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首页> 外文期刊>SAHARA-J >An assessment of sex work in Swaziland: barriers to and opportunities for HIV prevention among sex workers
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An assessment of sex work in Swaziland: barriers to and opportunities for HIV prevention among sex workers

机译：斯威士兰性工作评估：性工作者中预防艾滋病毒的障碍和机会

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摘要

The HIV situation in virtually all southern African countries is a generalised epidemic. Despite the fact that almost all adult age and social groups have high HIV prevalence estimates, sex workers are disproportionally affected, with prevalence estimates higher than the general population. In a qualitative study of 61 male and female sex workers in Swaziland, we found that while poverty drove many into sex work, others reported motivations of pleasure or “sensation seeking”, and freedoms from the burden of marriage as perceived benefits of sex work. We also found that penile-vaginal sex was not universal in male-female sexual encounters; and motivation by sex workers for non-condom use included intention to earn more money from unprotected sex, desire for sexual pleasure, and not having time to use condoms. Many sex workers expressed doubts over an alternative lifestyle, even if that change afforded them money to meet their daily necessities. The findings from this study suggest that treating sex workers as a homogenous group that is driven into, or maintain sex work only because of poverty may be problematic, and could hamper HIV-relevant interventions aimed at reducing their vulnerability to sexually transmitted infections.
机译：几乎所有南部非洲国家的艾滋病毒状况都是普遍流行。尽管几乎所有成年年龄和社会群体对艾滋病毒的患病率都有很高的估计，但性工作者受到的影响却不成比例，估计的患病率高于普通人群。在对斯威士兰的61名男性和女性性工作者的定性研究中，我们发现，尽管贫困将许多人带入性工作，但其他人报告说，愉悦或“寻求感觉”的动机以及摆脱婚姻负担的自由是性工作的好处。我们还发现，在男女性交中，阴茎-阴道性交并不普遍。性工作者不使用安全套的动机包括意图从不受保护的性爱中赚取更多的钱，渴望获得性快感，并且没有时间使用安全套。许多性工作者对替代生活方式表示怀疑，即使这种改变为他们提供了满足其日常必需品的资金。这项研究的结果表明，将性工作者视为仅因贫穷而从事或从事性工作的同质群体可能会产生问题，并可能妨碍旨在减少其对性传播感染的脆弱性的艾滋病相关干预措施。

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