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《印度尼西亚巴厘岛性工作者使用避孕套的逻辑》。

The Logic of Condom Use in Female Sex Workers in Bali, Indonesia.

机构信息

Department of Public Health and Preventive Medicine, Faculty of Medicine, Udayana University, Bali 80232, Indonesia.

Discipline of Public Health, College of Medicine and Public Health, Flinders University, Adelaide 5042, Australia.

出版信息

Int J Environ Res Public Health. 2020 Mar 3;17(5):1627. doi: 10.3390/ijerph17051627.

Abstract

Studies on human immunodeficiency virus (HIV) prevention practices of female sex workers often examine the use of condom as a single behaviour: using or not using condom. This study explores typologies of the logic of condom use as part of exercising meaningful identities from female sex workers' perspectives. We employed in-depth interviews with a purposely selected 35 female sex workers in Bali, Indonesia. Information from the in-depth interviews was analysed using thematic framework analysis to develop typologies of female sex workers' experiences on the logic of condom use and its relation to the construction of identity. We identified two main logics for not using condom: the prioritising of financial stability and romantic relationships over condom use. The main logic for using condom was to protect their health in order to improve their future economic security. Embedded within these logics, women chose to practise agency and negotiate meaningful identities consistent with their ideals of being responsible mothers, successful migrant workers and loyal partners. Our study concluded that female sex workers had clear logics for both the use and non-use of condom with their clients, highlighting the rational nature of female sex workers decision making.

摘要

本研究从性工作者的视角出发,探索了避孕套使用逻辑的类型,将其作为行使有意义身份的一部分。我们采用目的抽样法,在印度尼西亚巴厘岛对 35 名性工作者进行了深入访谈。使用主题框架分析法对深入访谈的信息进行分析,以形成性工作者在避孕套使用逻辑及其与身份构建方面的经验类型。我们确定了两种不使用避孕套的主要逻辑:优先考虑经济稳定和浪漫关系,而不是使用避孕套。使用避孕套的主要逻辑是保护自己的健康,以改善未来的经济安全。在这些逻辑中,女性选择行使代理权,协商符合其作为负责任的母亲、成功的移民工人和忠诚伴侣的理想的有意义的身份。我们的研究得出结论,性工作者在与客户使用和不使用避孕套方面有明确的逻辑,这突出了性工作者决策的理性本质。

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