Sex work in the Caribbean Basin: Patterns of substance use and HIV risk among migrant sex workers in the US Virgin Islands
Sex work in the Caribbean Basin: Patterns of substance use and HIV risk among migrant sex workers in the US Virgin Islands
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DOI：
10.1080/09540120701426490
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发表时间：
2007-11-01
影响因子：
1.7
通讯作者：
Surratt, H.
中科院分区：
文献类型：
--
作者：
Surratt, H.
吸毒、商业性性工作和移民都在加勒比地区艾滋病毒的传播中发挥作用，但这些因素在该地区的交叉点还没有得到很好的理解。本文探讨了美属维尔京群岛移民女性性工作者之间的物质使用和艾滋病毒风险之间的联系。通过有针对性的抽样技术，在圣克鲁瓦的Christiansted和Frederiksted以及圣托马斯的夏洛特阿马利亚，对101名妇女进行了关于其吸毒、性行为、移徙模式和健康状况的访谈。在访谈前一个月，25.7%的人报告没有物质使用，57.4%的人报告只使用酒精，16.8%的人表示使用非法药物。吸毒的性工作者报告的上个月的性伴侣数量明显多于只喝酒和不吸毒的人。在逻辑回归分析中，非法吸毒者报告无保护性活动、客户暴力和性传播感染的可能性明显更大。此外，非法药物使用者在更多国家从事性工作，而且更有可能在美属维尔京群岛以外的地方工作。在该区域涉毒性工作者中查明的艾滋病毒多种风险因素相互交织，包括与多个伙伴进行无保护的性活动、暴力受害和在艾滋病毒高流行区和低流行区之间移徙，这表明非法药物使用可能在推动加勒比异性恋艾滋病毒流行病日益严重方面发挥重要作用。
Drug use, commercial sex work, and migration each play a role in the spread of HIV in the Caribbean, yet the intersection of these factors in the region is not well understood. This paper explores the connections between substance use and HIV risk among migrant female sex workers in the US Virgin Islands. Participants were located through targeted sampling techniques in Christiansted and Frederiksted, St. Croix, and Charlotte Amalie, St. Thomas where 101 women were interviewed regarding their drug use, sexual behaviours, migration patterns and health status. In the month prior to interview, 25.7% reported no substance use, 57.4% reported alcohol use only and 16.8% indicated use of an illicit drug. Drug using sex workers reported a significantly greater number of past-month sexual partners than alcohol-only and non-drug users. In logistic regression analyses, illicit drug users were significantly more likely to report unprotected sexual activity, client violence and sexually transmitted infections as well. In addition, illicit drug users engaged in sex work in a significantly greater number of countries and were more likely to work in locations outside the US Virgin Islands. The intersection of multiple risk factors for HIV identified among drug-involved sex workers in the region, including unprotected sexual activity with multiple partners, violent victimization and migration between high and low HIV-prevalence areas, suggests that illicit drug use may play an important role in driving the growing heterosexual HIV epidemic in the Caribbean.