University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
The Ohio State University, Columbus, Ohio.
AIDS Educ Prev. 2021 Aug;33(4):290-302. doi: 10.1521/aeap.2021.33.4.290.
Lack of social support and sex work stigma may hinder STI/HIV prevention for female sex workers (FSW). We explored the associations between sex work stigma and social support with sexual behaviors in Malawi. In 2017, 150 HIV-negative, venue-based FSW completed a behavioral survey containing sex work stigma items and social support. Linear binomial regression models were used to estimate prevalence differences of inconsistent condom use and substance use before sex by social support and stigma. A majority (93%) reported sex work-related internalized stigma. About 50% reported family or friend isolation. Social support was high (mean index: 86.53). Inconsistent condom use and substance use before sex had little to no association with stigma and social support. Malawian FSW largely internalize stigma and experience isolation from family and friends yet have high levels of social support. Large-scale evaluations should investigate the role of stigma and social support in STI/HIV prevention for FSW.
社会支持的缺乏和性工作污名可能会阻碍性工作者（FSW）预防性传播感染/艾滋病。我们探索了马拉维性工作污名与社会支持与性行为之间的关联。2017 年，150 名 HIV 阴性的基于场所的 FSW 完成了一项行为调查，其中包含性工作污名项目和社会支持。线性二项式回归模型用于估计社会支持和污名对性行为前后不使用安全套和使用物质的差异。大多数（93%）报告了与性工作相关的内化污名。约 50%的人报告了家庭或朋友的孤立。社会支持度很高（平均指数：86.53）。性行为前后不使用安全套和使用物质与污名和社会支持几乎没有关联。马拉维的 FSW 很大程度上内化了污名，并经历了来自家庭和朋友的孤立，但拥有高度的社会支持。应该进行大规模评估，以调查污名和社会支持在 FSW 预防性传播感染/艾滋病中的作用。
