研究墨西哥蒂华纳女性性工作者早年经历对生殖和性健康的负面影响。
Examining negative effects of early life experiences on reproductive and sexual health among female sex workers in Tijuana, Mexico.
作者信息
Oza Karishma K, Silverman Jay G, Bojorquez Ietza, Strathdee Steffanie A, Goldenberg Shira M
机构信息
Gillings School of Global Public Health, Department of Maternal and Child Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Division of Global Public Health, University of California, San Diego School of Medicine, San Diego, CA, USA.
出版信息
Int J Gynaecol Obstet. 2015 Feb;128(2):169-73. doi: 10.1016/j.ijgo.2014.08.014. Epub 2014 Oct 13.
OBJECTIVE
To explore experiences during childhood and adolescence that influenced reproductive and sexual health among women who had entered the sex industry in adolescence.
METHODS
A qualitative study was conducted using information provided by 25 female sex workers (FSWs) from Tijuana, Mexico, who reported entering the sex industry when younger than 18 years. In-depth, semi-structured interviews were conducted with all participants between January 31, 2011, and July 8, 2011.
RESULTS
Four interrelated themes that shaped health experiences-early sexual abuse, early illicit drug use, ongoing violence, and limited access to reproductive and sexual health care-were identified. Participants reporting these experiences were at risk of unintended teenaged pregnancy, spontaneous abortion or stillbirth, and untreated sexually transmitted infections.
CONCLUSION
Programs and policies that address social, structural, and individual vulnerabilities during adolescence and adulthood are required to promote reproductive and sexual health among FSWs in Tijuana, Mexico.
目的
探讨童年和青少年时期的经历对青春期进入性产业的女性生殖和性健康的影响。
方法
采用定性研究方法，收集了来自墨西哥蒂华纳的25名女性性工作者提供的信息，她们均报告在18岁之前进入性产业。2011年1月31日至2011年7月8日期间，对所有参与者进行了深入的半结构化访谈。
结果
确定了四个塑造健康经历的相互关联的主题——早期性虐待、早期非法药物使用、持续暴力以及获得生殖和性健康护理的机会有限。报告这些经历的参与者面临意外少女怀孕、自然流产或死产以及未治疗的性传播感染的风险。
结论
需要制定相关计划和政策，解决青少年和成年期的社会、结构和个人脆弱性问题，以促进墨西哥蒂华纳女性性工作者的生殖和性健康。
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