Havanon N, Bennett A, Knodel J
Graduate School, Srinakharinwirot University, Bangkok, Thailand.
Stud Fam Plann. 1993 Jan-Feb;24(1):1-17.
Thailand is currently experiencing a major HIV epidemic, spread primarily through heterosexual contact. Patronage of prostitutes is relatively common. In-depth, open-ended interviews were conducted in a Central Thai province with a purposive sample of 181 urban men who had had sexual relations with at least two different women during the prior year. Additional qualitative information is provided by interviews with 50 women. The most common network pattern for men was a combination of commercial and noncommercial sexual relationships. Men reported that they commonly used condoms when they engaged in sex with prostitutes, but condom use was lowest for men who were the most frequent patrons. In noncommercial, nonmarital relationships, men screen partners for risk rather than practice safe sex, and condom use is generally low. Persons involved in noncommercial sexual networks are largely unaware that their partner may link them to a larger network of sexual contacts and associated risks of HIV infection. Men who have both commercial and noncommercial sexual partners can be found throughout the social strata. A program that focuses only on the closed commercial sex network will address only partially the real risk situations.
泰国目前正经历一场严重的艾滋病毒疫情，主要通过异性接触传播。光顾妓女的情况较为普遍。在泰国中部的一个省份，对181名在前一年与至少两名不同女性发生过性关系的城市男性进行了有目的抽样的深入、开放式访谈。通过对50名女性的访谈提供了更多定性信息。男性最常见的人际关系模式是商业和非商业性关系的结合。男性报告称，他们与妓女发生性行为时通常会使用避孕套，但光顾频率最高的男性避孕套使用率最低。在非商业、非婚姻关系中，男性会筛选伴侣的风险而不是进行安全性行为，避孕套使用率普遍较低。参与非商业性网络的人很大程度上没有意识到他们的伴侣可能会将他们与更大的性接触网络以及相关的艾滋病毒感染风险联系起来。拥有商业和非商业性伴侣的男性在社会各阶层都有。一个只关注封闭商业性网络的项目只能部分解决实际的风险情况。
