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首页> 外文期刊>AIDS care. >Pathways to sex-work in Nagaland, India: implications for HIV prevention and community mobilisation.
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Pathways to sex-work in Nagaland, India: implications for HIV prevention and community mobilisation.

机译：印度那加兰邦的性工作途径：对艾滋病毒预防和社区动员的影响。

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There are an estimated 1800-3500 sex-workers in Dimapur, the commercial capital of Nagaland, which is the second-highest HIV prevalence state in India. The HIV prevalence among these sex-workers has increased from 4.4% in 2004 to 16.4% in 2006, highlighting their vulnerability. The aim of this study was to contribute to understanding of the pathways to sex-work for women in Nagaland in order to inform the development of effective HIV prevention strategies. A convenient sample of 220 female sex-workers completed a cross-sectional survey, and 30 female sex-workers participated in semi-structured in-depth interviews during mid 2007. Participants were asked about their life situation at the time of initial engagement in sex-work and circumstances of the first occasion of sex-work. The four main pathways into sex-work were identified as: (1) to obtain money to meet basic needs for self and family (45% of survey and 43% of interview participants); (2) to obtain money to purchase drugs or alcohol (15% of survey and 27% of interview participants); (3) being coerced, tricked or forced into sex-work (13% of survey and 30% of interview participants); and (4) for pleasure (12% of survey and no interview participants). Women from each of these pathways were significantly different from each other in relation to a range of socio-cultural variables (e.g., ethnicity, marital status and education), and HIV risk factors (e.g., drug and alcohol use, age of sexual debut and HIV awareness). This diversity has implications for HIV prevention strategies, including the willingness and capacity of sex-workers to mobilise as a community and NGO capacity to ensure that the interests of all sex-workers are adequately captured and represented.
机译：在那加兰邦的商业之都迪马普尔，估计有1800-3500名性工作者，这是印度第二高的艾滋病毒感染率州。这些性工作者中的艾滋病毒感染率从2004年的4.4％增加到2006年的16.4％，突显了他们的脆弱性。这项研究的目的是有助于了解那加兰邦妇女的性工作途径，以便为制定有效的艾滋病毒预防策略提供信息。在220名女性性工作者的方便样本中完成了一项横断面调查，并且在2007年中期，有30名女性性工作者参加了半结构化的深度访谈。参与者被问及初次从事性行为时的生活状况工作和第一次性工作的情况。确定性工作的四个主要途径为：（1）赚钱以满足自我和家庭的基本需求（45％的调查和43％的受访者）; （2）赚钱购买毒品或酒精（占调查的15％，接受访谈的参与者的27％）; （3）被强迫，欺骗或强迫进行性工作（调查的13％和受访者的30％）; （4）出于娱乐目的（占调查的12％，没有参加访谈的参与者）。来自这些途径的女性在一系列社会文化变量（例如种族，婚姻状况和受教育程度）以及艾滋病毒危险因素（例如吸毒和酗酒，性行为初次出现的年龄以及艾滋病毒意识）。这种多样性对艾滋病毒的预防战略有影响，包括性工作者愿意动员并成为一个社区的能力，以及非政府组织确保所有性工作者的利益得到充分体现的能力。

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