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HIV/AIDS 风险降低选项对性工作者性行为的预测作用。

HIV/AIDS risk-reduction options as predictor of female sex workers' sexual behaviour.

机构信息

College of Education and Behavioural Sciences, Department of Psychology, Bahir Dar University, Bahirdar, Ethiopia.

出版信息

Womens Health (Lond). 2022 Jan-Dec;18:17455057221118167. doi: 10.1177/17455057221118167.

DOI:10.1177/17455057221118167
PMID:35959861
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9379800/
Abstract

BACKGROUND

Sex workers are highly vulnerable to HIV infection and suitable transmission groups in the scope of the HIV epidemic. The study investigated the association among HIV/AIDS risk-reduction options as predictors of female sex workers' behaviour.

METHODS

The study used a cross-sectional research design. The quantitative survey involved 140 women, who were selected using simple random sampling techniques.

RESULTS

The findings of the study show that looking for a job, disagreement in the family, death of parents, peer pressure, and attraction of town life were indicated as major pulling and pushing factors for sex worker engagement. The majority of respondents is aware of HIV/AIDS and practice HIV/AIDS risk-reduction options.

CONCLUSION

Age, alcohol use, difficult to negotiate with clients to use condoms, and disapproval of clients to use condoms were significant predictors of consistent condom-using behaviours of female sex workers. This study recommended that life skills training and existing strategies enable sex workers to develop skills that help them resist the pressures that come from their clients.

摘要

背景

性工作者极易感染 HIV,是 HIV 疫情中的适宜传播群体。本研究旨在调查 HIV/AIDS 减少风险选择与女性性工作者行为之间的关联。

方法

本研究采用横断面研究设计。通过简单随机抽样技术选取了 140 名女性进行定量调查。

结果

研究结果表明,寻找工作、家庭不和、父母双亡、同辈压力和城市生活的吸引力被认为是促使性工作者从事性工作的主要推拉因素。大多数受访者了解 HIV/AIDS 并采取 HIV/AIDS 减少风险的选择。

结论

年龄、饮酒、难以与客户协商使用避孕套以及客户反对使用避孕套是女性性工作者坚持使用避孕套行为的显著预测因素。本研究建议通过生活技能培训和现有策略,使性工作者能够发展帮助其抵制来自客户压力的技能。

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本文引用的文献

1
Knowledge, attitude and practice towards sexually transmitted diseases amongst the inmates of women shelters homes at Klang Valley.吉隆坡谷区妇女庇护所收容者对性传染病的认知、态度和实践。
BMC Public Health. 2019 Jun 13;19(Suppl 4):639. doi: 10.1186/s12889-019-6863-5.
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Management of sex workers and other high-risk groups.性工作者及其他高危人群的管理。
Occup Med (Lond). 2007 Aug;57(5):322-8. doi: 10.1093/occmed/kqm045.
3
AIDS, mobility and commercial sex in Ethiopia: Implications for policy.埃塞俄比亚的艾滋病、人口流动与商业性行为:对政策的影响
AIDS Care. 2007 Jan;19(1):79-86. doi: 10.1080/09540120600805091.
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Sex Transm Infect. 2006 Jun;82 Suppl 3(Suppl 3):iii18-25. doi: 10.1136/sti.2006.020081.
5
Condom use and the risk of recurrent pelvic inflammatory disease, chronic pelvic pain, or infertility following an episode of pelvic inflammatory disease.盆腔炎发作后使用避孕套与复发性盆腔炎、慢性盆腔疼痛或不孕风险的关系。
Am J Public Health. 2004 Aug;94(8):1327-9. doi: 10.2105/ajph.94.8.1327.
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Use-effectiveness of the female versus male condom in preventing sexually transmitted disease in women.女用避孕套与男用避孕套在预防女性性传播疾病方面的使用效果。
Sex Transm Dis. 2003 May;30(5):433-9. doi: 10.1097/00007435-200305000-00010.
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Condom effectiveness in reducing heterosexual HIV transmission.避孕套在减少异性传播艾滋病毒方面的有效性。
Cochrane Database Syst Rev. 2002(1):CD003255. doi: 10.1002/14651858.CD003255.
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Effectiveness of HIV prevention interventions in developing countries.发展中国家艾滋病病毒预防干预措施的有效性。
AIDS. 2000 Sep;14 Suppl 2:S68-84.