约街头性工作者遭受暴力及与健康相关风险的实际经历。通过基于场所的滚雪球抽样法招募了27名女性性工作者，并对其进行深入的个人访谈以收集数据。对访谈记录进行了主题编码和分析。研究结果表明，性工作者经历了与性工作刑事定罪和污名化相关的身体、情感、性和经济暴力。由客户、警察、性伴侣和同行性工作者实施的暴力被用于胁迫无保护性行为以及免费和不可接受的性服务；敲诈钱财；防止客户被抢走；以及作为道德惩罚。暴力损害性工作者的健康，破坏避孕套谈判并增加性传播感染/艾滋病毒风险。性工作者通过采取安全策略来展现能动性，包括筛选客户、合作、向警察行贿以获得保护和自我防卫。能动性受到刑事定罪和缺乏法律保护的限制。在此背景下，性工作合法化、性工作场所监管、社区动员、经济赋权和卫生服务是解决暴力问题和改善性工作者健康状况的相关措施。
