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Spectrum of female commercial sex work in Bangui Central African Republic

机译:中非共和国班吉女性商业性工作的范围

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摘要

Classification of professional and non-professional female sex workers (FSWs) into different categories, never previously reported in the Central African Republic (CAR), may be useful to assess the dynamics of the human immunodeficiency virus (HIV) epidemic, design operational intervention programmes to combat HIV and other sexually transmitted infections (STIs) and to adapt these programmes to the broad spectrum of sexual transactions in the CAR. Our study proposes a socio-behavioural classification of FSWs living in the CAR and engaged in transactional and commercial sex. Thus, the aims of the study were these: (i) to categorize FSWs according to socio-anthropologic criteria in Bangui and (ii) to examine the association between a selection of demographic and risk variables with the different categories of female sex work as an outcome. A cross-sectional questionnaire survey was conducted in 2013 to describe the spectrum of commercial sex work (CSW) in Bangui among 345 sexually active women having more than 2 sexual partners, other than their regular partner, during the prior 3 months and reporting to have received money or gifts in return for their sexual relationships. According to socio-behavioural characteristics, FSWs were classified into six different categories. Professional FSWs, constituting 32.5% of the interviewed women, were divided in two categories: pupulenge (13.9%), i.e., dragonflies (sometimes called gba moundjou, meaning literally look at the White) consisting of roamers, who travel around the city to hotels and nightclubs seeking wealthy clients, with a preference for French men; and the category of kata (18.6%), i.e., FSWs working in poor neighbourhoods. Non-professional FSWs, constituting 67.5% of the interviewed women, were divided into four categories: street and market vendors (20.8%), students (19.1%), housewives (15.7%) and unskilled civil servants (11.9%). In general, CSW in the CAR presents a remarkably heterogeneous phenomenon. Risk-taking behaviour regarding STI/HIV infection appears to be different according to the different categories of female CSW. The groups of katas and street vendors were poorer and less educated, consumed more alcohol or other psycho-active substances (cannabis, tramadol and glue) and, consequently, were more exposed to STI. Our results emphasise the high level of vulnerability of both poor professional FSWs (kata) and non-professional sex workers, especially street vendors, who should be taken into account when designing prevention programmes targeting this population for STI/HIV control purposes.
机译:在中非共和国(CAR)以前从未报告过将专业和非专业女性性工作者(FSW)分为不同类别,可能有助于评估人类免疫缺陷病毒(HIV)流行的动态,设计操作干预方案与艾滋病毒和其他性传播感染作斗争,并使这些计划适应中非共和国的广泛性交易。我们的研究提出了居住在中非共和国且从事交易性和商业性行为的FSW的社会行为分类。因此,该研究的目的是:(i)根据班吉的社会人类学标准对FSW进行分类,以及(ii)检查人口统计学和风险变量的选择与不同类别的女性性工作之间的关联。结果。 2013年进行了一项横断面问卷调查,以描述在班吉市,有345个性活跃女性在过去三个月中有2个以上性伴侣(而不是其定期伴侣)在班吉从事商业性工作(CSW)的情况,并报告有收到金钱或礼物以换取他们的性关系。根据社会行为特征,FSW被分为六个不同的类别。职业FSW占受访妇女的32.5%,分为两类:up(13.9%),即由漫游者组成的蜻蜓(有时称为gba moundjou,从字面上看是白人)由漫游者组成,他们从城市到酒店旅行。夜总会寻找有钱的客人,偏爱法国男人;以及卡塔类别(18.6%),即在贫困地区工作的FSW。非专业FSW占受访妇女的67.5%,分为四类:街头小贩和市场小贩(20.8%),学生(19.1%),家庭主妇(15.7%)和非技术公务员(11.9%)。通常,CAR中的CSW表现出非常不同的现象。根据女性CSW的不同类别,关于STI / HIV感染的冒险行为似乎有所不同。卡塔人和街头小贩群体较贫穷,受教育程度较低,消费了更多的酒精或其他精神活性物质(大麻,曲马多和胶水),因此更容易遭受性传播感染。我们的研究结果强调了贫困的专业FSW(kata)和非专业性工作者,特别是街头小贩,在设计针对该人群的性传播感染/艾滋病控制计划时应考虑到他们的高度脆弱性。

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