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Examining the sociocultural context of HIV-related risk behaviors among kathoey (maleto-female transgender women) sex workers in Bangkok Thailand

机译：在泰国曼谷对kathoey（男女跨性别女性）性工作者中与艾滋病相关的危险行为进行社会文化背景调查

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Kathoey (male-to-female transgender) sex workers (KSW) in Thailand are at high risk for sexually transmitted infections; however, few qualitative studies have been conducted to understand the sociocultural context of engaging in HIV risk behaviors. A total of 24 participants were purposively sampled in Bangkok based on KSW work venues and substance use. Results revealed the importance of participants’ understanding of the self in relation to establishing economic independence through sex work, which could then be used to re-establish support from family, who often have not accepted a son’s gender transition. Participants linked being kathoey to a belief in fate but did not view engagement in sex work in the same way. Different sex work venues exposed KSW to different risky situations. HIV prevention programs for kathoey must address the importance of economic security and its relation to social support and gender transition within a cultural- and work-environment specific framework.
机译：泰国的Kathoey（男女跨性别）性工作者（KSW）极易发生性传播感染；但是，几乎没有进行定性研究来了解参与HIV风险行为的社会文化背景。根据KSW工作地点和物质使用情况，有目的地在曼谷共有24名参与者被抽样。结果表明，与通过性工作建立经济独立性有关的参与者了解自我的重要性，然后可以将其用于重新获得家人的支持，而他们通常没有接受儿子的性别过渡。与会人员将kathoey与对命运的信念联系在一起，但对参与性工作的看法并不相同。不同的性工作场所使KSW面临不同的风险情况。针对kathoey的艾滋病毒预防计划必须在特定于文化和工作环境的框架内解决经济安全的重要性及其与社会支持和性别过渡的关系。

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