性工作与母亲身份：街头及非街头性工作者在孕期及育儿期间获取健康与社会服务的社会及结构障碍
Sex Work and Motherhood: Social and Structural Barriers to Health and Social Services for Pregnant and Parenting Street and Off-Street Sex Workers.
作者信息
Duff Putu, Shoveller Jean, Chettiar Jill, Feng Cindy, Nicoletti Rachel, Shannon Kate
机构信息
a British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital , Vancouver , British Columbia , Canada.
出版信息
Health Care Women Int. 2015 Sep;36(9):1039-55. doi: 10.1080/07399332.2014.989437. Epub 2015 Feb 4.
Abstract
Our study documents the correlates of barriers to pregnancy and mothering among sex workers in Vancouver, Canada. We used baseline data from An Evaluation of Sex Workers' Health Access (AESHA), a prospective cohort of sex workers. Among the 399 sex workers who had ever been pregnant or had a child, 35% reported having ever experienced a barrier, with lower education, homelessness, and history of injecting drugs significantly correlated with pregnancy and mothering barriers. Our findings highlight a critical need for tailored and nonjudgmental services and supports, including improved programs to address intersecting aspects of poverty, health literacy, stigma, and substance use.
摘要
我们的研究记录了加拿大温哥华性工作者在怀孕和育儿方面面临的障碍及其相关因素。我们使用了来自“性工作者健康获取评估”（AESHA）的基线数据，这是一个性工作者的前瞻性队列研究。在399名曾经怀孕或育有子女的性工作者中，35%报告曾经历过障碍，教育程度较低、无家可归和注射吸毒史与怀孕和育儿障碍显著相关。我们的研究结果凸显了对量身定制且不带评判的服务与支持的迫切需求，包括改进方案以应对贫困、健康素养、耻辱感和药物使用等相互交织的问题。
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