European Journal of Medical Research - Deutsche AIDS ...

June 27, 2007 EUROPEAN JOURNAL OF MEDICAL RESEARCH
43
HIV-Kohorte muench01 Gesamtbevölkerung Deutschland
Männer (%) Frauen(%) Männer (%) Frauen(%)
Arbeitslosenquote 9 18 12 10
Vollzeit beschäftigt 85 47 95 69
Teilzeitbeschäftigt 15 53 5 31
ohne
Schulabschluss
ohne
Berufsabschluss
2 12 10 16
7 29 n. a. n. a.
Männer (%) Frauen(%)
Trotz schlechteren Bildungsniveaus der schwarzen und asiatischen
Frauen sind diese mit 54% in gleichem Maße berufstätig
wie die kaukasischen Frauen mit 56% (Tabelle 1).
Schlussfolgerungen: Die Arbeitslosenquote in unserer HIV-
Kohorte entspricht in etwa der gesamtdeutschen Arbeitslosenquote.
Die berufstätigen HIV-Patienten arbeiten häufiger
Teilzeit im Vergleich zur deutschen Gesamtbevölkerung. Das
Bildungsniveau der in der Kohorte erfassten schwarzen und
asiatischen Frauen ist wesentlich niedriger als das der
Kaukasierinnen; der Anteil der berufstätigen Frauen unterscheidet
sich jedoch nicht nach Ethnizität.
A.46 (Poster)
Migration and prostitution – not a topic in the
HIV/AIDS discourse?
Steffan E. 1 , Sokolowski S. 1
1 SPI Forschung gGmbH, Berlin, Germany
Background: The share of migrants among the sex workers
in Germany has increased from 30% in the 90ies up to 70-
80% to date. The legal framework regarding this particular
group has also become a subject of change meanwhile. The
law for protection of infectious diseases, the prostitution law
and not least the EU Eastern-Enlargement have a massive impact
on the living conditions of the sex workers with migration
background as well as on their accessibility for prevention
and health care offers. Both laws are currently in process
of amendment, which encourages a stronger focus on the HIV
and STI prevention aspects for this particular group to be additionally
undertaken.
Method: Our thesis is based on the achievements and outcomes
of several of our own studies. A total number of 157
sex workers (including 28 males) with migration background
were interviewed in the frame of the projects “Migration and
HIV” (2004) and “BORDERNET” (2006). We tackled the issue
of the change in the AIDS and STI counselling centres in
the study “Health care services in transition” (2003) and “The
reorganisation of the AIDS/STD counselling centres in North-
Rhein–Westphalia” (2006)
Results: According to our data the migrant sex workers are
relatively often affected by STIs, whereas Gonorrhoea and
Chlamydia trachomatis represent the most often diagnosed
STIs in the group. Around 65% of the respondents have a
good basic knowledge of HIV/AIDS and STIs infection and
prevention but myths and fears are widely spread among the
Frauenohne
Schulabschluss (%)
Kaukasisch 91 57 1 15
Frauenohne
Berufsabschluss
(%)
Schwarz 4 29 19 43
Asiatisch 1 8 24 70 Tabelle 1.
group. More than 75% of the interviewees reported that every
5th to every 2nd client offers to pay more for unsafe sex or refuses
condom use. The lacking or insufficient adjustment of
the public health care offers to the new legal and political
framework deteriorates the access to the STI counselling services
by the migrant sex workers.
Discussion: Sex workers with migrant background should
rely on voluntary and anonymous health care services. The
latter can achieve only a certain coverage given that the services
have to adapt to the new legislative conditions in the
prostitution milieu. Besides the establishment of outreach services,
further offers have to be developed, which assure accessible
thresholds to the available health services for the sex
workers.
A.47 (Vortrag)
Transcultural intermediary training HIV/AIDS:
A key-model for intercultural education
Kimil A. 1 , Wienold M. 1 , Salman R. 2
1 Ethno-Medizinisches Zentrum, MAP-Team, Hannover,
Germany, 2 Ethno-Medizinisches Zentrum, Hannover,
Germany
Question: Intermediary Training HIV/AIDS is a structured
training program developed by the Migrant-AIDS-Project in
Hannover to bridge the knowledge gap between the native
German and the immigrant population. The training also aims
to stimulate solidarity in response to a perceived lack of support
of migrants with HIV/AIDS in their own communities.
Has this approach been successful?
Methods: Qualitative and quantitative data from five training
courses (each 50 hrs, 2002-2006) and from the intermediaries’
campaigns (2006) were systematically evaluated. Feedback
was also sought from public and private funders.
Results: Over 100 intermediaries have participated in the project
since 2002 in Hannover and Hamburg. The trainings have
been highly appreciated by participants. Intermediaries have
become involved in (self-) evaluation and in continued education
(voluntarily). More than 200 group sessions were conducted
in community settings. Data confirm earlier findings
of deficits in specific sub-populations and groups. They also
point to a high potential for discrimination and confirm a
great distance to people with HIV. The increasing depth of
evaluation now brings forward detailed information on
knowledge, behaviours and attitudes. Data from Hamburg