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首页> 外文期刊>AIDS care. >Violence against substance-abusing South African sex workers: intersection with culture and HIV risk.
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Violence against substance-abusing South African sex workers: intersection with culture and HIV risk.

机译：对滥用毒品的南非性工作者的暴力行为：与文化和艾滋病毒风险的交汇处。

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摘要

The Republic of South Africa has become an epicentre of heterosexual HIV transmission among Black women, and the interface between violence against women, substance abuse, and HIV risk is becoming evident. This paper describes the characteristics of Black South African women who engage in sex work in Pretoria and examines their intersecting experiences of high-risk sexual behaviour, substance abuse, and victimization. Ninety-three women were recruited into the study. Field staff collected biological measures of drug use and administered a structured, self-report interview. Findings indicate that young South African women who engage in sex work and use drugs rely on this activity as their main source of income and are supporting other family members. The majority of sample women reported experiencing some victimization at the hand of men, either clients or boyfriends, with many reporting childhood abuse histories; young women also report great fear of future victimization. Findings also suggest that as a result of their decreased likelihood of using protection, women who reported any sexual or physical victimization are at increased risk for HIV and other STIs. Results support the critical need for targeted, comprehensive interventions that address substance abuse, sexual risk, and violence as interrelated phenomena.
机译：南非共和国已成为黑人妇女中艾滋病毒异性传播的中心，对妇女的暴力行为，药物滥用和艾滋病毒风险之间的联系日益明显。本文介绍了在比勒陀利亚从事性工作的南非黑人妇女的特征，并考察了她们在高风险性行为，吸毒和受害方面的相交经历。该研究招募了93名妇女。现场工作人员收集了药物使用的生物学指标，并进行了结构化的自我报告访谈。调查结果表明，从事性工作和吸毒的年轻南非妇女将这种活动作为主要收入来源，并正在抚养其他家庭成员。多数抽样妇女报告说，无论是来宾还是男友，男人都遭受了一些伤害;许多报告了童年虐待的历史;年轻妇女还报告说，他们担心将来会遭受伤害。研究结果还表明，由于报告称受到任何性或身体伤害的妇女使用保护的可能性降低，因此感染艾滋病毒和其他性传播感染的风险增加。结果支持迫切需要针对性，全面的干预措施，以解决相互关联的现象中的药物滥用，性风险和暴力。

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