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首页> 外文学位 >The influence of sex work venues on condom uses among female sex workers in Senggigi, Indonesia.
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The influence of sex work venues on condom uses among female sex workers in Senggigi, Indonesia.

机译：印度尼西亚圣吉吉的性工作场所对女性性工作者使用避孕套的影响。

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摘要

Indonesia is facing a sharp increase in its HIV epidemic among female sex workers (FSWs). A better understanding of the HIV risk behaviors among this group is needed to prevent further spread of this epidemic. A growing literature documents a synergistic relationship between the individual and the environment in conditioning sexual behavior. However, little attention, until now, has been given to understanding the influence FSWs' venue/environment where they solicit customers have on FSWs' risk and protective behaviors. This study examines the influence of sex work venues on condom use among FSWs recruited from four sex work venues located in the Senggigi beach area of Lombok, Indonesia.;A cross-sectional venue-based sampling design was used. Three categories of FSWs were sampled: those who solicit clients at (1) discotheques/bars (freelance), (2) brothels, and (3) entertainment places (e.g. karaoke bars and massage parlors). A structured questionnaire administered to 115 women solicited information about the women, the characteristics of their sex work venue and last three clients, client-specific sexual behaviors, condom use, and sex-related alcohol consumption. A three-level Hierarchical Generalized Linear Model (HGLM) using HLM 6 was used to examine the influence of sex work venue on condom use.;Overall, the sample represented 326 clients (level-1) "nested" in 115 women (level-2) and "nested" in 16 sex work venues (level-3). Multilevel analysis revealed that condom use varied across sex work venues and by individual FSWs (p <0.05) and condom use among this group is predicted not only by individual factors but also by the venue where these women seek and meet their clients and by client factors. Specifically, HIV/AIDS policies and services offered at sex work venues (p < 0.10), ever worrying about contracting HIV (p < 0.05) and ever being married (p < 0.10) were associated with higher condom use and having domestic/local Indonesian clients as opposed to foreign clients was associated with lower condom use (p<0.05). The results suggest that condom use is a multilevel phenomenon that is not consistently and uniformly practiced across venues, FSWs, and clients.
机译：印度尼西亚的女性性工作者中的艾滋病毒流行正急剧增加。为了防止这种流行病进一步蔓延，需要对该人群中的HIV危险行为有更好的了解。越来越多的文献证明了在调节性行为方面个人与环境之间的协同关系。但是，到目前为止，很少有人关注了解FSW的场所/环境对客户的影响，这些场所/环境会吸引客户对FSW的风险和保护行为。这项研究调查了性工作场所对从印度尼西亚龙目岛Senggigi海滩地区的四个性工作场所招募的FSW中使用安全套的影响;采用了基于横截面的场所抽样设计。抽样调查了三类FSW：在（1）迪斯科舞厅/酒吧（自由职业者），（2）妓院和（3）娱乐场所（例如卡拉OK酒吧和按摩室）招揽客户的人。对115名女性进行了结构化问卷调查，询问了有关女性，性工作场所和最后三个来访者的特征，特定于服务对象的性行为，使用安全套以及与性相关的饮酒的信息。使用HLM 6的三级分层广义线性模型（HGLM）来检验性工作场所对安全套使用的影响。总体而言，该样本代表了115位女性（级别为-）的326位客户（级别1） 2）和“嵌套”在16个性工作场所（第3级）。多层次分析显示，在不同性工作场所和个别性工作者中，安全套的使用情况各不相同（p <0.05），这一组中的安全套使用情况不仅受个人因素的影响，而且还由这些妇女寻求和结识其顾客的场所以及受顾客的因素预测。具体而言，性工作场所提供的艾滋病毒/艾滋病政策和服务（p <0.10），曾经担心感染艾滋病毒（p <0.05）和曾经结婚（p <0.10）与使用更高的安全套以及印尼国内/当地人有关相对于外国客户而言，女性患者使用避孕套的比例较低（p <0.05）。结果表明，使用避孕套是一个多层次的现象，在不同场所，FSW和客户之间并非始终如一地实行。

著录项

  • 作者

    Safika, Safika.;

  • 作者单位

    University of Illinois at Chicago, Health Sciences Center.;

  • 授予单位 University of Illinois at Chicago, Health Sciences Center.;
  • 学科 Health Sciences Public Health.;Psychology Behavioral.;Health Sciences General.
  • 学位 Ph.D.
  • 年度 2009
  • 页码 166 p.
  • 总页数 166
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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