The environmental-structural communication approach attempts to reduce the prevalence of individual health risks to female sex workers' (FSW) through community-level interventions. However, I argue that this approach narrowly defines health and such communication efforts are focused on changing the work environment to facilitate the reduction of individual risk prevalence. Based on 35 in-depth interviews, I use lived experiences of FSWs as a case study to discuss the relationships between gender and health. The intersectionality framework allows health communication efforts to incorporate analysis of multiple and simultaneous influences of gender relations, gender identities, and class on the transmission of health risks. These intersections draw our attention to think differently about inequalities and vulnerabilities that shape health and health behaviors of FSWs.

中文翻译：

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通过尼泊尔街头女性性工作者的案例研究将性别与健康之间的关系理论化

环境-结构沟通方法试图通过社区层面的干预来降低女性性工作者 (FSW) 个体健康风险的流行。然而，我认为这种方法狭隘地定义了健康，这种沟通工作的重点是改变工作环境，以促进降低个人风险流行率。基于 35 次深度访谈，我以 FSW 的生活经历作为案例研究，讨论性别与健康之间的关系。交叉性框架允许健康传播工作纳入对性别关系、性别认同和阶级对健康风险传播的多重和同时影响的分析。