McBride Bronwyn, Shannon Kate, Duff Putu, Mo Minshu, Braschel Melissa, Goldenberg Shira M
Centre for Gender & Sexual Health Equity, 1190 Hornby Street, Vancouver, BC, V6Z 2K5, Canada.
Interdisciplinary Studies Graduate Program, University of British Columbia, Vancouver, BC, V6T 1Z4, Canada.
J Immigr Minor Health. 2019 Dec;21(6):1290-1299. doi: 10.1007/s10903-019-00859-9.
Given shifting sex work criminalization and enforcement in Canada, this study examined worrying about workplace inspections by authorities amongst indoor sex workers in Vancouver (2014-2017). Data were drawn from a community-based prospective cohort of sex workers (AESHA). Bivariate and multivariable logistic regression were used to investigate factors associated with worry about inspections. 23.9% of participants experienced workplace inspections; 51.6% worried about inspections. In multivariable analyses, worrying about inspections was associated with recent im/migration [adjusted odds ratio (AOR) 3.13; 95% confidence interval (CI) 1.77-5.53], police harassment (AOR 3.49; 95% CI 1.92-6.34), and workplace violence (AOR 1.66, 95% CI 1.09-2.51). In a multivariable confounder model, worry was independently associated with barriers to health access (AOR 1.45, 95% CI 1.06-1.98). Im/migrant indoor workers are disproportionately impacted by concerns about workplace inspections, which was independently linked to enhanced barriers to health access. Current criminalization measures may exacerbate health inequities among im/migrant sex workers.
鉴于加拿大性工作刑事定罪和执法情况不断变化，本研究调查了温哥华室内性工作者（2014 - 2017年）对当局进行工作场所检查的担忧。数据来自一个以社区为基础的性工作者前瞻性队列（AESHA）。采用双变量和多变量逻辑回归来研究与检查担忧相关的因素。23.9%的参与者经历过工作场所检查；51.6%的人担心检查。在多变量分析中，对检查的担忧与近期移民[调整后的优势比（AOR）3.13；95%置信区间（CI）1.77 - 5.53]、警察骚扰（AOR 3.49；95% CI 1.92 - 6.34）以及工作场所暴力（AOR 1.66，95% CI 1.09 - 2.51）有关。在一个多变量混杂因素模型中，担忧与获得医疗服务的障碍独立相关（AOR 1.45，95% CI 有移民身份的室内工作者受工作场所检查担忧的影响尤为严重，这与获得医疗服务的障碍增加独立相关。当前的刑事定罪措施可能会加剧有移民身份的性工作者之间的健康不平等。
