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Sex Workers' Satisfaction and Intention to Use Sexually Transmitted Disease Examination Service in Korea

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Objectives: The purpose of this study is to examine how sex workers perceive the current STD examination service and how the perceptions are related with sex workers' intention to use the service. Methods: The data for this study came from a survey among sex workers who had an experience of using STD examination service provided by local public health centers. Sex workers' perceptions to STD examination service and their intention to use the service were measured with multiple items adapted from the Patient Satisfaction Questionnaire (PSQ) developed by Ware and his colleagues. Results: Most sex workers are satisfied with the current STD examination service provided by local public health centers and they have a strong intention to use the service. In predicting general satisfaction and intention to use STD examination service, few socioeconomic variables play a significant role. Among specific dimensions of STD test service, technical quality and accessibility of the service affect both general satisfaction and intention to use the service in a positive direction. The most important determinant of sex workers' intention to use STD examination service is their general satisfaction with the service. Conclusions: With the existing laws that still officially justify STD examination programs, the demand and need for STD examination service by sex workers further the current STD examination programs. Health authorities which aim at health maintenance, health promotion and health protection for the people, thus, need to continue their STD control programs actively and effectively regardless of the Special Law on Sex Trade.

Abstract

Objectives: The purpose of this study is to examine how sex workers perceive the current STD examination service and how the perceptions are related with sex workers' intention to use the service. Methods: The data for this study came from a survey among sex workers who had an experience of using STD examination service provided by local public health centers. Sex workers' perceptions to STD examination service and their intention to use the service were measured with multiple items adapted from the Patient Satisfaction Questionnaire (PSQ) developed by Ware and his colleagues. Results: Most sex workers are satisfied with the current STD examination service provided by local public health centers and they have a strong intention to use the service. In predicting general satisfaction and intention to use STD examination service, few socioeconomic variables play a significant role. Among specific dimensions of STD test service, technical quality and accessibility of the service affect both general satisfaction and intention to use the service in a positive direction. The most important determinant of sex workers' intention to use STD examination service is their general satisfaction with the service. Conclusions: With the existing laws that still officially justify STD examination programs, the demand and need for STD examination service by sex workers further the current STD examination programs. Health authorities which aim at health maintenance, health promotion and health protection for the people, thus, need to continue their STD control programs actively and effectively regardless of the Special Law on Sex Trade.

참고문헌 (19)

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  2. CDC, "Division of STD Prevention Strategic Plan 2008- 2013" (2013), CDC
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  4. Chosunilbo, "Variant Forms of Sex Trade Mocking Special Law on Sex Trade", ~ (2007)
  5. Hair, J., "Multivariate Data Analysis" (2006), Pearson Education
  6. KCDC, "Current Status of Registrants for STD Examination" (2007), KCDC
  7. KCDC, "Record of STD Examination by Registrants for Periodic STD Examination" (2008), KCDC
  8. KCDC, "2009 STD Control Guidelines" (2009), KCDC
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  10. NPA, "Current Conditions of Red-light Districts" (2007), NPA
  11. NPA, "Current Conditions of Red-light Districts, Control over Sex Trades, and Sex Businesses" (2008), NPA
  12. Segyeilbo, "Over Half of Sex Trades Uncovered Occur in Variant Forms of Business such as Massage Parlors", ~ (2008)
  13. Sweat, M., "Cost-effectiveness of Voluntary HIV-1 Counselling and Examination in Reducing Sexual Transmission of HIV-1 in Kenya and Tanzania", Lancet, 356, pp.113~121 (2000)
  14. Thielman, N. m., "Cost-effectiveness of Free HIV Voluntary Counselling and Examination through a Community-based AIDS Service Organization in Northern Tanzania", American Journal of Public Health, 96, pp.114~119 (2006)
  15. UNAIDS, "The Public Health Approach to STD Control" (1998), UNAIDS
  16. Ware, J., "Development and Validation of Scales to Measure Patient Satisfaction with Medical Care Services. Vol, I, Part A: Review of Literature, Overview of Methods, and Results Regarding Construction of Scales" (1976), National Technical Information Service
  17. Ware, J., "Development and Validation of Scales to Measure Patient Satisfaction with Medical Care Services. Vol, I, part B: Results Regarding Scales Constructed from the Patient Satisfaction Questionnaire and Measure of Other Health Care Perceptions" (1976), National Technical Information Service
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  19. WHO, "Global Strategy for the Prevention and Control of Sexually Transmitted Infections: 2006-2015" (2015), WHO

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