Gaines Tommi L, Urada Lianne A, Martinez Gustavo, Goldenberg Shira M, Rangel Gudelia, Reed Elizabeth, Patterson Thomas L, Strathdee Steffanie A
Division of Global Public Health, Department of Medicine, University of California, San Diego, 9500 Gilman Drive MC0507, La Jolla, CA 92093-0507, USA.
Division of Global Public Health, Department of Medicine, University of California, San Diego, 9500 Gilman Drive MC0507, La Jolla, CA 92093-0507, USA.
Addict Behav. 2015 Jun;45:63-9. doi: 10.1016/j.addbeh.2015.01.020. Epub 2015 Jan 19.
This study quantitatively examined the prevalence and correlates of short-term sex work cessation among female sex workers who inject drugs (FSW-IDUs) and determined whether injection drug use was independently associated with cessation.
We used data from FSW-IDUs (n=467) enrolled into an intervention designed to increase condom use and decrease sharing of injection equipment but was not designed to promote sex work cessation. We applied a survival analysis that accounted for quit-re-entry patterns of sex work over 1-year stratified by city, Tijuana and Ciudad Juarez, Mexico.
Overall, 55% of participants stopped sex work at least once during follow-up. Controlling for other characteristics and intervention assignment, injection drug use was inversely associated with short-term sex work cessation in both cities. In Ciudad Juarez, women receiving drug treatment during follow-up had a 2-fold increase in the hazard of stopping sex work. In both cities, income from sources other than sex work, police interactions and healthcare access were independently and significantly associated with shorter-term cessation.
Short-term sex work cessation was significantly affected by injection drug use. Expanded drug treatment and counseling coupled with supportive services such as relapse prevention, job training, and provision of alternate employment opportunities may promote longer-term cessation among women motivated to leave the sex industry.
本研究定量考察了注射吸毒的女性性工作者（FSW-IDU）短期停止性工作的患病率及其相关因素，并确定注射吸毒是否与停止性工作独立相关。
我们使用了来自FSW-IDU（n = 467）的数据，这些参与者参加了一项旨在增加避孕套使用和减少注射器具共用的干预措施，但该措施并非旨在促进停止性工作。我们应用了生存分析，该分析考虑了墨西哥蒂华纳和华雷斯城按城市分层的1年内性工作的退出-重新进入模式。
总体而言，55%的参与者在随访期间至少停止性工作一次。在控制其他特征和干预分配的情况下，两个城市中注射吸毒均与短期停止性工作呈负相关。在华雷斯城，随访期间接受药物治疗的女性停止性工作的风险增加了两倍。在两个城市中，性工作以外来源的收入、与警方的互动以及获得医疗保健均与短期停止性工作独立且显著相关。
短期停止性工作受到注射吸毒的显著影响。扩大药物治疗和咨询服务，再加上诸如预防复发、职业培训和提供替代就业机会等支持性服务，可能会促进有意愿离开性产业的女性实现长期停止性工作。
