Sex trafficking, sexual risk, sexually transmitted infection and reproductive health among female sex workers in Thailand.
Sex trafficking, sexual risk, sexually transmitted infection and reproductive health among female sex workers in Thailand.
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DOI：
10.1136/jech.2009.096834
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发表时间：
2011-04
影响因子：
6.3
通讯作者：
Silverman JG
中科院分区：
文献类型：
--
作者：
Decker MR;McCauley HL;Phuengsamran D;Janyam S;Silverman JG
为性剥削目的贩运妇女和女孩是国际公认的一种基于性别的暴力形式，被认为会造成独特的性健康和生殖健康脆弱性。迄今为止，很少有研究比较性风险或健康结果的女性性工作者（FSW）的基础上的性贩运的经验。目前的研究试图根据贩运作为进入FSW的一种机制的经验，比较FSW的性风险以及性健康和生殖健康结果的经验。来自泰国全国性FSW样本（n=815）的数据用于评估a）性贩运作为进入FSW的一种机制的普遍性，以及B）性贩运与性风险和健康结果的关联。大约10%的性工作者符合贩运作为进入性工作的一种手段的标准。与未被贩卖的女性性工作者相比，被贩卖的女性性工作者在开始从事性工作时更有可能遭受性暴力（ARR 2.29，95% CI 1.11，4.72），最近的工作场所暴力或虐待（ARR 1.38，95% CI 1.13，1.67），近期避孕套失效（ARR 1.80，95% CI 1.15，2.80）、不使用避孕套（ARR 3.35，95% CI 1.49，7.52）和流产（ARR 2.83，95% CI 1.48，5.39）。性贩运作为进入性工作者家庭的一种手段十分普遍，再加上根据贩运状况观察到的性健康和生殖健康受到的威胁，都表明需要作出全面努力，查明和支助这一弱势群体。此外，现有的性传播感染/艾滋病毒预防方案可能会受到避孕套使用能力有限以及在被贩运到FSW的人中观察到的高度暴力行为的阻碍。
The trafficking of women and girls for sexual exploitation is an internationally recognized form of gender-based violence, and is thought to confer unique sexual and reproductive health vulnerabilities. To date, little research has compared sexual risk or health outcomes among female sex workers (FSWs) based on experiences of sex trafficking. The current study sought to compare experiences of sexual risk and sexual and reproductive health outcomes among FSWs based on experiences of trafficking as an entry mechanism to FSW. Data from a national sample of FSWs in Thailand (n=815) to was used to assess a) the prevalence of sex trafficking as an entry mechanism into FSW, and b) associations of sex trafficking with sexual risk and health outcomes. Approximately 10% of FSWs met criteria for trafficking as an entry mechanism to sex work. Compared with their non-trafficked counterparts, sex trafficked FSWs were more likely to have experienced sexual violence at initiation to sex work (ARR 2.29, 95% CI 1.11, 4.72), recent workplace violence or mistreatment (ARR 1.38, 95% CI 1.13, 1.67), recent condom failure (ARR 1.80, 95% CI 1.15, 2.80), condom non-use (ARR 3.35, 95% CI 1.49, 7.52), and abortion (ARR 2.83, 95% CI 1.48, 5.39). Both the prevalence of sex trafficking as an entry mechanism to FSW, coupled with the threats to sexual and reproductive health observed based on trafficking status, demonstrate the need for comprehensive efforts to identify and support this vulnerable population. Moreover, existing STI/HIV prevention programming may be stymied by the limited condom use capacity, and high levels of violence observed among those trafficked into FSW.
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影响因子：
3.3
作者：
Ainsworth, M;Beyrer, C;Soucat, A
通讯作者：
Soucat, A
DOI：
10.1783/147118906776276440
发表时间：
2006-04-01
影响因子：
--
作者：
Lee, V;Tobin, JI;Foley, E
通讯作者：
Foley, E
影响因子：
5.4
作者：
Beyrer, C
通讯作者：
Beyrer, C
DOI：
10.1080/09540120412331319697
发表时间：
2005-07-01
影响因子：
1.7
作者：
Buckingham, RW;Moraros, J;Webb, NC
通讯作者：
Webb, NC
影响因子：
1.6
作者：
Farley, M;Barkan, H
通讯作者：
Barkan, H