Center On Gender Equity and Health, School of Medicine, University of California -San Diego, La Jolla, CA, USA.
Central Services Research Facility, University of California San Diego, 9500 Gilman Dr., La Jolla, CA, 92093, USA.
AIDS Behav. 2020 Oct;24(10):2906-2917. doi: 10.1007/s10461-020-02841-1.
A dearth of empirical research exists on female sex workers in Central America who begin selling sex under age 18. Data were collected from adult female sex workers (N = 1216) sampled using census and modified time-location sampling in three urban centers of Guatemala. In adjusted analyses, female sex workers who entered the sex trade under age 16 years were more likely to be HIV positive (AOR = 4.6, 95% CI 1.6, 13.2), have not received HIV education in their first year of sex trade (AOR = 2.8, 95% CI 1.5, 5.5), have experienced violence to force commercial sex (AOR = 4.6, 95% CI 2.2, 9.8) and have not used condoms in their first month (AOR = 2.8, 95% CI 1.3, 6.1) , relative to those who entered as adults. An interaction between age at entry and foreign migration at entry was found for HIV risk. Efforts to prevent adolescent sex trade entry are needed and may also help to reduce HIV rates in Guatemala.
中美洲的未成年女性性工作者从事性交易的实证研究较为匮乏。数据来源于在危地马拉三个城市中心采用普查和改良时间定位抽样法抽取的成年女性性工作者（N=1216）。在调整后的分析中，16 岁以下进入性交易行业的性工作者感染 HIV 的可能性更大（AOR=4.6，95%CI 1.6，13.2），在性交易的第一年未接受 HIV 教育（AOR=2.8，95%CI 1.5，5.5），曾遭受过强迫性交易的暴力（AOR=4.6，95%CI 2.2，9.8），且在第一个月未使用安全套（AOR=2.8，95%CI 1.3，6.1），与成年后进入该行业的性工作者相比。还发现进入性交易的年龄和进入性交易时的外国移民之间存在交互作用，会增加 HIV 风险。需要努力防止青少年进入性交易行业，这也可能有助于降低危地马拉的 HIV 感染率。
