Sex work, discrimination, drug use and violence: a pattern for HIV risk among transgender sex workers compared to MSM sex workers and other MSM in Guatemala
Sex work, discrimination, drug use and violence: a pattern for HIV risk among transgender sex workers compared to MSM sex workers and other MSM in Guatemala
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DOI：
10.1080/17441692.2019.1671984
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发表时间：
2019-10-10
影响因子：
3.3
通讯作者：
Paz-Bailey, Gabriela
中科院分区：
文献类型：
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作者：
Miller, William M.;Miner, William C.;Paz-Bailey, Gabriela
与一般人群相比，部分由于社会和背景因素，变性妇女和与男性发生性关系的顺性男子感染艾滋病毒的风险较高。这项研究旨在确定危地马拉城变性性工作者与顺性别男性性工作者和没有收到性服务费用的顺性别男性性工作者之间酗酒和吸毒、歧视和暴力的流行程度和关联。2010年，跨性别妇女和与男子发生性关系的顺性别男子或跨性别妇女被招募参加一项跨部门行为调查。在跨性别女性中，86%的人在过去一年中接受过性服务。跨性别性工作者更有可能使用毒品和酗酒，与非性工作者相比，受歧视的可能性是三倍，被迫发生性行为的可能性是八倍。男性性工作者使用非法药物或遭受身体暴力的可能性是非性工作者的两倍，遭受强迫性行为的可能性是非性工作者的六倍。变性者和男性性工作者将受益于减少药物使用的危害、预防暴力、应对和减少歧视的战略。
The risk of HIV infection is higher among transgender women and cisgender men who have sex with men (MSM) compared to the general population due in part to social and contextual factors. This study aimed to determine the prevalence and association of alcohol and drug abuse, discrimination and violence among transgender sex workers compared to cisgender male sex workers and cisgender men who had not received money for sex in Guatemala City. In 2010, transgender women and cisgender men who had had sex with men or transgender women were recruited into a cross-sectional behavioural survey. Among transgender women, 86% received money for sex in the past year. Transgender sex workers were more likely to use drugs and binge drink, three times as likely to be discriminated against and eight times as likely to be forced to have sex compared to non-sex worker men. Male sex workers were twice as likely to use illicit drugs or experience physical violence and six times as likely to experience forced sex compared to non-sex worker men. Transgender and male sex workers would benefit from harm reduction for substance use, violence prevention, response and strategies to mitigate discrimination.