Female Sex Worker Social Networks and STIHIV Prevention in South China 英文参考文献.docVIP

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Female Sex Worker Social Networks and STIHIV Prevention in South China 英文参考文献.doc

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Female Sex Worker Social Networks and STIHIV Prevention in South China 英文参考文献

FemaleSexWorkerSocialNetworksandSTI/HIV PreventioninSouthChina JosephD.Tucker1,2*,HuaPeng2,KaidiWang3,HelenaChang4,Sen-MiaoZhang2,Li-GangYang2 ,Bin Yang2 1InfectiousDisease Unit, MassachusettsGeneral Hospital, Boston, Massachusetts, United States of America, 2Guangdong Provincial STD Control Center, Guangzhou, China,3HarvardMedicalSchool,Boston,Massachusetts,UnitedStatesofAmerica,4UrologyDepartment,UniversityofCaliforniaSanFrancisco,SanFrancisco,California, UnitedStatesofAmerica Abstract Background:ReducingharmassociatedwithsellingandpurchasingsexisanimportantpublichealthpriorityinChina,yet there are few examples of sustainable, successful programs to promote sexual health among female sex workers. The limitedcivilsocietyandscopeofnongovernmentalorganizationscircumscribethelocalcapacityoffemalesexworkersto collectivelyorganize,advocatefortheirrights,andimplementSTI/HIVpreventionprograms.Thepurposeofthisstudywas toexaminesocialnetworksamonglow-incomefemalesexworkersinSouthChinatodeterminetheirpotentialforsexual healthpromotion. Methods/Principal Findings:Semi-structuredinterviewswith34low-incomefemalesexworkersand28healthoutreach memberswereusedtoexaminehowsocialrelationshipsaffectedcondomuseandnegotiation,STI/HIVtestingandhealth- seeking behaviors, and dealing with violent clients. These data suggested that sex worker’s laoxiang (hometown social connections) were more powerful than relationships between women selling sex at the same venue in establishing the terms and risk of commercial sex. Female sex workers from the same hometown often migrated to the city with their laoxiangandthesesocialconnectionsfulfilledmanyofthefunctionsofnongovernmentalorganizations,includingcollective mobilization, condom promotion, violence mitigation, and promotion of health-seeking behaviors. Outreach members observedthatsexworkersaccompaniedbytheirlaoxiangwereoftenmorewillingtoacceptSTI/HIVtestingandtrustlocal sexualhealthservices. Conclusions/Significance:OrganizingSTI/HIVpreventio