Sex workers' perceptions of AIDS and safe sex

Abstract

This is an exploratory study of sex workers' perceptions of AIDS and safe sex methods. Six escorts and eight street sex workers in Cape Town were interviewed. The responses indicated that sex workers are aware of AIDS but certain gaps in their knowledge still persist. Sex workers gain their knowledge in a haphazard manner as they are hesitant to utilize the existing health services. There are few intervention programmes aimed at sex workers. Although risk perception is high, sex workers are adamant that they are less at risk than non-sex working women. They accept the responsibility of ensuring safe sex with clients. The majority of sex workers indicate that they are in control of negotiating safe sex, except with violent clients. Condom use varies depending on the status of the sexual partner. Condom use is high with casual clients but significantly lower with regular clients and boyfriends. The study indicates a need for intervention which addresses the specific needs of sex workers. Intervention should include negotiation skills and the empowerment of sex workers. Peer-based intervention has shown to be most effective in addressing these needs.