Adolescent female sex workers: invisibility, violence and HIV
Adolescent female sex workers: invisibility, violence and HIV
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DOI：
10.1136/adc.2009.178715
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发表时间：
2011-05-01
影响因子：
5.2
通讯作者：
Silverman, Jay G.
中科院分区：
文献类型：
--
作者：
Silverman, Jay G.
大量的女性性工作者是儿童。多项研究表明，多达40%的卖淫妇女在18岁之前就开始卖淫。在印度、尼泊尔、泰国和加拿大进行的研究发现，从事性工作的年龄越小，在卖淫背景下更容易受到人身暴力和性暴力的伤害，艾滋病毒感染率也会增加2至4倍。虽然减少成年女性性工作者感染艾滋病毒的风险一直是地球仪艾滋病毒预防工作的主要重点，但迄今为止，没有任何公共卫生干预措施解决了青少年女性性工作者面临的日益增加的危害和艾滋病毒风险。除了限制接触这一弱势群体的结构性障碍外，还必须克服艾滋病毒预防和儿童保护机构之间的历史紧张关系，以便制定有效战略，解决这一大规模但很少得到承认的人权和艾滋病毒相关危机。
A large number of female sex workers are children. Multiple studies demonstrate that up to 40% of women in prostitution started this work prior to age 18. In studies across India, Nepal, Thailand and Canada, young age at entry to sex work has been found to heighten vulnerability to physical and sexual violence victimisation in the context of prostitution, and relates to a two to fourfold increase in HIV infection. Although HIV risk reduction among adult female sex workers has been a major focus of HIV prevention efforts across the globe, no public health interventions, to date, have addressed the increased hazards and HIV risk faced by adolescent female sex workers. Beyond the structural barriers that limit access to this vulnerable group, historical tensions between HIV prevention and child protection agencies must be overcome in order to develop effective strategies to address this large scale yet little recognised human rights and HIV-related crisis.