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首页> 外文期刊>Health education & behavior: the official publication of the Society for Public Health Education >Understanding the Relationship Between Female Sex Workers and Their Intimate Partners: Lessons and Initial Findings From Participatory Research in North Karnataka, South India
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Understanding the Relationship Between Female Sex Workers and Their Intimate Partners: Lessons and Initial Findings From Participatory Research in North Karnataka, South India

机译：了解女性性之间的关系工人和他们的亲密伴侣:课程和参与研究的初步结果北卡纳塔克邦,印度南部

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摘要

While traditional HIV prevention programs with female sex workers (FSWs) in Karnataka, India, have focused on reducing HIV transmission between FSWs and clients through increased condom use, these programs have not fully addressed the transmission risk between FSWs and their nonpaying intimate partners (IPs). Condom use is infrequent and violence is recurrent in these relationships: Furthermore, there is little evidence on the precise nature of FSW–IP relationships. Our study addresses this knowledge gap to inform HIV programs targeted at FSWs. A series of workshops, using participatory tools, was held to explore FSW-IP relationships; 31 FSWs and 37 IPs participated. Three aspects of FSW–IP relationships were examined: how FSWs and IPs understand and interpret their relationships, factors influencing condom use, and the role of violence and its consequences. FSWs wish to be perceived as their IPs’ wives, while IPs expect their FSW partners to accept their dominance in the relationship. Nonuse of condoms signals fidelity and elevates the status of the relationship almost to that of marriage, which helps FSWs enter the category of “good” (married) women. Tolerating and accepting violence in these relationships is normative, as in other marital relationships; IPs justify violence as necessary to establish and maintain their power within the relationship. Both FSWs and IPs value their relationships despite the high degree of risk posed by low condom use and high levels of violence. Implications for program design include addressing current norms around masculinity and gender roles, and improving communication within relationships.
机译：而传统的艾滋病预防项目女性性工作者(fsw)在卡纳塔克邦,印度,都集中在减少艾滋病病毒传播之间焊和客户通过增加使用安全套,这些项目还没有完全解决传输的焊及其之间的风险不合算的亲密合作伙伴(IPs)。罕见的,在这些暴力是复发关系:此外,几乎没有证据FSW-IP的确切性质的关系。针对焊差距告知艾滋病项目。一系列的工作坊,使用参与式工具,探索FSW-IP举行关系;和37 IPs参与。关系:检查焊和IPs理解和解释它们之间的关系,影响因素使用安全套的作用暴力和它的后果。视为“诱导多能性”的妻子,尽管IPs预计他们的焊伙伴接受他们的统治的关系。忠诚与提升的状态关系近的婚姻,有助于焊进入“好”的范畴(结婚)女性。在其他婚姻关系规范,关系;内建立和维护他们的权力的关系。尽管风险的高度的关系造成低使用避孕套和高水平的暴力。解决当前的男子气概和规范性别角色,改善内部沟通的关系。

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