Early sex work initiation independently elevates odds of HIV infection and police arrest among adult sex workers in a Canadian setting.
Early sex work initiation independently elevates odds of HIV infection and police arrest among adult sex workers in a Canadian setting.
复制标题
DOI：
10.1097/qai.0b013e3182a98ee6
复制
发表时间：
2014-01-01
期刊：
影响因子：
--
通讯作者：
Shannon K
中科院分区：
文献类型：
--
作者：
Goldenberg SM;Chettiar J;Simo A;Silverman JG;Strathdee SA;Montaner JS;Shannon K
探讨与早期性工作开始的相关因素，并模拟早期性工作开始对成年性工作者（SW）艾滋病毒感染和卖淫被捕的独立影响。基线数据（2010-2011年）来自一个月内以性换取金钱的SW队列，并通过时间-地点抽样在加拿大温哥华招募。分析仅限于≥18岁的成人。社工完成了一份问卷和艾滋病毒/性传播感染检测。使用多变量logistic回归，我们确定了早期性工作开始（<18岁）的相关性，并构建了混杂模型，检查早期开始对成年SW中HIV和卖淫逮捕的独立影响。在508名性工作者中，193名（38.0%）报告早期开始性工作，其中78.53%主要是街头性工作者，21.46%是非街头性工作者。HIV感染率为11.22%，其中早期感染者为19.69%。早期的新教徒更有可能是在美国出生的（调整后的比值比（AOR）：6.8，95%置信区间（CI）：2.42-19.02），注射药物（AOR：1.6，95%CI：1.0-2.5），为经理工作（AOR：2.22，95%CI：1.3-3.6）或被迫从事性工作（AOR：2.3，95%CI：1.14-4.44）。早期开始治疗对HIV感染（AOR：2.5，95%CI：1.3-3.2）和卖淫被捕（AOR：2.0，95%CI：1.3-3.2）的风险增加具有独立影响。青少年性工作的开始集中在边缘化，毒品和街头参与的SW。早期启动持有一个独立的艾滋病毒感染和犯罪化的成年SW的影响。研究结果表明，需要循证方法，以减少伤害成人和青年SW。
To explore factors associated with early sex work initiation, and model the independent effect of early initiation on HIV infection and prostitution arrests among adult sex workers (SWs). Baseline data (2010–2011) were drawn from a cohort of SWs who exchanged sex for money within the last month and were recruited through time-location sampling in Vancouver, Canada. Analyses were restricted to adults ≥18 years old. SWs completed a questionnaire and HIV/STI testing. Using multivariate logistic regression, we identified associations with early sex work initiation (<18 years old) and constructed confounder models examining the independent effect of early initiation on HIV and prostitution arrests among adult SWs. Of 508 SWs, 193 (38.0%) reported early sex work initiation, with 78.53% primarily street-involved SWs and 21.46% off-street SWs. HIV prevalence was 11.22%, which was 19.69% among early initiates. Early initiates were more likely to be Canadian-born (Adjusted Odds Ratio (AOR): 6.8, 95% Confidence Interval (CI): 2.42–19.02), inject drugs (AOR: 1.6, 95%CI: 1.0–2.5), and to have worked for a manager (AOR: 2.22, 95%CI: 1.3–3.6) or been coerced into sex work (AOR: 2.3, 95%CI: 1.14–4.44). Early initiation retained an independent effect on increased risk of HIV infection (AOR: 2.5, 95% CI: 1.3–3.2) and prostitution arrests (AOR: 2.0, 95%CI: 1.3–3.2). Adolescent sex work initiation is concentrated among marginalized, drug and street-involved SWs. Early initiation holds an independent increased effect on HIV infection and criminalization of adult SWs. Findings suggest the need for evidence-based approaches to reduce harm among adult and youth SWs.