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首页> 外文期刊>The International journal of drug policy >Amphetamine-type stimulant use and HIV/STI risk behaviour among young female sex workers in Phnom Penh, Cambodia.
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Amphetamine-type stimulant use and HIV/STI risk behaviour among young female sex workers in Phnom Penh, Cambodia.

机译：柬埔寨金边年轻女性性工作者中的苯丙胺类兴奋剂使用和HIV / STI风险行为。

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BACKGROUND: Use of amphetamine-type substances (ATS) has been linked to increased risk of HIV and other sexually transmitted infections (STI) worldwide. In Cambodia, recent ATS use is independently associated with incident STI infection among young female sex workers (FSWs). METHODS: We conducted 33 in-depth interviews with women (15-29 years old) engaged in sex work to explore ATS use and vulnerability to HIV/STI. RESULTS: Participants reported that ATS, primarily methamphetamine in pill and crystalline forms (yama), were cheap, widely available and commonly used. Yama was described as a "power drug" (thnam kamlang) which enabled women to work long hours and serve more customers. Use of ATS by clients was also common, with some providing drugs for women and/or encouraging their use, often resulting in prolonged sexual activity. Requests for unprotected sex were also more common among alternatives intoxicated clients and strategies typically employed to negotiate condom use were less effective. CONCLUSION: ATS use was highly functional for young women engaged in sex work, facilitating a sense of power and agency and highlighting the occupational significance and normalization of ATS in this setting. This highly gendered dynamic supports the limited but emerging literature on women's use of ATS, which to date has been heavily focused on men. Results indicate an urgent need to increase awareness of the risks associated with ATS use, to provide women with sustainable alternatives for income generation, to better regulate the conditions of sex work, and to work with FSWs and their clients to develop and promote culturally appropriate harm reduction interventions.
机译：背景：苯丙胺类物质（ATS）的使用与全球范围内HIV和其他性传播感染（STI）的风险增加有关。在柬埔寨，最近使用ATS与年轻女性性工作者（FSW）中的性传播感染相关。方法：我们对从事性工作的女性（15-29岁）进行了33次深度访谈，以探讨ATS的使用和对HIV / STI的脆弱性。结果：参与者报告说，苯丙胺类兴奋剂主要是丸剂和结晶形式的甲基苯丙胺（山），价格便宜，可广泛获得并且经常使用。 Yama被描述为“强力药物”（thnam kamlang），它使女性能够长时间工作并为更多客户提供服务。客户使用ATS的情况也很普遍，其中一些向妇女提供毒品和/或鼓励使用毒品，这通常会导致性活动时间延长。在另类陶醉的顾客中，对未保护性行为的要求也更为普遍，而通常用于协商使用安全套的策略效果较差。结论：在从事性工作的年轻女性中，使用苯丙胺类兴奋剂具有很高的功能，促进了权力和代理意识，并突出了这种情况下苯丙胺类兴奋剂的职业意义和正常化。这种高度性别化的动态支持了关于妇女使用苯丙胺类兴奋剂的有限但新兴的文献，迄今为止，该文献一直侧重于男性。结果表明，迫切需要提高人们对使用苯丙胺类兴奋剂的风险的认识，为妇女提供可持续的创收途径，更好地规范性工作条件，并与FSW及其客户合作，发展和促进文化上适当的伤害减少干预措施。

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