Hanenberg R, Rojanapithayakorn W
Family Health International, Bangkok, Thailand.
AIDS Care. 1998 Feb;10(1):69-79. doi: 10.1080/713612352.
The HIV/AIDS epidemic which broke out in Thailand 1988 was mainly caused by the widespread patronage of prostitutes. The Thai authorities responded with programmes which encouraged the use of condoms in commercial sex. These programmes were highly successful. However, prostitution has changed since the beginning of the epidemic, partly for economic and demographic reasons, but mainly because of the fear of AIDS. Fewer women practise prostitution, men patronize it less, and the price of commercial sex has risen. Prostitution is less likely to be practised in brothels and more likely to be practised in establishments like restaurants and bars. Moreover, as fewer native Thai women are willing to practise prostitution, foreign women are taking their place. In order to continue to control the epidemic, the authorities will have to adapt their programmes to the changing structure of commercial sex.
1988年在泰国爆发的艾滋病毒/艾滋病疫情主要是由对妓女的广泛光顾引起的。泰国当局采取了鼓励在商业性行为中使用避孕套的方案。这些方案非常成功。然而，自疫情开始以来，卖淫情况发生了变化，部分原因是经济和人口因素，但主要是因为对艾滋病的恐惧。从事卖淫的女性减少，男性光顾卖淫场所的情况也减少，商业性行为的价格上涨。在妓院从事卖淫的可能性降低，而在餐馆和酒吧等场所从事卖淫的可能性增加。此外，由于愿意从事卖淫的泰国本土女性减少，外国女性正在取而代之。为了继续控制疫情，当局将不得不使其方案适应商业性行为不断变化的结构。
