Food Insecurity Increases HIV Risk Among Young Sex Workers in Metro Vancouver, Canada
Food Insecurity Increases HIV Risk Among Young Sex Workers in Metro Vancouver, Canada
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DOI：
10.1007/s10461-016-1558-8
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发表时间：
2017-03-01
影响因子：
4.4
通讯作者：
Deering, Kathleen N.
中科院分区：
文献类型：
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作者：
Barreto, Daniella;Shannon, Kate;Deering, Kathleen N.
本研究旨在确定食品不安全对加拿大大温哥华地区 30 岁以下青年性工作者 (YSW) 客户的性 HIV 风险的影响。数据来自前瞻性社区性工作者队列（2010-2013 年）。我们研究了 YSW 的粮食不安全与客户强迫不戴安全套发生性行为（“客户拒绝使用安全套”）之间的独立关系。在 220 名 YSW 中，34.5%（n = 76）报告称在 3.5 年的研究期间客户拒绝使用安全套，76.4%（n = 168）报告称存在食品不安全问题。调整其他艾滋病毒风险途径后，粮食不安全对顾客拒绝使用安全套保留了独立影响（AOR 2.08，95% CI 1.23-3.51），这表明粮食不安全与 YSW 中的艾滋病毒风险显着相关。这项研究表明粮食不安全与艾滋病毒风险之间存在重要关系，并表明 YSW 的特殊脆弱性。将粮食援助作为减少危害措施的公共政策可能是解决这一差距的关键。
This research aimed to determine the effect of food insecurity on sexual HIV risk with clients among youth sex workers (YSWs) < 30 years in Metro Vancouver, Canada. Data were drawn from a prospective community cohort of sex workers (2010-2013). We examined the independent relationship between YSWs' food insecurity and being pressured into sex without a condom by clients ("client condom refusal"). Of 220 YSWs, 34.5 % (n = 76) reported client condom refusal over the 3.5-year study period and 76.4 % (n = 168) reported any food insecurity. Adjusting for other HIV risk pathways, food insecurity retained an independent effect on client condom refusal (AOR 2.08, 95 % CI 1.23-3.51), suggesting that food insecurity is significantly associated with HIV risk among YSWs. This study indicates a critical relationship between food insecurity and HIV risk, and demonstrates YSWs' particular vulnerability. Public policies for food assistance as a harm reduction measure may be key to addressing this disparity.