Goldenberg Shira M, Silverman Jay G, Engstrom David, Bojorquez-Chapela Ietza, Usita Paula, Rolón María Luisa, Strathdee Steffanie A
University of British Columbia, Vancouver, Canada Gender and Sexual Health Initiative, British Columbia Centre for Excellence in HIV/AIDS, Vancouver, British Columbia, Canada
University of California, San Diego, USA.
Violence Against Women. 2015 Apr;21(4):478-99. doi: 10.1177/1077801215569079. Epub 2015 Feb 3.
Coerced and adolescent sex industry involvement are linked to serious health and social consequences, including enhanced risk of HIV infection. Using ethnographic fieldwork, including interviews with 30 female sex workers with a history of coerced or adolescent sex industry involvement, we describe contextual factors influencing vulnerability to coerced and adolescent sex industry entry and their impacts on HIV risk and prevention. Early gender-based violence and economic vulnerability perpetuated vulnerability to coercion and adolescent sex exchange, while HIV risk mitigation capacities improved with increased age, control over working conditions, and experience. Structural interventions addressing gender-based violence, economic factors, and HIV prevention among all females who exchange sex are needed.
被迫涉足和青少年涉足性产业与严重的健康和社会后果相关联,包括感染艾滋病毒的风险增加。通过人种志实地调查,包括对30名有被迫或青少年涉足性产业经历的女性性工作者进行访谈,我们描述了影响易受被迫和青少年涉足性产业影响的背景因素,以及它们对艾滋病毒风险和预防的影响。早期基于性别的暴力和经济脆弱性使人们持续易受胁迫和青少年性交易的影响,而随着年龄增长、对工作条件的控制和经验的增加,艾滋病毒风险缓解能力有所提高。需要针对所有从事性交易的女性开展解决基于性别的暴力、经济因素和艾滋病毒预防问题的结构性干预措施。