Female Sex Worker Social Networks and STI/HIV Prevention in South China
2011

Female Sex Worker Social Networks and STI/HIV Prevention in South China

Sample size: 62 publication Evidence: moderate

Author Information

Author(s): Tucker Joseph D., Peng Hua, Wang Kaidi, Chang Helena, Zhang Sen-Miao, Yang Li-Gang, Yang Bin

Primary Institution: Guangdong Provincial STD Control Center, Guangzhou, China

Hypothesis

How do social networks among low-income female sex workers in South China influence their sexual health behaviors?

Conclusion

Organizing STI/HIV prevention services around laoxiang social networks may enhance the effectiveness of health programs for sex workers.

Supporting Evidence

  • Social networks among female sex workers can enhance condom use and health-seeking behaviors.
  • Women from the same hometown often support each other in negotiating condom use with clients.
  • Laoxiang networks provide critical information about health services and STI testing.
  • Collective purchasing of condoms through laoxiang networks can reduce costs for sex workers.
  • Social ties help sex workers manage risks associated with anti-prostitution campaigns.
  • Trust within laoxiang networks can improve access to health services and reduce stigma.

Takeaway

Women who sell sex often help each other stay safe and healthy by sharing information and resources, especially when they come from the same hometown.

Methodology

Semi-structured interviews with 34 female sex workers and 28 health outreach members were conducted to explore social relationships and health behaviors.

Potential Biases

Potential biases may arise from the reliance on self-reported data and the dynamics of social networks.

Limitations

The study's small sample size and focus on one region limit the generalizability of the findings.

Participant Demographics

All participants were low-income female sex workers, primarily married with at least one child, and aged around 38 years.

Digital Object Identifier (DOI)

10.1371/journal.pone.0024816

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