History of sex trafficking, recent experiences of violence, and HIV vulnerability among female sex workers in coastal Andhra Pradesh, India.

History of sex trafficking, recent experiences of violence, and HIV vulnerability among female sex workers in coastal Andhra Pradesh, India.
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DOI:
10.1016/j.ijgo.2011.03.005
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发表时间:
2011-08
影响因子:
3.8
通讯作者:
Blankenship, Kim M.
Blankenship, Kim M.
中科院分区:
医学4区
文献类型:
--
作者:
Gupta, Jhumka;Reed, Elizabeth;Kershaw, Trace;Blankenship, Kim M.

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对印度南部女性性工作者的调查结果表明,通过贩运进入性工作的妇女面临独特的艾滋病毒脆弱性。估计性交易作为进入性工作的一种方式的流行程度,并研究性交易与女性性工作者(FSW)最近的暴力经历和艾滋病毒脆弱性之间的关联。2006年在印度沿海的安得拉邦进行的一项横断面研究中,通过受调查者驱动的抽样方式招募了812名FSW,对他们的性工作经历进行口头调查。五分之一(19.3%)的FSW符合联合国对性贩运的定义。被贩卖从事性工作的妇女比其他FSW更有可能报告最近的暴力经历(调整的比值比[AOR],1.93; 95%置信区间[CI],1.32-2.81),每周更多的客户(AOR,1.63; 95%CI,1.11-2.41),每周性工作天数更多(AOR,1.76; 95%CI,1.18-2.63),报告使用以FSW为重点的服务的可能性较小(AOR,0.60; 95%CI,0.42-0.86)。在艾滋病毒知识或持续使用避孕套方面没有出现显着差异。性贩运十分普遍。性贩运的历史与最近的暴力和艾滋病毒风险行为的脆弱性更大,强调需要更多地关注被贩运人口的公共卫生需求。
Findings from female sex workers in southern India indicate that women who enter sex work via trafficking are exposed to unique HIV vulnerabilities. To estimate the prevalence of sex trafficking as a mode of entry into sex work, and to examine associations between sex trafficking and recent violence experiences and HIV vulnerability among female sex workers (FSWs). In a cross-sectional study in 2006 in coastal Andhra Pradesh, India, 812 FSWs were recruited via respondent-driven sampling to take part in an oral survey of their experiences in sex work. One in 5 (19.3%) FSWs met the UN definition of sex trafficking. Women trafficked into sex work were more likely than other FSWs to report recent violence experiences (adjusted odds ratio [AOR], 1.93; 95% confidence interval [CI], 1.32–2.81), more clients per week (AOR, 1.63; 95% CI, 1.11–2.41), and more days of sex work per week (AOR, 1.76; 95% CI, 1.18–2.63), and were less likely to report use of FSW-focused services (AOR, 0.60; 95% CI, 0.42–0.86). No significant differences emerged regarding HIV knowledge or consistent condom use. There was a high prevalence of sex trafficking. A history of sex trafficking was associated with a greater vulnerability to recent violence and HIV risk behaviors, underscoring the need for increased attention to the public health needs of trafficked populations.
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