Third Parties (Venue Owners, Managers, Security, etc.) and Access to Occupational Health and Safety Among Sex Workers in a Canadian Setting: 2010-2016
Third Parties (Venue Owners, Managers, Security, etc.) and Access to Occupational Health and Safety Among Sex Workers in a Canadian Setting: 2010-2016
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DOI：
10.2105/ajph.2019.304994
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发表时间：
2019-05-01
影响因子：
12.7
通讯作者：
Shannon, Kate
中科院分区：
文献类型：
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作者：
McBride, Bronwyn;Goldenberg, Shira M.;Shannon, Kate
Objective.确定与第三方合作的影响（即，经理，接待员，或业主的呼叫场所;广告商;安全;检举人;和其他）对性工作者的职业健康访问。我们从性工作者健康获取评估中提取了纵向数据，这是一个以社区为基础的队列，共有900多名女性性工作者。我们使用多变量logistic回归和广义估计方程（1）检查与获得第三方行政或安全服务相关的因素，（2）评估第三方服务对获得移动的安全套分发以及性工作者和社区主导的服务的影响（2010-2016年）。最后，我们评估了在最终需求刑事化前后（2010-2017年）访问第三方服务的变化。移民/移民性工作者（出生在另一个国家的任何类型的法律的身份的人;调整后的比值比[AOR] = 2.32; 95%置信区间[CI] = 1.35，3.98）获得第三方服务的几率更高。在混杂因素模型中，第三方服务与移动的安全套分发（AOR =1.84; 95% CI =1.47，2.31）以及性工作者和社区主导的服务（AOR = 1.61; 95% CI = 1.15，2.24）的增加独立相关。最终需求刑事定罪与获得第三方服务的机会减少有关（AOR = 0.79; 95% CI = 0.63，0.99）。这项研究表明，从第三方获得行政和安全服务可以提高性工作者的职业健康和安全。建议进行政策改革，以确保性工作者的劳动权利，包括获得雇用第三方的机会。
Objective. To determine the impact of engagement with third parties (i.e., managers, receptionists, or owners of in-call venues; advertisers; security; spotters; and others) on sex workers' occupational health access.Methods. We drew longitudinal data from An Evaluation of Sex Workers' Health Access, a community-based cohort of more than 900 women sex workers. We used multivariable logistic regression and generalized estimating equations to (1) examine factors correlated with accessing third-party administrative or security services and (2) evaluate the impact of third-party services on access to mobile condom distribution and sex worker and community-led services (2010-2016). Finally, we evaluated changes in accessing third-party services pre-post end-demand criminalization (2010-2017).Results. Im/migrant sex workers (persons with any type of legal status who were born in another country; adjusted odds ratio [AOR] = 2.32; 95% confidence interval [CI] = 1.35, 3.98) had higher odds of accessing third-party services. In confounder models, third-party services were independently correlated with increased access to mobile condom distribution (AOR =1.84; 95% CI =1.47, 2.31) and sexworker and community-led services (AOR = 1.61; 95% CI = 1.15, 2.24). End-demand criminalization was linked to a decrease in access to third-party services (AOR = 0.79; 95% CI = 0.63, 0.99).Conclusions. This research suggests that access to administrative and security services from third parties increases sex workers' occupational health and safety. Policy reforms to ensure sex workers' labor rights, including access to hiring third parties, are recommended.