Department of Society, Human Development and Health, Harvard School of Public Health, Boston, Massachusetts, USA.
J Epidemiol Community Health. 2011 Apr;65(4):334-9. doi: 10.1136/jech.2009.096834. Epub 2010 Jun 1.
The trafficking of women and girls for sexual exploitation is an internationally recognised form of gender-based violence, and is thought to confer unique sexual and reproductive health vulnerabilities. To date, little research has compared sexual risk or health outcomes among female sex workers (FSWs) on the basis of experiences of sex trafficking.
To compare experiences of sexual risk and sexual and reproductive health outcomes among FSWs on the basis of experiences of trafficking as an entry mechanism to sex work.
Data from a national sample of FSWs in Thailand (n=815) was used to assess (a) the prevalence of sex trafficking as an entry mechanism into sex work and (b) associations of sex trafficking with sexual risk and health outcomes.
Approximately 10% of FSWs met criteria for trafficking as an entry mechanism to sex work. Compared with their non-trafficked counterparts, sex-trafficked FSWs were more likely to have experienced sexual violence at initiation to sex work (adjusted risk ratio (ARR) 2.29, 95% CI 1.11 to 4.72), recent workplace violence or mistreatment (ARR 1.38, 95% CI 1.13 to 1.67), recent condom failure (ARR 1.80, 95% CI 1.15 to 2.80), condom non-use (ARR 3.35, 95% CI 1.49 to 7.52) and abortion (ARR 2.83, 95% CI 1.48 to 5.39).
Both the prevalence of sex trafficking as an entry mechanism to sex work and the threats to sexual and reproductive health observed on the basis of trafficking status show the need for comprehensive efforts to identify and support this vulnerable population. Moreover, existing STI/HIV-prevention programming may be stymied by the limited condom-use capacity and high levels of violence observed among those trafficked into sex work.
妇女和女孩被贩卖进行性剥削是一种国际公认的性别暴力形式，被认为会带来独特的性和生殖健康脆弱性。迄今为止，很少有研究根据性贩卖经历比较女性性工作者（FSW）的性风险或健康结果。
根据作为性工作切入点的贩卖经历，比较 FSW 之间的性风险和性与生殖健康结果。
使用来自泰国全国 FSW 样本的数据（n=815），评估（a）性贩卖作为性工作切入点的流行率，以及（b）性贩卖与性风险和健康结果的关联。
大约 10%的 FSW 符合性贩卖作为性工作切入点的标准。与非贩卖的 FSW 相比，性贩卖的 FSW 更有可能在性工作初始阶段经历性暴力（调整后的风险比（ARR）2.29，95%置信区间（CI）1.11 至 4.72）、最近工作场所暴力或虐待（ARR 1.38，95% CI 1.13 至 1.67）、最近避孕套失败（ARR 1.80，95% CI 1.15 至 2.80）、避孕套不使用（ARR 3.35，95% CI 1.49 至 7.52）和堕胎（ARR 2.83，95% CI 1.48 至 5.39）。
性贩卖作为性工作切入点的流行率以及根据贩卖状况观察到的对性和生殖健康的威胁表明，需要做出全面努力来识别和支持这一弱势群体。此外，现有的性传播感染/艾滋病毒预防方案可能会受到限制，因为在被贩卖从事性工作的人群中，避孕套使用能力有限且暴力水平较高。
