Exploring the impact of underage sex work among female sex workers in two Mexico-US border cities.

Exploring the impact of underage sex work among female sex workers in two Mexico-US border cities.
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DOI:
10.1007/s10461-011-0063-3
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发表时间:
2012-05
期刊:
影响因子:
4.4
通讯作者:
Strathdee, Steffanie A.
Strathdee, Steffanie A.
中科院分区:
医学2区
文献类型:
--
作者:
Goldenberg, Shira M.;Rangel, Gudelia;Vera, Alicia;Patterson, Thomas L.;Abramovitz, Daniela;Silverman, Jay G.;Raj, Anita;Strathdee, Steffanie A.

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虽然性工作和低龄化增加了感染艾滋病毒的可能性,但缺乏关于未成年人性工作影响的经验数据。我们探讨了风险环境,性工作和药物使用史,和未成年性工作者(FSW)在蒂华纳和华雷斯城,墨西哥之间的624名女性性工作者(FSW)进入功能之间的关联。41%(n=253)的妇女在未成年时就开始从事性工作,其中艾滋病毒和任何性传播感染/艾滋病毒的流行率分别为5.2%和60.7%。与未成年人性工作的几率增加独立相关的因素是吸入剂作为第一次使用的药物,强迫第一次注射,药物治疗尝试的次数,以及最近的接受性分享。与稳定的合作伙伴和抑郁症作为第一次注射的原因,最近的避孕套谈判尝试的数量与未成年人进入呈负相关。这些结果强调了努力防止未成年性工作的重要性,以及导致脆弱青年和未成年性工作者艾滋病毒风险的更广泛因素。
Although sex work and younger age increase HIV vulnerability, empirical data regarding the impacts of underage sex work are lacking. We explored associations between features of the risk environment, sex work and drug use history, and underage sex work entry among 624 female sex workers(FSWs) in Tijuana and Ciudad Juarez, Mexico. Forty-one percent (n=253) of women began sex work as minors, among whom HIV and any STI/HIV prevalence were 5.2% and 60.7%. Factors independently associated with increased odds of underage sex work were inhalants as the first drug used, forced first injection, number of drug treatment attempts, and recent receptive syringe-sharing. Number of recent condom negotiation attempts with steady partners and depression as a reason for first injecting were negatively associated with underage entry. These results underscore the importance of efforts to prevent underage sex work and the wider factors contributing to HIV risk among vulnerable youth and underage FSWs.
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