Enhancing the Ethical Conduct of HIV Research with Migrant Sex Workers: Human Rights, Policy, and Social Contextual Influences.
Enhancing the Ethical Conduct of HIV Research with Migrant Sex Workers: Human Rights, Policy, and Social Contextual Influences.
复制标题
DOI：
10.1371/journal.pone.0155048
复制
发表时间：
2016
期刊：
影响因子：
3.7
通讯作者：
Mindt MR
中科院分区：
文献类型：
--
作者：
Goldenberg SM;Brouwer KC;Jimenez TR;Miranda SM;Mindt MR
移徙性工作者往往被高度边缘化，并且不成比例地经历健康和社会不平等，包括艾滋病毒、性传播感染和侵犯人权行为的高流行。近年来，涉及移徙性工作者的研究有所增加，但在如何最好地保护研究参与者的权利和福利方面仍然存在许多知识差距。我们的目标是确定与负责任地对移徙性工作者进行艾滋病毒研究相关的主要挑战和机遇。对 2013 年 6 月至 2014 年 2 月在危地马拉-墨西哥边境对 33 名 18 岁以上女性性工作者进行的焦点小组和访谈进行了分析。当地艾滋病预防组织通过社区外展活动招募了参与者，这些活动包括酒吧、酒店、街角和卡车停靠站等性工作场所。影响移民性工作者研究参与的关键主题包括研究者对研究参与的不信任和恐惧，其根源在于新移民经常面临的社会孤立；与移民身份、对刑事定罪的恐惧以及遵守性工作法规有关的交叉关切；艾滋病毒/性传播感染检测对移民的好处和风险（例如移民影响、耻辱）代表了负责任地开展涉及移民性工作者的研究的潜在障碍和机遇。结果强调了移民性工作者的人权脆弱性与参与研究的障碍之间的交叉点，包括移民的社会孤立以及与移民和性工作相关的政策/法律障碍。研究结果表明，研究人员需要制定针对人群的程序，以解决与移民和刑事定罪相关的恐惧，并加强与移民性工作者的积极和非污名化的关系。建议由社区主导，减少污名化，促进社区组织，并为移徙性工作者提供支持，同时建议进行更广泛的政策转变，从惩罚性法律手段转向保障和优先考虑移徙性工作者的人权。
Migrant sex workers are often highly marginalized and disproportionately experience health and social inequities, including high prevalence of HIV, sexually transmitted infections, and human rights violations. In recent years, research involving migrant sex workers has increased, yet many knowledge gaps remain regarding how best to protect research participant rights and welfare. Our objective was to identify key challenges and opportunities related to the responsible conduct of HIV research with migrant sex workers. Focus groups and interviews conducted with 33 female sex workers ≥18 years old at the Guatemala-Mexico border from June 2013–February 2014 were analyzed. Participants were recruited through community outreach by a local HIV prevention organization to sex work establishments such as bars, hotels, street corners, and truck stops. Key themes influencing research engagement for migrant sex workers included researcher mistrust and fear related to research participation, rooted in the social isolation frequently faced by recent migrants; intersecting concerns related to immigration status, fear of criminalization, and compliance with sex work regulations; and perceived benefits and risks of HIV/STI testing for migrants (e.g., immigration implications, stigma) represent potential barriers and opportunities for the responsible conduct of research involving migrant sex workers. Results highlight the intersection between the human rights vulnerabilities of migrant sex workers and barriers to research participation, including social isolation of migrants and policy/legal barriers related to immigration and sex work. Findings illustrate the need for researchers to develop population-tailored procedures to address fears related to immigration and criminalization, and to reinforce positive and non-stigmatizing relationships with migrant sex workers. Community-led efforts to reduce stigma and foster community organization and supports for migrant sex workers are recommended, as are broader policy shifts that move away from punitive legal approaches towards approaches that safeguard and prioritize the human rights of migrant sex workers.
影响因子：
1.9
作者：
Ojeda, Victoria D.;Burgos, Jose Luis;Hiller, Sarah P.;Lozada, Remedios;Rangel, Gudelia;Vera, Alicia;Artamonova, Irina;Magis-Rodriguez, Carlos
通讯作者：
Magis-Rodriguez, Carlos