Sex work community participation in criminalized environments: a community-based cohort study of occupational health impacts in Vancouver, Canada: 2010-2019.
Sex work community participation in criminalized environments: a community-based cohort study of occupational health impacts in Vancouver, Canada: 2010-2019.
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DOI：
10.1186/s12939-022-01621-8
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发表时间：
2022-02-09
影响因子：
4.8
通讯作者：
Goldenberg S
中科院分区：
文献类型：
--
作者：
Pearson J;Shannon K;McBride B;Krüsi A;Machat S;Braschel M;Goldenberg S
性工作的刑事定罪和职业污名对性工作者获得支持服务构成障碍，包括社区参与——以正式和基层的能力参与专门针对性工作的社区组织。鉴于在高收入环境中社区参与对性工作者职业健康影响的证据存在差距，我们评估了加拿大温哥华性工作者的社区参与及其与职业性健康结果的关联。前瞻性数据来自不列颠哥伦比亚省温哥华社区943名女性性工作者队列（2010-2019年）。我们使用逻辑回归与广义估计方程（GEE）来建模社区参与的相关因素，并使用混杂建模方法来检验社区参与与性传播感染（STI）血清阳性的关系。在参与者中，38.1%为原住民，31.4%为有色人种女性（如东亚、东南亚、黑人），29.3%为加拿大移民。超过四分之一（28.3%,n = 267）在非正式的室内空间提供服务，而38.0% （n = 358）在室外/公共场所为客户提供服务，31.4% （n = 296）在正式的随叫随到空间为客户提供服务。8.9%的参与者报告在9年的研究中至少参与过一次性工作社区。在多变量GEE分析中，原住民（调整优势比（aOR） 1.71, 95%可信区间（CI） 0.88-3.32）和变性女性（aOR 4.69, 95%CI 2.43-9.06）的社区参与几率更高；有色人种女性患病几率较低（aOR 0.18, 95%CI 0.06-0.57）。在多变量GEE混杂模型中，社区参与与较低的STI血清阳性几率独立相关（aOR 0.66, 95% CI0.45-0.96）。从事性工作社区参与性工作者的性传播感染血清阳性几率降低。在评估中低收入社区干预的研究基础上，我们的研究提供了加拿大性工作者社区参与的第一批定量证据，也是第一个研究这与性健康结果之间关系的研究。这项研究表明，有必要通过语言多样化的社区空间、反污名倡议和除罪化来扩大性工作者的社区参与机会，以减少种族化的性工作者面临的障碍，并支持所有性工作者的职业健康和权利。
Sex work criminalization and occupational stigma pose barriers to sex workers’ access to support services, including community participation — engagement with sex work specific community organizing at both formalized and grassroots capacities. In light of gaps in evidence regarding impacts of community participation on sex workers’ occupational health in higher-income settings, we evaluated engagement in community participation and associations with occupational sexual health outcomes among sex workers in Vancouver, Canada. Prospective data from a community-based cohort of 943 women sex workers in Vancouver, British Columbia (2010–2019). We used logistic regression with generalised estimating equations (GEE) to model correlates of community participation, and a confounder modeling approach to examine the association of community participation on sexually transmitted infection (STI) seropositivity. Among participants, 38.1% were Indigenous, 31.4% identified as women of colour (e.g., East Asian, Southeast Asian, Black) and 29.3% were im/migrants to Canada. Over a quarter (28.3%, n = 267) serviced in informal indoor spaces, while 38.0% (n = 358) serviced clients in outdoor/public and 31.4% (n = 296) in formal in-call spaces. 8.9% of participants reported sex work community participation at least once over the 9-year study. In multivariable GEE analysis, Indigenous (adjusted odds ratio(aOR) 1.71, 95% confidence interval (CI) 0.88–3.32) and trans women (aOR 4.69, 95%CI 2.43–9.06) had higher odds of community participation; women of colour had lower odds (aOR 0.18, 95%CI 0.06–0.57). In a multivariable GEE confounder model, community participation was independently associated with lower odds of STI seropositivity (aOR 0.66, 95% CI0.45–0.96). Sex workers who engaged in sex work community participation faced reduced odds of STI seropositivity. Building off reserach evaluating community interventions in low and middle income contexts, our study provides some of the first quantitative evidence on community participation among sex workers in Canada, and is the first to examine this in relation to sexual health outcomes. This research demonstrates the need to scale up community participation access for sex workers, via linguistically diverse community spaces, anti-stigma initiatives, and decriminalization to reduce barriers faced by racialized sex workers and support occupational health and rights for all sex workers.
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DOI：
10.1097/qai.0000000000002123
发表时间：
2019-10-01
影响因子：
3.6
作者：
Kerrigan, Deanna;Mbwambo, Jessie;Galai, Noya
通讯作者：
Galai, Noya
DOI：
10.1080/13691058.2011.628411
发表时间：
2012
期刊：
Culture, health & sexuality
影响因子：
--
作者：
Lazarus L;Deering KN;Nabess R;Gibson K;Tyndall MW;Shannon K
通讯作者：
Shannon K
DOI：
10.1016/s0140-6736(14)60973-9
发表时间：
2015-01-10
期刊：
Lancet (London, England)
影响因子：
--
作者：
Kerrigan D;Kennedy CE;Morgan-Thomas R;Reza-Paul S;Mwangi P;Win KT;McFall A;Fonner VA;Butler J
通讯作者：
Butler J
影响因子：
3.7
作者：
Argento, Elena;Goldenberg, Shira;Shannon, Kate
通讯作者：
Shannon, Kate
影响因子：
2.2
作者：
Lam, Elene
通讯作者：
Lam, Elene