Faculty of Social Sciences, Chiang Mai University, Chiang Mai, Thailand.
Research Institute for Health Sciences, Chiang Mai University, Thailand.
AIDS Educ Prev. 2021 Dec;33(6):551-566. doi: 10.1521/aeap.2021.33.6.551.
This study aimed to investigate HIV risks among female sex workers (FSWs) who were from the Shan ethnic group, and how they relate to complex relationships with inconsistent condom use. The study was conducted using in-depth interviews with 17 Shan FSWs (aged 18-45 years old) in Chiang Mai. Intimate relationships between participants and regular clients/steady partners were found to facilitate inconsistent condom use. Participating Shan FSWs sustained intimacy with regular clients not only for economic ends but also for emotional support. Gender norms and male power dominated condom use decision making. Some participants lacked proper HIV preventive knowledge regarding condom breakage and HIV risks. Effective intervention and proper HIV preventive practices should address these intimate contexts. Capacity building among women would assist FSWs to make choices that protect them from HIV/STDs infections. Couples-based HIV interventions addressing emotional intimacy is an urgent need for HIV communication and service delivery in Thailand.
本研究旨在调查来自掸族的性工作女性（FSW）中的艾滋病毒风险，以及她们与复杂的关系如何与不一致的 condom 使用相关。这项研究是在清迈对 17 名掸族 FSW（年龄在 18-45 岁之间）进行深入访谈后进行的。研究发现，参与者与固定客户/稳定伴侣之间的亲密关系会促进 condom 的使用不一致。参与掸族 FSW 与固定客户保持亲密关系不仅是为了经济目的，也是为了获得情感支持。性别规范和男性权力主导着 condom 的使用决策。一些参与者缺乏关于 condom 破裂和 HIV 风险的适当 HIV 预防知识。有效的干预和适当的 HIV 预防措施应该针对这些亲密的情况。妇女能力建设将有助于 FSW 做出保护自己免受 HIV/性传播感染的选择。以夫妻为基础的 HIV 干预措施，解决情感亲密关系，是泰国急需进行 HIV 宣传和服务提供的一个方面。
