Sexual Violence Victimization and Condom Use in Relation to Exchange of Sexual Services by Female Methamphetamine Prisoners: An Exploratory Study of HIV Prevention

女性安非他命使用者之強暴受害經驗、保險套使用與以性換藥或金錢之行為：愛滋病防治初探性研究

10.6288/TJPH2006-25-03-05

李思賢(Tony Szu-Hsien Lee)

保險套 ； 女性藥物使用者 ； 愛滋防治 ； 糖果妹 ； 強暴受害經驗 ； Condom ； Female Drug Users ； HIV Prevention ； Sugar Girl ； Victims of Rape

台灣公共衛生雜誌

25卷3期（2006 / 06 / 01）

214 - 222

英文

目標：在台灣街頭，「糖果妹」指的是女性藥癮者以性換藥或金錢的術語。本研究目的是探討台灣地區女性安非他命戒治者以性換取藥物或金錢的行為及其相關因子。方法：因為本研究調查的行為相當敏感，所以在說明研究並詢問女性藥物戒治者參與研究的意願後，請研究參與者簽署研究同意書。最後有270位18歲以上、識字、曾經使用過安非他命的女性戒治者填寫問卷。結果：在270位參與者中，有86位(32%)曾經以性換藥或金錢；只有15%在最後一次性交時有使用保險套。分析結果發現以性換藥或金錢的參與者的平均年齡較大、第一次使用非法藥物時年齡較小、較可能有多重性伴侶、以及有被強暴的經驗。結論：本研究結果發現女性藥物戒治者以性換藥或金錢的狀況是存在的，而且整體參與者的保險套使用率相當低，足以讓愛滋及其他性傳染病有感染與擴散機會。本研究建議針對女性安非他命使用者的愛滋防治計畫不僅需要促進保險套的使用，同時亦需要提供強暴受害經驗的心理諮商。

Objectives: In Taiwan, the street term ”sugar girl” refers to an individual who performs a sex act in exchange for drugs or money. This study aimed to determine factors associated with exchange of sexual services by female methamphetamine offenders in Taiwan. Methods: Given the personal nature of the collected data, eligible participants were asked to indicate their willingness to participate by signing consent forms. Surveys were conducted on 270 literate female prisoners aged over 18 with a history of methamphetamine offense. Results: Of the 270 participants, 86 (32%) had previously exchanged sex for drugs or money. Only 15% had used a condom during their last sexual intercourse. The results showed that women who exchanged sex were more likely to be older, have used illicit substances at an earlier age, have multiple partners, and have been raped. Conclusions: The findings provide evidence that exchanging sex and sexual violence were common, and condom use rates are low enough to encourage transmission of HIV and other STDs. Intervention programs need to not only promote condom use but also need to provide counseling to victims of rape.

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