Behavioral, Epidemiological, and Clinical Sciences, FHI 360, Durham, NC, USA.
Department of Population Health Sciences, Duke University School of Medicine, Durham, NC, USA.
AIDS Care. 2022 Mar;34(3):379-387. doi: 10.1080/09540121.2021.1944600. Epub 2021 Jun 28.
Understanding the financial context of the lives of female sex workers (FSWs) is essential to address structural drivers of HIV risk. We used a financial diary methodology to record daily financial transactions over six weeks from a stratified purposive sample ( = 34) of FSWs in Addis Ababa, Ethiopia. FSWs also provided information on their experience with gender-based violence and condom use. FSWs generated 90.1% of total cash from sex work, with a median weekly income of USD 60.53. They engaged mostly in protected vaginal sex, earning approximately USD 4.57 per act. Food, housing, and clothing represented the largest areas of expenditure. Around 17% of expenses were recorded as costs of sex work (e.g., alcohol). Median weekly expenditures accounted for 62% of median weekly income. Nearly all participants reported depositing money into savings at least once over six weeks, while 71% reported a loan transaction during the six-week period, most as borrowers. Findings suggest that financial literacy and formalized savings activities, with life skills and empowerment training, have potential to build FSW's economic resilience, mitigating a structural driver of sex work and HIV risk.
了解性工作者（FSW）的财务背景对于解决 HIV 风险的结构性驱动因素至关重要。我们使用财务日记方法，从埃塞俄比亚亚的斯亚贝巴分层目的抽样（n=34）的 FSW 中记录了六周的日常财务交易。FSW 还提供了她们在性别暴力和使用避孕套方面的经验信息。FSW 从性工作中获得了 90.1%的总收入，每周收入中位数为 60.53 美元。她们主要从事保护性行为，每次性行为收入约为 4.57 美元。食物、住房和服装是最大的支出领域。约 17%的支出记录为性工作成本（例如，酒精）。每周支出中位数占每周收入中位数的 62%。几乎所有参与者都报告说，在六周内至少有一次存钱到储蓄账户，而 71%的人在六周内报告了贷款交易，其中大多数是借款人。研究结果表明，金融扫盲和正式的储蓄活动，结合生活技能和赋权培训，有可能增强 FSW 的经济韧性，减轻性工作和 HIV 风险的结构性驱动因素。
