The effect of sex work regulation on health and well-being of sex workers: Evidence from Senegal.
The effect of sex work regulation on health and well-being of sex workers: Evidence from Senegal.
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DOI：
10.1002/hec.3791
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发表时间：
2018-11
期刊：
影响因子：
2.1
通讯作者：
Treibich C
中科院分区：
文献类型：
--
作者：
Ito S;Lépine A;Treibich C
塞内加尔是唯一一个性工作合法并受卫生政策监管的非洲国家。塞内加尔女性性工作者（FSW）必须在医疗机构登记，并每月参加例行健康检查，旨在检测和治疗性传播感染（STI）。这些例行访问的遵守情况记录在登记卡上，FSW 必须携带该登记卡，以避免在警察逮捕时受到制裁。尽管这项政策于 1969 年首次推出，旨在限制性传播感染的传播，但迄今为止没有证据表明它对女性性工作者的健康和福祉有影响。本文旨在通过利用注册和未注册的塞内加尔 FSW 的独特数据集来填补这一空白。通过倾向得分匹配，我们发现注册对 FSW 的健康有积极影响。然而，我们发现登记降低了外劳的主观幸福感。这一发现的解释是，注册的 FSW 从事更多的性行为，风险更高的性行为，来自同龄人的社会支持较少，并且更有可能遭受客户和警察的暴力。我们证明这些结果对于违反条件独立假设、倾向评分模型的错误指定以及实现协变量平衡都是稳健的。结果表明，应付出更多努力来减少与登记相关的耻辱，并解决外劳的不良福祉，这对艾滋病毒预防工作适得其反。
Senegal is the only African country where sex work is legal and regulated by a health policy. Senegalese female sex workers (FSWs) are required to register with a health facility and to attend monthly routine health checks aimed at testing and treating sexually transmitted infections (STIs). Compliance to those routine visits is recorded on a registration card that must be carried by FSWs in order to avoid sanctions in case of police arrests. Although this policy was first introduced in 1969 to limit the spread of STIs, there is no evidence so far of its impact on FSWs' health and well‐being. The paper aims to fill this gap by exploiting a unique data set of registered and unregistered Senegalese FSWs. Using propensity score matching, we find that registration has a positive effect on FSWs' health. However, we find that registration reduces FSWs' subjective well‐being. This finding is explained by the fact that registered FSWs are found to engage in more sex acts, in riskier sex acts, have less social support from their peers, and are more likely to experience violence from clients and police officers. We prove that those results are robust to the violation of the conditional independence assumption, to misspecification of the propensity score model, and that covariate balance is achieved. The results suggest that more efforts should be deployed to reduce the stigma associated with registration and to address the poor well‐being of FSWs, which is counterproductive to HIV prevention efforts.
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影响因子：
5.4
作者：
Hainmueller, Jens
通讯作者：
Hainmueller, Jens
影响因子：
1.2
作者：
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通讯作者：
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DOI：
10.1111/j.2517-6161.1995.tb02031.x
发表时间：
1995-01-01
影响因子：
5.8
作者：
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通讯作者：
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影响因子：
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作者：
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通讯作者：
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影响因子：
2.1
作者：
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通讯作者：
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