Linda B. Cottler is with the Department of Epidemiology, College of Public Health and Health Professions and College of Medicine, University of Florida, Gainesville. Catina C. O'Leary is with Health Literacy Missouri, St Louis. Katelin B. Nickel is with the Division of Infectious Diseases, Washington University School of Medicine, St Louis. Jennifer M. Reingle is with the Division of Epidemiology, Human Genetics, and Environmental Sciences, School of Public Health, University of Texas Health Science Center at Houston, Dallas Regional Campus. At the time of the study, Daniel Isom was with the St Louis Metropolitan Police Department, St Louis, Missouri.
Am J Public Health. 2014 Feb;104(2):338-44. doi: 10.2105/AJPH.2013.301513. Epub 2013 Dec 12.
We assessed the prevalence of and risk factors for trading sex with a police officer among women recruited from drug courts in St Louis, Missouri.
In 2005 to 2008, we recruited women into an HIV intervention study, which surveyed participants about multiple sociodemographic, lifestyle, and risk factors. Regression analyses assessed risk factors for trading sex, a form of police sexual misconduct (PSM).
Of the 318 participants, 78 (25%) reported a lifetime history of PSM. Among women who experienced PSM, 96% had sex with an officer on duty, 77% had repeated exchanges, 31% reported rape by an officer, and 54% were offered favors by officers in exchange for sex; 87% said officers kept their promise. Only 51% of these respondents always used a condom with an officer. Multivariable models identified 4 or more arrests (adjusted odds ratio [AOR] = 2.8; 95% confidence interval [CI] = 1.29, 5.97), adult antisocial personality (AOR = 9.0; 95% CI = 2.08, 38.79), and lifetime comorbid cocaine and opiate use (AOR = 2.9 [1.62, 5.20]) as risk factors; employment (AOR = 0.4; 95% CI = 0.22, 0.77) lowered the risk of PSM.
Community-based interventions are critical to reduce risk of abuse of vulnerable women by police officers charged with protecting communities.
我们评估了密苏里州圣路易斯毒品法庭招募的女性中与警察进行性交易的流行率和风险因素。
在 2005 年至 2008 年期间，我们招募了参与 HIV 干预研究的女性，调查了参与者的多项社会人口统计学、生活方式和风险因素。回归分析评估了性交易的风险因素，性交易是一种警察性不当行为（PSM）。
在 318 名参与者中，78 人（25%）报告了一生中发生过 PSM 的经历。在经历过 PSM 的女性中，96%与值班警察发生过性行为，77%有重复的性交易，31%报告被警察强奸，54%被警察提供好处以换取性交易；87%的人表示警察遵守了承诺。这些受访者中只有 51%的人在与警察发生性行为时总是使用避孕套。多变量模型确定了 4 次或更多次被捕（调整后的优势比 [AOR] = 2.8；95%置信区间 [CI] = 1.29，5.97）、成年反社会人格（AOR = 9.0；95%CI = 2.08，38.79）和终身共患可卡因和阿片类药物使用（AOR = 2.9 [1.62，5.20]）是风险因素；就业（AOR = 0.4；95%CI = 0.22，0.77）降低了 PSM 的风险。
基于社区的干预措施对于减少受保护社区的警察对弱势妇女进行虐待的风险至关重要。
