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  1. Fulltext. Reducing the risk of HIV infection among South African sex workers : socioeconomic and gender barriers.

    Article - En anglais

    Fulltext.

    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.

    Mots-clés Pascal : SIDA, Prévention, Education sanitaire, Prostitution, Femme, République Sud Africaine, Risque élevé, Statut socioéconomique, Faible, Programme sanitaire, Virose, Infection, Homme, Afrique, Immunopathologie, Immunodéficit

    Mots-clés Pascal anglais : AIDS, Prevention, Health education, Prostitution, Woman, South Africa, High risk, Socioeconomic status, Low, Sanitary program, Viral disease, Infection, Human, Africa, Immunopathology, Immune deficiency

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0010122

    Code Inist : 002B30A03B. Création : 01/03/1996.