Sex with sex workers among latino day laborers in Suburban Maryland.
Sex with sex workers among latino day laborers in Suburban Maryland.
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DOI：
10.1007/s10508-012-0010-z
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发表时间：
2013-07
影响因子：
3.8
通讯作者：
Poppen PJ
中科院分区：
文献类型：
--
作者：
Bianchi FT;Reisen CA;Gonzales FA;Arroyo JC;Zea MC;Poppen PJ
本研究采用结构-环境概念框架，采用混合方法来探讨与女性性工作者发生性行为是否会增加马里兰州郊区拉丁裔男性移民日工的艾滋病风险。由于环境因素可以极大地影响性工作者及其客户的艾滋病毒风险，因此本研究调查了性工作的组织结构、预测男性雇佣性工作者的因素、与性工作者发生的性行为以及避孕套的使用。定性研究的目的是为定量调查的发展提供信息，但也提供了有关性工作的动机、地点、安排和性活动的重要描述。主要调查对象访谈（N= 10）、日工深度访谈（N= 10）、拉丁裔女性性工作者深度访谈（N= 4）、日工焦点小组访谈（N= 11），采用音频增强计算机辅助自访（N= 174）进行定量调查。在与女性性工作者接触时，安全套的使用几乎是普遍的，这表明在这种情况下，性工作者并不是艾滋病毒传播的重要来源。运用逻辑回归检验预测性工作者性行为的模型。在美国没有伴侣的拉美裔临时工更有可能与性工作者发生性关系，酗酒的男性也是如此。结构和社会条件影响了性工作者的雇用。为了更好地了解这些情况之间的相互关系，并为解决这些问题的方案的发展提供信息，有必要进行进一步的研究。
Using the structural-environmental conceptual framework, this study employed mixed methods to address the question of whether sex with female sex workers contributes to HIV risk among male immigrant Latino day laborers in suburban Maryland. Because contextual factors can greatly affect HIV risk for both sex workers and their clients, this study investigated the organizational structure of sex work, factors that predicted men’s hiring of sex workers, sexual behaviors performed with sex workers, and the use of condoms. Qualitative research was conducted to inform the development of a quantitative survey, but also provided crucial descriptions about the motivations, locations, arrangements, and sexual activities related to sex work. Key informant interviews (N= 10), in-depth interviews with day laborers (N= 10) and Latina female sex workers (N = 4), and two focus groups with day laborers (N= 11) were conducted, and a quantitative survey administered via Audio-enhanced Computer-assisted Self-interviewing (N = 174). Condom use was nearly universal in encounters with female sex workers, thus indicating that the sex workers were not an important source of HIV transmission in this context. Logistic regression was performed to test a model predicting sex with sex workers. Latino day laborers who reported more immigrant stress and who did not have a partner in the U.S. were more likely to have had sex with a sex worker, as were men who reported binge drinking. Structural and social conditions influenced the hiring of sex workers. Further research is warranted to better understand the interrelationships among these circumstances and to inform the development of programs to address them.