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墨西哥蒂华纳的性工作监管与性传播感染

Sex Work Regulation and Sexually Transmitted Infections in Tijuana, Mexico.

作者信息

Quast Troy, Gonzalez Fidel

机构信息

Health Policy and Management, College of Public Health, University of South Florida, Tampa, FL, USA.

Economics and International Business, Sam Houston State University, Huntsville, TX, USA.

出版信息

Health Econ. 2017 May;26(5):656-670. doi: 10.1002/hec.3339. Epub 2016 Mar 16.

DOI:10.1002/hec.3339
PMID:26990004
Abstract

While reducing the transmission of sexually transmitted infections is a common argument for regulating sex work, relatively little empirical evidence is available regarding the effectiveness of these policies. We investigate the effects of highly publicized sex work regulations introduced in 2005 in Tijuana, Mexico on the incidence of trichomoniasis. State-level, annual data for the 1995-2012 period are employed that include the incidence rates of trichomoniasis by age group and predictor variables. We find that the regulations led to a decrease in the incidence rate of trichomoniasis. Specifically, while our estimates are somewhat noisy, the all-ages incidence rate in the 2005-2012 period is roughly 37% lower than what is predicted by our synthetic control estimates and corresponds to approximately 800 fewer reported cases of trichomoniasis per year. We find that the decreases are especially pronounced for 15-24 and 25-44 age cohorts. Copyright © 2016 John Wiley & Sons, Ltd.

摘要

虽然减少性传播感染的传播是规范性工作的一个常见理由,但关于这些政策有效性的实证证据相对较少。我们调查了2005年在墨西哥蒂华纳实施的广受关注的性工作法规对滴虫病发病率的影响。使用了1995 - 2012年期间的州级年度数据,其中包括按年龄组划分的滴虫病发病率以及预测变量。我们发现这些法规导致滴虫病发病率下降。具体而言,虽然我们的估计有些不精确,但2005 - 2012年期间所有年龄段的发病率比我们的合成对照估计值预测的大致低37%,相当于每年报告的滴虫病病例减少约800例。我们发现15 - 24岁和25 - 44岁年龄组的下降尤为明显。版权所有© 2016约翰·威利父子有限公司。

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