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Document 0059
DOCN M9620059
TI Reducing the risk of HIV infection among South African sex workers:
socioeconomic and gender barriers [see comments]
DT 9602
AU Karim QA; Karim SS; Soldan K; Zondi M; Centre for Epidemiological
Research in South Africa (CERSA),; South African Medical Research
Council, Durban, South Africa.
SO Am J Public Health. 1995 Nov;85(11):1521-5. Unique Identifier : AIDSLINE
MED/96036581
CM Comment in: Am J Public Health 1995 Nov;85(11):1485-8
AB OBJECTIVES. The social context within which women engaged in sex work at
a popular truck stop in South Africa are placed at risk of human
immunodeficiency virus (HIV) infection and the factors that influence
their ability to reduce their risk were assessed. METHODS. Using
qualitative and quantitative techniques, an elected sex worker from
within the group collected all data. RESULTS. Given the various pressing
needs for basic survival, the risk of HIV infection is viewed as one
more burden imposed on these women by their lack of social, legal, and
economic power. Violence, or the threat thereof, plays an important role
in their disempowerment. In the few instances in which sex workers were
able to insist on condom use, it resulted in a decrease in earnings,
loss of clients, and physical abuse. CONCLUSIONS. Recommendations to
reduce the sex workers' risk for HIV infection include negotiation and
communication skills to enable them to persuade their clients to use
condoms; development of strategies through which they can maximally use
their group strength to facilitate unified action; and accessibility of
protective methods they can use and control, such as intravaginal
microbicides.
DE Adolescence Adult Attitude to Health Condoms/UTILIZATION Female
Human HIV Infections/ETIOLOGY/*PREVENTION & CONTROL Knowledge,
Attitudes, Practice Male Middle Age
*Prostitution/ETHNOLOGY/STATISTICS & NUMER DATA Questionnaires Risk
Factors Sex Factors Socioeconomic Factors South Africa Support,
Non-U.S. Gov't Violence JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).