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This paper aims to contribute to sex tourism literature by placing it into a contemporary context of globalisation, harm reduction and disease migration.

The paper takes a public health and social science approach to map sex tourism, drawing on sex worker and tourist situations alongside global forces including technology, human rights, law enforcement and health.

A new, holistic conceptual model is presented, containing interacting, multi level associations. Whilst the separate micro, contextual, meso and macro levels are versatile, decision makers and practitioners will be equipped to understand sex tourism in its entirety.

The paper’s originality is found in the proposed conceptual model.

全球化、减害和疾病迁移时代的性旅游：一种新的概念模型

该论文采用公共卫生和社会科学方法, 利用性工作者和旅游者的情况以及包括技术、人权、执法和健康在内的全球力量, 分析了性旅游的状况。

本文将性旅游文献置于全球化、减少危害和疾病迁移的当代背景下, 为性旅游文献做出了贡献。

本文提出了一个新的、整体的概念模型, 包含相互作用的多层次关联。虽然单独的微观、背景、中观和宏观层面是多变的, 但决策者和从业者将可以全面的了解性旅游。

该论文的独创性体现在提出的概念模型中。

El turismo sexual en la era de la globalización, la reducción de daños y la migración de enfermedades: un nuevo modelo conceptual

Este artículo contribuye a la literatura sobre el turismo sexual situándolo en el contexto contemporáneo de la globalización, la reducción de daños y la migración de enfermedades.

El documento adopta un enfoque de salud pública y ciencias sociales para delimitar el turismo sexual, basándose en las situaciones de los trabajadores del sexo y los turistas junto con las fuerzas globales, como la tecnología, los derechos humanos, la aplicación de la ley y la salud.

Se presenta un nuevo modelo conceptual holístico que contiene asociaciones interactivas de varios niveles. Mientras que los niveles micro, contextual, meso y macro separados son versátiles, los responsables de la toma de decisiones y los profesionales estarán equipados para entender el turismo sexual en su totalidad.

La originalidad del artículo se encuentra en el modelo conceptual propuesto.

Investigación

Sub-Saharan African prisons have seen a substantial increase in women prisoners, including those incarcerated with children. There is very little strategic literature available on the health situation and needs of women prisoners and their circumstantial children in Malawi. The study aims to explore this issue.

A qualitative exploratory study using in-depth key informant interviews with senior correctional stakeholders (commissioner of prison farms, senior correctional management staff, senior health officials and senior officers in charge) (n = 5) and focus group discussions (FGD) with women in prison of age between 18 and 45 years (n = 23) and two FGD with correctional staff (n = 21) was conducted in two prisons in Malawi, Chichiri and Zomba. Narratives were transcribed and analysed using thematic analysis.

Three key themes emerged and are as follows: “hygiene and sanitary situation across multiple prison levels and subsequent health implications for women”; “nutritional provision and diets of women and children in prison”; and “women’s access to prison-based and external health services”. Divergence or agreement across perspectives around sanitation and disease prevention, adequacy of nutrition for pregnant or breast-feeding women, health status and access to prison-based health care are presented.

Garnering a contemporary understanding of women’s situation and their health-care needs in Malawian prisons can inform policy and correctional health practice change, the adaptation of technical guidance and improve standards for women and their children incarcerated in Malawi.

There is a strong need for continued research to garner insight into the experiences of women prisoners and their children, with a particular emphasis on health situation.