Department of Psychiatry, School of Medicine, University of California, San Diego, 9500 Gilman Drive, La Jolla, CA 92093-0680, USA.
AIDS Behav. 2011 Jan;15(1):179-85. doi: 10.1007/s10461-009-9595-1. Epub 2009 Jul 28.
We examined relationships between client-perpetrated emotional, physical, and sexual abuse, injection drug use, and HIV-serostatus among 924 female sex workers (FSWs) in Tijuana and Ciudad Juarez, two large Mexico-US border cities. We hypothesized that FSWs' injection drug use would mediate the relationship between client-perpetrated abuse and HIV-seropositivity. The prevalence of client-perpetrated emotional, physical, and sexual abuse in the past 6 months was 26, 18, and 10% respectively; prevalence of current injection drug use and HIV was 12 and 6%, respectively. Logistic regression analyses revealed that client-perpetrated sexual abuse was significantly associated with HIV-seropositivity and injection drug use, and that injection drug use was positively associated with HIV-seropositivity. Injection drug use partially mediated the relationship between client-perpetrated sexual abuse and HIV-seropositivity. Results suggest the need to address client-perpetrated violence and injection drug use when assessing HIV risk among FSWs.
我们在提华纳和华雷斯城这两个位于美墨边境的大型城市中，对 924 名女性性工作者（FSW）进行了研究，以调查客户实施的情感、身体和性虐待、注射吸毒以及 HIV 阳性状态之间的关系。我们假设 FSW 的注射吸毒会在客户实施的虐待与 HIV 阳性之间起到中介作用。在过去的 6 个月中，分别有 26%、18%和 10%的 FSW 报告了客户实施的情感、身体和性虐待；当前注射吸毒和 HIV 的流行率分别为 12%和 6%。逻辑回归分析表明，客户实施的性虐待与 HIV 阳性和注射吸毒显著相关，而注射吸毒与 HIV 阳性呈正相关。注射吸毒部分中介了客户实施的性虐待与 HIV 阳性之间的关系。研究结果表明，在评估 FSW 的 HIV 风险时，需要解决客户实施的暴力和注射吸毒问题。
