Migration status, work conditions and health utilization of female sex workers in three South African cities.
Migration status, work conditions and health utilization of female sex workers in three South African cities.
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DOI：
10.1007/s10903-012-9758-4
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发表时间：
2014-02
影响因子：
1.9
通讯作者：
Luchters, Stanley
中科院分区：
文献类型：
--
作者：
Richter, Marlise;Chersich, Matthew F.;Vearey, Jo;Sartorius, Benn;Temmerman, Marleen;Luchters, Stanley
在南部非洲，移民和性工作之间的交叉点尚未得到充分探讨，该地区的内部和跨境人口流动性较高，艾滋病毒感染率较高。性工作往往是移徙妇女的一项重要生计活动。 2010年，接受过访谈员培训的性工作者对约翰内斯堡（希尔布罗和桑顿）、勒斯滕堡和开普敦的1,653名女性性工作者进行了横断面调查。大多数（85.3%）性工作者是移民（1396/1636）：39.0%（638/1636）是国内性工作者，46.3%（758/1636）是跨境性工作者。跨境移民受教育程度较高，主要从事兼职工作，主要在室内场所，每个客户的收入高于其他群体。然而，与非移民相比，他们的医疗服务接触率低 41%（调整后优势比 = 0.59；95% 置信区间 = 0.40–0.86），并且使用安全套的频率也较低。警方的互动也类似。跨境移民在性工作的某些方面显得更加顽强，但需要更多的卫生服务接触。需要对移民敏感、针对性工作的医疗保健和健康教育。
Intersections between migration and sex work are underexplored in southern Africa, a region with high internal and cross-border population mobility, and HIV prevalence. Sex work often constitutes an important livelihood activity for migrant women. In 2010, sex workers trained as interviewers conducted cross-sectional surveys with 1,653 female sex workers in Johannesburg (Hillbrow and Sandton), Rustenburg and Cape Town. Most (85.3 %) sex workers were migrants (1396/1636): 39.0 % (638/1636) internal and 46.3 % (758/1636) cross-border. Cross-border migrants had higher education levels, predominately worked part-time, mainly at indoor venues, and earned more per client than other groups. They, however, had 41 % lower health service contact (adjusted odds ratio = 0.59; 95 % confidence interval = 0.40–0.86) and less frequent condom use than non-migrants. Police interaction was similar. Cross-border migrants appear more tenacious in certain aspects of sex work, but require increased health service contact. Migrant-sensitive, sex work-specific health care and health education are needed.
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