Internet solicitation linked to enhanced occupational health and safety outcomes among sex workers in Metro Vancouver, Canada 2010-2019.
Internet solicitation linked to enhanced occupational health and safety outcomes among sex workers in Metro Vancouver, Canada 2010-2019.
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互联网招标与加拿大大都会2010- 2019年的性工作者的职业健康和安全成果相关联。
DOI：
10.1136/oemed-2021-107429
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发表时间：
2022-06
影响因子：
4.9
通讯作者：
Goldenberg, Shira
中科院分区：
文献类型：
--
作者：
Machat, Sylvia;Lyons, Tara;Braschel, Melissa;Shannon, Kate;Goldenberg, Shira
检验性工作者的职业健康和安全(OHS)中网络引诱的独立影响，特别是暴力和工作压力。数据来自加拿大温哥华的一组女性性工作者(N=942,2010-2019年)。分析使用描述性统计以及使用广义估计方程(GEE)的双变量和多变量Logistic回归和线性回归；使用解释性和混杂建模方法。33.9%(n=319)的参与者在过去6个月中至少一次在网上征集资料，14.1%(n=133)的参与者主要在过去6个月内在网上征集资料。在多因素GEE分析中，与网上拉客有关的因素包括较低的年龄(AOR 0.95/年，95%CI 0.93~0.97)、性别少数(AOR 2.57，95%CI 1.61~4.10)、性别(AOR 3.09，95%CI 1.80~5.28)、高等教育(AOR 2.13，95%CI 1.34~3.40)、较高的性工作收入(每周100美元AOR 1.03，95%CI 1.01~1.06)，作为加拿大移民/移民(AOR 2.40，95%CI 1.26-4.58)，主要在非正式的室内工作场所服务(AOR 3.47，95%CI 2.32-5.20)。在单独的GEE Conflounder模型中，主要是在线拉客显著(1)降低了工作场所发生身体/性暴力的几率(AOR 0.64，95%CI 0.39-1.06)；以及(2)减少了工作压力(β系数−0.93，95%CI−1.59-−0.26)。年轻工人、性别/性少数群体、移民/移民以及那些在非正式室内空间的人在网上拉客的几率更高。混杂模型表明，使用在线征集方法可能支持增强的OHS。性工作的非刑事化--包括通过在线平台投放广告--仍然是支持性工作者OHS的必要之举。
Examine the independent effect of online solicitation on sex workers’ occupational health and safety (OHS), particularly violence and work stress. Data were drawn from a cohort of women sex workers (N=942, 2010 – 2019) in Vancouver, Canada. Analyses utilized descriptive statistics and bivariate and multivariable logistic and linear regression using generalized estimating equations (GEE); explanatory and confounder modelling approaches were used. 33.9% (n=319) of participants solicited online and 14.1% (n=133) primarily solicited online in the last six months in at least one study visit. In multivariable GEE analysis, factors associated with primarily soliciting online included younger age (AOR 0.95 per year older, 95% CI 0.93–0.97), sexual minority status (AOR 2.57, 95% CI 1.61–4.10), gender minority status (AOR 3.09, 95% CI 1.80–5.28), higher education (AOR 2.13, 95% CI 1.34–3.40), higher sex work income (AOR 1.03 per $100 weekly, 95% CI 1.01–1.06), being an im/migrant to Canada (AOR 2.40, 95% CI 1.26–4.58), and primarily servicing in informal indoor workspaces (AOR 3.47, 95% CI 2.32–5.20). In separate GEE confounder models, primarily soliciting online significantly (1) reduced odds of physical/sexual workplace violence (AOR 0.64, 95% CI 0.39–1.06); and (2) reduced work stress (β coefficient −0.93, 95% CI −1.59 - −0.26). Younger workers, gender/sexual minorities, im/migrants, and those in informal indoor spaces had higher odds of soliciting online. Confounder models indicate access to online solicitation methods may support enhanced OHS. Decriminalization of sex work – including advertising via online platforms — remains necessary to support sex workers’ OHS.
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影响因子：
6.3
作者：
Cunningham, Scott;Kendall, Todd D.
通讯作者：
Kendall, Todd D.
影响因子：
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作者：
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Jones, Angela
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通讯作者：
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Cunningham, Scott;Shah, Manisha
通讯作者：
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