Generational sex work and HIV risk among Indigenous women in a street-based urban Canadian setting.
Generational sex work and HIV risk among Indigenous women in a street-based urban Canadian setting.
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DOI：
10.1080/13691058.2014.888480
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发表时间：
2014
期刊：
影响因子：
--
通讯作者：
Shannon K
中科院分区：
文献类型：
--
作者：
Bingham B;Leo D;Zhang R;Montaner J;Shannon K
在加拿大，土著妇女在新的艾滋病毒感染者和街头性工作者中所占比例过高。学者认为，原住民妇女感染艾滋病毒的风险源于殖民化和种族政策的代际影响。这项研究考察了原住民和非原住民妇女的代际性工作参与情况及其对艾滋病毒感染风险的影响。该样本包括 225 名从事街头性工作的女性，并与当地性工作和原住民社区合作伙伴合作，纳入了基于社区的前瞻性队列。双变量和多元逻辑回归模拟了原住民血统和代际性工作之间的独立关系；以及代际性工作对原住民性工作者艾滋病毒感染的影响。原住民妇女 (48%) 更有可能感染艾滋病毒，其中 34% 感染艾滋病毒，而非原住民妇女则为 24%。在多变量逻辑回归模型中，原住民女性经历代际性工作的可能性仍然是原住民女性的 3 倍（aOR：2.97；95％CI：1.5,5.8）。在仅限于土著妇女的混杂因素模型中，代际性工作与艾滋病毒显着相关（aOR=3.01，95%CI：1.67-4.58）。原住民妇女中代际性工作的盛行率以及艾滋病毒感染风险增加了三倍，令人担忧。土著性工作者需要进行政策改革和基于社区、文化安全和创伤知情的艾滋病毒预防举措。
In Canada, indigenous women are overrepresented among new HIV infections and street-based sex workers. Scholars suggest that Aboriginal women’s HIV risk stems from intergenerational effects of colonisation and racial policies. This research examined generational sex work involvement among Aboriginal and non-Aboriginal women and the effect on risk for HIV acquisition. The sample included 225 women in street-based sex work and enrolled in a community-based prospective cohort, in partnership with local sex work and Aboriginal community partners. Bivariate and multivariate logistic regression modeled an independent relationship between Aboriginal ancestry and generational sex work; and the impact of generational sex work on HIV infection among Aboriginal sex workers. Aboriginal women (48%) were more likely to be HIV-positive, with 34% living with HIV compared to 24% non-Aboriginal. In multivariate logistic regression model, Aboriginal women remained 3 times more likely to experience generational sex work (aOR:2.97; 95%CI:1.5,5.8). Generational sex work was significantly associated with HIV (aOR=3.01, 95%CI: 1.67–4.58) in a confounder model restricted to Aboriginal women. High prevalence of generational sex work among Aboriginal women and 3-fold increased risk for HIV infection are concerning. Policy reforms and community-based, culturally safe and trauma informed HIV prevention initiatives are required for Indigenous sex workers.
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DOI：
10.1097/qai.0b013e3182968d39
发表时间：
2013-08-01
期刊：
Journal of acquired immune deficiency syndromes (1999)
影响因子：
--
作者：
Deering KN;Lyons T;Feng CX;Nosyk B;Strathdee SA;Montaner JS;Shannon K
通讯作者：
Shannon K
影响因子：
5.4
作者：
Pearce, Margo E.;Christian, Wayne M.;Spittal, Patricia M.
通讯作者：
Spittal, Patricia M.
DOI：
10.1136/bmj.b2939
发表时间：
2009-08-11
期刊：
BMJ (Clinical research ed.)
影响因子：
--
作者：
Shannon K;Kerr T;Strathdee SA;Shoveller J;Montaner JS;Tyndall MW
通讯作者：
Tyndall MW
影响因子：
2.1
作者：
Blankenship, KM;Koester, S
通讯作者：
Koester, S
影响因子：
1.8
作者：
Mill, JE
通讯作者：
Mill, JE