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Am J Public Health. 1995 November; 85(11): 1521–1525.
PMCID: PMC1615708

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

Abstract

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.

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Selected References

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  • Simonsen JN, Plummer FA, Ngugi EN, Black C, Kreiss JK, Gakinya MN, Waiyaki P, D'Costa LJ, Ndinya-Achola JO, Piot P, et al. HIV infection among lower socioeconomic strata prostitutes in Nairobi. AIDS. 1990 Feb;4(2):139–144. [PubMed]
  • Nzila N, Laga M, Thiam MA, Mayimona K, Edidi B, Van Dyck E, Behets F, Hassig S, Nelson A, Mokwa K, et al. HIV and other sexually transmitted diseases among female prostitutes in Kinshasa. AIDS. 1991 Jun;5(6):715–721. [PubMed]
  • Corwin AL, Olson JG, Omar MA, Razaki A, Watts DM. HIV-1 in Somalia: prevalence and knowledge among prostitutes. AIDS. 1991 Jul;5(7):902–904. [PubMed]
  • Jochelson K, Mothibeli M, Leger JP. Human immunodeficiency virus and migrant labor in South Africa. Int J Health Serv. 1991;21(1):157–173. [PubMed]
  • Carswell JW, Lloyd G, Howells J. Prevalence of HIV-1 in east African lorry drivers. AIDS. 1989 Nov;3(11):759–761. [PubMed]
  • Worth D. Sexual decision-making and AIDS: why condom promotion among vulnerable women is likely to fail. Stud Fam Plann. 1989 Nov-Dec;20(6 Pt 1):297–307. [PubMed]
  • Stein ZA. HIV prevention: the need for methods women can use. Am J Public Health. 1990 Apr;80(4):460–462. [PMC free article] [PubMed]
  • Plant ML, Plant MA, Thomas RM. Alcohol, AIDS risks and commercial sex: some preliminary results from a Scottish study. Drug Alcohol Depend. 1990 Feb;25(1):51–55. [PubMed]
  • Wølner-Hanssen P, Eschenbach DA, Paavonen J, Stevens CE, Kiviat NB, Critchlow C, DeRouen T, Koutsky L, Holmes KK. Association between vaginal douching and acute pelvic inflammatory disease. JAMA. 1990 Apr 11;263(14):1936–1941. [PubMed]
  • Gardner JW, Schuman KL, Slattery ML, Sanborn JS, Abbott TM, Overall JC., Jr Is vaginal douching related to cervical carcinoma? Am J Epidemiol. 1991 Feb 15;133(4):368–375. [PubMed]

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