Sex Work Regulation and Sexually Transmitted Infections in Tijuana, Mexico

Sex Work Regulation and Sexually Transmitted Infections in Tijuana, Mexico
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DOI:
10.1002/hec.3339
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发表时间:
2017-05-01
期刊:
影响因子:
2.1
通讯作者:
Gonzalez, Fidel
Gonzalez, Fidel
中科院分区:
医学3区
文献类型:
--
作者:
Quast, Troy;Gonzalez, Fidel

文献摘要

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虽然减少性传播感染的传播是规范性工作的一个常见论点,但关于这些政策的有效性的经验证据相对较少。我们调查了2005年在墨西哥提华纳引入的高度宣传的性工作法规对滴虫病发病率的影响。采用1995-2012年期间国家一级的年度数据,其中包括按年龄组划分的滴虫病发病率和预测变量。我们发现,这些规定导致滴虫病的发病率下降。具体来说,虽然我们的估计有些嘈杂,但2005-2012年期间的所有年龄段发病率比我们的综合对照估计值预测的发病率大约低37%,相当于每年报告的滴虫病病例减少了约800例。我们发现,这种下降在15-24岁和25-44岁年龄组中尤为明显。版权所有:John Wiley & Sons, Ltd。
While reducing the transmission of sexually transmitted infections is a common argument for regulating sex work, relatively little empirical evidence is available regarding the effectiveness of these policies. We investigate the effects of highly publicized sex work regulations introduced in 2005 in Tijuana, Mexico on the incidence of trichomoniasis. State-level, annual data for the 1995-2012 period are employed that include the incidence rates of trichomoniasis by age group and predictor variables. We find that the regulations led to a decrease in the incidence rate of trichomoniasis. Specifically, while our estimates are somewhat noisy, the all-ages incidence rate in the 2005-2012 period is roughly 37% lower than what is predicted by our synthetic control estimates and corresponds to approximately 800 fewer reported cases of trichomoniasis per year. We find that the decreases are especially pronounced for 15-24 and 25-44 age cohorts. Copyright (c) 2016 John Wiley & Sons, Ltd.