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早年夭折:卢旺达女性性工作者子女面临的危及生命的后果。

Lost Life at an Early Age: Life-threatening Consequences Faced by Children of Female Sex Workers in Rwanda.

作者信息

Mukangabire Pacifique, Mukeshimana Madeleine, Rumagihwa Liberatha, Korukire Noel

机构信息

School of Nursing and Midwifery, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.

School of Public Health, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.

出版信息

Rwanda J Med Health Sci. 2025 Mar 31;8(1):125-138. doi: 10.4314/rjmhs.v8i1.10. eCollection 2025 Mar.

Abstract

BACKGROUND

Various studies have focused on female sex workers aiming to reduce the risk of HIV infection and other sexually transmitted diseases and educate them on behaviour change. However, limited research has been on how mothers' profession affects their children. To address this gap, this study aimed to explore the life-threatening consequences faced by children of female sex workers in Rwanda and provide recommendations for supporting these vulnerable individuals.

METHODOLOGY

This cross-sectional study used a qualitative approach with a phenomenological design. We interviewed 40 children born to sex workers and 19 mothers who are sex workers from 2 provinces and City of Kigali. We used an interview guide to conduct individual in-depth interviews.

RESULTS

The interviewed children reported most five problems encountered by children born to female sex workers in Rwanda including (1) stigma and rejection (2) humiliation and shame (3) Being forced to have early sex by their mother's clients and or forced/sold by mothers (4) poverty and hunger (5) early sex, pregnancy, and birth. The five problems most reported by mothers as being faced by children born to female sex workers are the same as those reported by the children.

CONCLUSION

This study found that the children born to female sex workers in Rwanda face enormous life challenges/problems that put their health at risk and their future in jeopardy. We recommend that government and non-government organizations that have the mandate of child protection take appropriate measures to safeguards these vulnerable children.

摘要

背景

各种研究都聚焦于女性性工作者,旨在降低艾滋病毒感染和其他性传播疾病的风险,并对她们进行行为改变方面的教育。然而,关于母亲的职业如何影响其子女的研究却很有限。为填补这一空白,本研究旨在探讨卢旺达女性性工作者的子女所面临的危及生命的后果,并为支持这些弱势群体提供建议。

方法

本横断面研究采用定性研究方法和现象学设计。我们采访了来自两个省和基加利市的40名性工作者的子女以及19名身为性工作者的母亲。我们使用访谈指南进行个人深度访谈。

结果

受访儿童报告了卢旺达女性性工作者的子女所遇到的最常见的五个问题,包括:(1)耻辱和排斥;(2)羞辱和羞愧;(3)被母亲的客户强迫过早发生性行为和/或被母亲强迫/售卖;(4)贫穷和饥饿;(5)过早发生性行为、怀孕和生育。母亲们报告的女性性工作者的子女所面临的五个最常见问题与儿童报告的相同。

结论

本研究发现,卢旺达女性性工作者的子女面临着巨大的生活挑战/问题,这些问题使他们的健康受到威胁,未来陷入危险。我们建议,负有儿童保护职责的政府和非政府组织采取适当措施保护这些弱势儿童。

相似文献

本文引用的文献

7
Health of female sex workers and their children: a call for action.女性性工作者及其子女的健康:行动呼吁。
Lancet Glob Health. 2016 Jul;4(7):e438-9. doi: 10.1016/S2214-109X(16)30071-7. Epub 2016 May 13.

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