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印度安得拉邦年轻女性性工作者中的性交易、身体和性暴力以及艾滋病毒风险。

Sex trafficking, physical and sexual violence, and HIV risk among young female sex workers in Andhra Pradesh, India.

机构信息

Independent researcher, Pune, India.

出版信息

Int J Gynaecol Obstet. 2013 Feb;120(2):119-23. doi: 10.1016/j.ijgo.2012.08.019. Epub 2012 Nov 24.

DOI:10.1016/j.ijgo.2012.08.019
PMID:23182801
Abstract

OBJECTIVE

To estimate the prevalence of sex trafficking as a mode of entry into sex work and to examine associations between sex trafficking and HIV vulnerability, recent violence experience, and symptoms of sexual ill health among young female sex workers (FSWs).

METHODS

A cross-sectional survey of 1137 FSWS aged 18-25 years residing in Andhra Pradesh, India, was conducted.

RESULTS

In total, 574 (50.5%) FSWs entered sex work via trafficking. Trafficked FSWs had an increased risk of experiencing sexual violence (adjusted odds ratio [AOR] 2.09; 95% confidence interval [CI], 1.42-3.06) and physical/sexual violence (AOR 1.93; 95% CI, 1.24-3.01), and reporting more clients (AOR 2.25; 95% CI, 1.56-3.22) and more work days per week (AOR 1.48; 95% CI, 1.09-2.02). Symptoms of sexual ill health were not associated with mode of entry into sex work.

CONCLUSION

There is a high prevalence of entry into sex work via trafficking among young FSWs. A history of sex trafficking is associated with greater risk of recent physical and sexual violence and of HIV. Public health interventions must focus attention on young FSWs.

摘要

目的

评估性交易作为进入性工作的一种方式的流行率,并研究性交易与 HIV 易感性、近期暴力经历以及性健康不良症状之间的关系,这些都与年轻女性性工作者(FSW)有关。

方法

对印度安得拉邦的 1137 名年龄在 18-25 岁的 FSW 进行了横断面调查。

结果

共有 574 名(50.5%)FSW 通过贩卖进入性工作。被贩卖的 FSW 经历性暴力的风险增加(调整后的优势比[OR]为 2.09;95%置信区间[CI],1.42-3.06)和身体/性暴力(OR 1.93;95% CI,1.24-3.01),并报告有更多的客户(OR 2.25;95% CI,1.56-3.22)和每周更多的工作天数(OR 1.48;95% CI,1.09-2.02)。性健康不良症状与进入性工作的方式无关。

结论

年轻 FSW 中通过贩卖进入性工作的比例很高。性贩卖的历史与近期身体和性暴力以及 HIV 的风险增加有关。公共卫生干预措施必须关注年轻的 FSW。

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