Center on Gender Equity and Health, Division of Global Public Health, University of California, San Diego School of Medicine, 9500 Gilman Drive, MC 0507, La Jolla, CA, 92093-0507, USA,
AIDS Behav. 2014 Mar;18(3):555-61. doi: 10.1007/s10461-013-0564-3.
History of forced or coerced sex work entry and/or sex work entry prior to age 18 (i.e., sex trafficking) relate to early HIV risk; whether such risk persists is unclear. The current study assessed associations of reported sex trafficking histories and recent sexual risk among adult HIV-infected female sex workers (FSWs; n = 211) in Mumbai, India. Approximately one-half reported entering sex work prior to age 18 (50.2 %) or being forced or coerced into sex work (41.7 %). Past 90-day unprotected transactional sex was more prevalent among FSWs entering as minors than those entering as adults (AOR 2.06); in contrast, being forced or coerced into sex work related to reduction in such risk for HIV transmission (AOR 0.45). Histories of each form of sex trafficking may relate differently to later HIV risk. Intervention with HIV-infected FSWs entering sex work as minors should be prioritized based on potential elevated risk of HIV transmission.
有强迫或被迫卖淫史，或 18 岁前（即性交易）进入性工作行业，与早期 HIV 风险相关；但这种风险是否持续存在尚不清楚。本研究评估了印度孟买 211 名成年 HIV 感染女性性工作者（FSW）报告的性交易史和近期性风险之间的关联。约有一半的人报告称，她们在 18 岁之前（50.2%）或被迫进入性工作行业（41.7%）。过去 90 天无保护的交易性行为在未成年进入性工作行业的 FSW 中比成年进入性工作行业的 FSW 更为普遍（AOR2.06）；相比之下，被迫或被迫从事性工作与降低 HIV 传播风险相关（AOR0.45）。每种形式的性交易史可能与以后的 HIV 风险相关程度不同。对于作为未成年人进入性工作行业的 HIV 感染 FSW，应根据其潜在的 HIV 传播高风险，优先进行干预。
