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Document 3158
DOCN M94A3158
TI The fire in the dragon: a study of risk factors for HIV/AIDS among urban
men and commercial sex workers in Vietnam.
DT 9412
AU Franklin BA; Khanh NT; CARE International, Vietnam.
SO Int Conf AIDS. 1994 Aug 7-12;10(1):14 (abstract no. 031D). Unique
Identifier : AIDSLINE ICA10/94369417
AB OBJECTIVE: To identify risk factors for sexual transmission of HIV/AIDS
in Vietnam through a study of commercial sex workers and urban men. to
guide policy planners and communicators at the onset of the epidemic in
Vietnam. METHODS: A 4-tiered, sequenced research design was used to
gather quantitative and qualitative data from 1,100 sex workers and
urban men (heterosexual, homosexual, Vietnamese and foreign) over 12
months. Data was gathered by members of the target groups for the
insider's view of a population engaged in illegal, clandestine
activities. Methods used were: structured observation, key informant
interviews. KAP survey and focus groups. RESULTS: The study yielded 37
findings re. AIDS, sex, condoms and media. Findings included high levels
of awareness of HIV/AIDS, but low perceived risk (only 18% of sex
workers and 13% of Vietnamese men surveyed believed they could get
AIDS), high rates of multiple partners (54% of Vietnamese men surveyed
reported 2 or more partners in 2 weeks), and low condom use.
Psychosocial factors included narrow sex roles, external locus of
control and low self-efficacy re. sexual decision-making for both sexes,
as well as condiderable fatalism and denial of risks for HIV/AIDS.
CONCLUSIONS: Findings suggest these attitudes and behaviors may be
widespread in Vietnam, putting many at risk. Effective campaigns must
address them and should incorporate popular concepts, images and
metaphors revealed by this study.
DE Acquired Immunodeficiency Syndrome/*EPIDEMIOLOGY Attitude to Health
Condoms/UTILIZATION Epidemiologic Methods Female Gender Identity
Human HIV Infections/*EPIDEMIOLOGY Knowledge, Attitudes, Practice
Male *Prostitution Risk Factors Urban Population
Vietnam/EPIDEMIOLOGY MEETING ABSTRACT
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).