Determinants of risk behaviour of sex-workers in Jamaica. A qualitative approach.
The practice of evidence-based medicine is well established and research is a key element. Evidence-based approaches require an understanding of the complexities of the interactions and dynamics that influence decision-making. Qualitative research methods are increasingly being used to complement the findings of the traditional quantitative methods. A qualitative study which examines the sexual choices of commercial sex-workers is described to demonstrate the usefulness of this type of study. Focus group discussions give the reasons for the non-regular use of condoms and identify other factors needing intervention. These include low self-esteem and poor job satisfaction as well as problems with violence and drug use. It provides vital information for HIV/AIDS prevention activities for commercial sex-workers.
Eldemire-Shearer
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D
Department of Community Health and Psychiatry, The University of the West Indies, Kingston 7, Jamaica, West Indies. denise.eldemireshearer@uwimona.edu.jm
Bailey
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A
D000163:Acquired Immunodeficiency Syndrome / Q000453:epidemiology / Q000635:transmission; D000328:Adult; D001294:Attitude to Health; D017280:Condoms / Q000706:statistics & numerical data; D003657:Decision Making; D005260:Female; D017144:Focus Groups; D015438:Health Behavior; D006801:Humans; D007563:Jamaica / Q000453:epidemiology; D007588:Job Satisfaction; D008297:Male; D008875:Middle Aged; D036301:Qualitative Research; D012307:Risk Factors; D012309:Risk-Taking; D012649:Self Concept; D011477:Sex Work / Q000523:psychology*; D012749:Sexually Transmitted Diseases / Q000453:epidemiology / Q000517:prevention & control* / Q000523:psychology* / Q000635:transmission