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首页> 外文期刊>AIDS care. >Truck drivers, middlemen and commercial sex workers: AIDS and the mediation of sex in south west Uganda.
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Truck drivers, middlemen and commercial sex workers: AIDS and the mediation of sex in south west Uganda.

机译：卡车司机，中间人和商业性工作者：乌干达西南部的艾滋病和性中介。

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Although long distance truck drivers have been implicated in the spread of HIV in Africa, there is a paucity of studies of their sexual cultures. This paper reports on a study of the sexual culture of drivers, mediators and commercial sex workers (CSWs) in a roadside truck stop on the Trans-Africa highway in south west Uganda. Sixty-nine truck drivers, six middlemen and 12 CSWs were interviewed using semi-structured questionnaires. Interviewing truck drivers also entailed participating in the town's nightlife and spending much time in the bars. Truck drivers stop briefly at the truck stop for various reasons: to eat, sleep, have sex and sell goods they are carrying. Middlemen mediate the latter two activities. Middlemen buy goods from the drivers and introduce them to 'suitable' women with whom they can have casual sex. Most drivers have sex when they spend the night at the truck stop, and most make use of the services of the middlemen. The most important reasons why drivers use middlemen are that the latter speak the local languages and, in particular, know the trustworthy and 'safe' (HIV-negative) women. The CSWs use middlemen mainly because they are a guarantee that the driver will pay and they usually ensure that drivers pay well. The mediation system is becoming increasingly professionalized. Most drivers claimed to use condoms during casual sex, and this was confirmed by the CSWs. General use of condoms is encouraging, particularly given the context of a culture generally opposed to condoms. The idea that middlemen can recognize 'safe' women is worrying. However, given their key position, middlemen could form the hub of an opinion leader type intervention focused on drivers and the professional group of sex workers described here, providing condoms, advising about the importance of condom use in all casual sexual encounters, giving information about HIV and STDs, and possibly referring drivers and women to appropriate sources of HIV counselling and testing and STD treatment.
机译：尽管长途卡车司机与艾滋病毒在非洲的传播有关，但对其性文化的研究却很少。本文报道了在乌干达西南部跨非洲高速公路的路边卡车停靠站上对驾驶员，调解员和商业性工作者（CSW）的性文化进行的研究。使用半结构化问卷调查了69名卡车司机，6名中间人和12名CSW。采访卡车司机还需要参加该镇的夜生活，并花很多时间在酒吧里。卡车司机出于各种原因在卡车停靠站短暂停留：吃饭，睡觉，做爱以及出售所携带的物品。中间人调解后两项活动。中间商从驾驶员那里购买商品，并介绍给“合适的”女性，让她们可以随意做爱。大多数驾驶员在卡车停靠站过夜时都会发生性行为，并且大多数人会利用中间人的服务。驾驶员使用中间商的最重要原因是中间商会说当地语言，尤其是了解值得信赖且“安全”（艾滋病毒阴性）的女性。 CSW之所以使用中间商，主要是因为它们可以保证驾驶员付款，并且通常可以确保驾驶员付款良好。调解系统变得越来越专业化。大多数驾驶员声称在随意做爱时使用安全套，这已被CSW证实。普遍使用安全套令人鼓舞，特别是考虑到普遍反对安全套的文化背景。中间人可以识别“安全”女性的想法令人担忧。但是，鉴于中间人的关键位置，他们可以形成意见领袖式干预的中心，重点针对此处所述的驾驶员和性工作者的专业团体，提供安全套，建议在所有偶然性接触中使用安全套的重要性，并提供有关艾滋病毒和性病，并可能将驾驶员和妇女推荐给艾滋病毒咨询和检测以及性病治疗的适当来源。

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