Sexual and Reproductive Health Service Needs Associated with Underage Initiation of Selling Sex among Adult Female Sex Workers in Guinea-Bissau.
Sexual and Reproductive Health Service Needs Associated with Underage Initiation of Selling Sex among Adult Female Sex Workers in Guinea-Bissau.
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DOI：
10.3390/ijerph191912715
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发表时间：
2022-10-05
影响因子：
--
通讯作者：
Baral, Stefan
中科院分区：
文献类型：
--
作者：
Grosso, Ashley;Berg, Lindsay;Rucinski, Katherine;Rao, Amrita;Djalo, Mamadu Aliu;Diouf, Daouda;Baral, Stefan
目的：评估几内亚比绍女性性工作者（FSW）中未成年人开始卖淫的患病率和预测因素。方法：2017年采用问卷驱动抽样方法对505名成年FSW进行调查。采用多变量逻辑回归分析来确定与未成年人（<18岁）开始性交易相关的人口统计学、行为学和社会心理学特征。结果：26.3%（133/505）的暗娼在18岁以前开始卖淫。未成年人开始卖淫与18岁之前经历强迫性行为有关（调整后的比值比（aOR）：6.74; 95%置信区间（CI）：2.05-22.13），从未接受过HIV检测（aOR：0.43; 95% CI：0.20-0.91）。尽管想要孩子或更多孩子的几率较低（aOR：0.31; 95% CI：0.17-0.56），但未成年时开始卖淫的FSW使用高效避孕措施（如植入物）的几率较低（aOR：0.43; 95% CI：0.24-0.77）。在曾经怀孕的女性中，未成年时开始卖淫的女性性工作者获得产前护理的比例较低（56.6%对74.7%，p = 0.008）。结论：这些数据表明，在几内亚比绍的成年FSW之间的早期开始出售性行为是常见的。为青年提供社会服务以及艾滋病毒和生殖健康综合服务对于满足未成年时就开始卖淫的性工作者持续的性健康和生殖健康需求至关重要。
Objective: To assess the prevalence and predictors of underage initiation of selling sex among female sex workers (FSW) in Guinea-Bissau. Methods: 505 adult FSW recruited using respondent-driven sampling were surveyed in 2017. Multivariable logistic regression was used to identify demographic, behavioral, and psychosocial characteristics associated with initiation of selling sex while underage (<18 years). Results: A total of 26.3% (133/505) of FSW started selling sex before age 18. Underage initiation of selling sex was associated with experiencing forced sex before age 18 (adjusted odds ratio (aOR): 6.74; 95% confidence interval (CI): 2.05–22.13), and never being tested for HIV (aOR: 0.43; 95% CI: 0.20–0.91). Despite having lower odds of wanting to have children or more children (aOR: 0.31; 95% CI: 0.17–0.56), FSW who started selling sex while underage had lower odds of using highly effective contraception such as implants (aOR: 0.43; 95% CI: 0.24–0.77). Among those who were ever pregnant, a lower percentage of FSW who started selling sex while underage accessed antenatal care (56.6% vs. 74.7%, p = 0.008). Conclusions: These data suggest that early initiation of selling sex among adult FSW in Guinea-Bissau is common. Social services for youth and integrated HIV and reproductive health services are critical to address the persisting sexual and reproductive health needs of FSW who started selling sex while underage.
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DOI：
10.1097/qai.0b013e3182a98ee6
发表时间：
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期刊：
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DOI：
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发表时间：
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