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a qualitative exploration of barriers to condom use among female sex workers in china定性探索之间的壁垒使用避孕套在中国女性性工作者
A Qualitative Exploration of Barriers to Condom Use
among Female Sex Workers in China
1. 1. 1 2. 1 1 1
Wu Jie , Zhou Xiaolan , Lu Ciyong *, Eileen Moyer , Wang Hui , Hong Lingyao , Deng Xueqing
1 Department of Medical Statistics and Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou, China, 2 Amsterdam Institute of Social Science
Research, Department of Sociology and Cultural Anthropology, University of Amsterdam, Amsterdam, The Netherlands
Abstract
Background: Sex workers in China continue to engage in unprotected sex acts that put them at risk for contracting HIV
(Human Immunodeficiency Virus) and other STIs (Sexually Transmitted Infections). The purpose of this study was to explore
women’s work history, the context of sex work, condom use, HIV testing services, and potential barriers to condom use in
a sample of FSWs (female sex workers) in Guangzhou, China.
Methodology/Principal Findings: In-depth, semi-structured, face-to-face interviews were conducted with 24 FSWs in
Guangzhou, China. Informants were recruited using a purposive sampling technique. Qualitative data were coded and
analyzed using NVivo 8.0. The majority of respondents were internal economic migrants who had entered the sex industry
in pursuit of greater financial reward. Most women in the study were married or had steady boyfriends, and were young,
with secondary education and limited knowledge about HIV and STIs. Most were not satisfied with their current living
conditions and expressed a desire to leave the sex industry. Women reported that they were more likely to use condoms
during sex acts with commercial partners than with non-commer
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