Weeks M R, Grier M, Romero-Daza N, Puglisi-Vasquez M J, Singer M
Institute for Community Research, Hartford, CT 06106, USA.
Women Health. 1998;27(1-2):205-29. doi: 10.1300/J013v27n01_13.
Drug addicted women whose economic and social base is urban streets face limited options for income generation and multiple dangers of predation, assault, arrest, and illness. Exchanging sex for money or drugs offers one important source of income in this context. Yet the legal, social, and safety risks associated with these exchanges reduce the likelihood of regular safer sex practices during these encounters, thereby increasing the risk of HIV infection. Such conditions lead women engaged in sexual exchanges for money to varied and complex responses influenced by multiple and often contradictory pressures, both personal and contextual. Street-recruited women drug users in an AIDS prevention program in Hart-ford, Connecticut reported a range of condom use when engaging in sex for money exchanges. This paper explores their differences by ethnicity, economic resources, and drug use, and analyzes these and other factors that impact on street risks through sexual income generation. Surveys and in-depth interviews with drug-addicted women sex workers describe their various approaches to addressing multiple risks on the streets and suggest significant effort by women in these contexts to avoid the many risks, including HIV infection.
以城市街道为经济和社会基础的吸毒成瘾女性，创收选择有限，还面临着被掠夺、袭击、逮捕和患病等多重危险。在这种情况下，以性交易换取金钱或毒品是一个重要的收入来源。然而，与这些交易相关的法律、社会和安全风险降低了在这些接触中定期进行更安全性行为的可能性，从而增加了感染艾滋病毒的风险。这种情况导致从事性交易换取金钱的女性受到多种个人和环境压力的影响，产生各种各样复杂的反应。在康涅狄格州哈特福德市的一个艾滋病预防项目中，从街头招募的女性吸毒者报告称，她们在以性交易换取金钱时，使用避孕套的情况各不相同。本文通过种族、经济资源和吸毒情况探讨了她们之间的差异，并分析了这些因素以及其他通过性交易创收影响街头风险的因素。对吸毒成瘾的女性性工作者进行的调查和深入访谈描述了她们应对街头多重风险的各种方法，并表明在这些情况下，女性为避免包括感染艾滋病毒在内的诸多风险付出了巨大努力。
