British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital, 1081 Burrard Street, Vancouver, British Columbia V6Z 1Y6, Canada.
Department of Medicine, University of British Columbia, St. Paul's Hospital, 1081 Burrard Street, Vancouver, British Columbia V6Z 1Y6, Canada.
Occup Med (Lond). 2017 Oct 1;67(7):515-521. doi: 10.1093/occmed/kqx092.
While sex work is often considered the world's oldest profession, there remains a dearth of research on work stress among sex workers (SWs) in occupational health epidemiological literature. A better understanding of the drivers of work stress among SWs is needed to inform sex work policy, workplace models and standards.
To examine the factors that influence work stress among SWs in Metro Vancouver.
Analyses drew from a longitudinal cohort of SWs, known as An Evaluation of Sex Workers' Health Access (AESHA) (2010-14). A modified standardized 'work stress' scale, multivariable linear regression with generalized estimating equations was used to longitudinally examine the factors associated with work stress.
In multivariable analysis, poor working conditions were associated with increased work stress and included workplace physical/sexual violence (β = 0.18; 95% confidence interval (CI) 0.06, 0.29), displacement due to police (β = 0.26; 95% CI 0.14, 0.38), working in public spaces (β = 0.73; 95% CI 0.61, 0.84). Older (β = -0.02; 95% CI -0.03, -0.01) and Indigenous SWs experienced lower work stress (β = -0.25; 95% CI -0.43, -0.08), whereas non-injection (β = 0.32; 95% CI 0.14, 0.49) and injection drug users (β = 0.17; 95% CI 0.03, 0.31) had higher work stress.
Vancouver-based SWs' work stress was largely shaped by poor work conditions, such as violence, policing, lack of safe workspaces. There is a need to move away from criminalized approaches which shape unsafe work conditions and increase work stress for SWs. Policies that promote SWs' access to the same occupational health, safety and human rights standards as workers in other labour sectors are also needed.
尽管性工作通常被认为是世界上最古老的职业，但在职业健康流行病学文献中，关于性工作者（SWs）工作压力的研究仍然很少。为了制定性工作政策、工作场所模式和标准，需要更好地了解性工作者工作压力的驱动因素。
调查温哥华地区性工作者工作压力的影响因素。
分析数据来自一个性工作者健康获取评估（AESHA）的纵向队列（2010-14 年）。使用改良的标准化“工作压力”量表，采用广义估计方程的多变量线性回归，对与工作压力相关的因素进行纵向分析。
在多变量分析中，较差的工作条件与工作压力增加有关，包括工作场所的身体/性暴力（β=0.18；95%置信区间[CI] 0.06，0.29）、因警察而流离失所（β=0.26；95%CI 0.14，0.38）、在公共场所工作（β=0.73；95%CI 0.61，0.84）。年龄较大（β=-0.02；95%CI-0.03，-0.01）和土著性工作者的工作压力较低（β=-0.25；95%CI-0.43，-0.08），而非注射（β=0.32；95%CI 0.14，0.49）和注射吸毒者（β=0.17；95%CI 0.03，0.31）的工作压力较高。
温哥华性工作者的工作压力主要受工作条件差的影响，如暴力、警察干预、缺乏安全工作空间等。需要摆脱将不安全工作条件和增加性工作者工作压力的刑事化方法。还需要制定促进性工作者获得与其他劳动部门工人相同的职业健康、安全和人权标准的政策。
