巴布亚新几内亚女性性工作者的性与生殖健康需求及行为：生物行为调查“也把我算上”的结果

Sexual and reproductive health needs and practices of female sex workers in Papua New Guinea: findings from a biobehavioral survey Kauntim mi tu ('Count me too').

作者信息

Weikum Damian, Kelly-Hanku Angela, Neo-Boli Ruthy, Aeno Herick, Badman Steven G, Vallely Lisa M, Willie Barne, Kupul Martha, Hou Parker, Amos Angelyn, Narokobi Rebecca, Pekon Simon, Coy Kelsey, Wapling Johanna, Gare Janet, Kaldor John M, Vallely Andrew J, Hakim Avi J

机构信息

US Centers for Disease Control and Prevention, Atlanta, USA.

Public Health Institute, Oakland, USA.

出版信息

Arch Public Health. 2022 Sep 5;80(1):202. doi: 10.1186/s13690-022-00926-y.

DOI:10.1186/s13690-022-00926-y

PMID:36064615

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9442976/

Abstract

BACKGROUND

Little research has explored the sexual and reproductive health (SRH) experience of female sex workers (FSW), including girls aged < 18 years who are commercially sexually exploited (CSE), in Papua New Guinea (PNG). This paper describes the SRH history of FSW and CSE girls and factors associated with their use of moderately or highly effective contraceptive methods in three settings in PNG.

METHODS

From 2016 to 2017, respondent-driven sampling (RDS) surveys were conducted among FSW and CSE girls in Port Moresby, Lae, and Mt. Hagen. FSW and CSE girls who were born female, aged ≥12 years, sold or exchanged vaginal sex in the past 6 months, spoke English or Tok Pisin, and had a valid RDS study coupon were eligible to participate. Interviews were conducted face-to-face and participants were offered rapid routine HIV and syphilis testing. Survey logistic regression procedures were used to identify factors associated with the use of moderately or highly effective contraceptive methods. Weighted data analysis was conducted.

RESULTS

A total of 2901 FSW and CSE girls (Port Moresby, 673; Lae, 709; and Mt. Hagen, 709) were enrolled. The proportion using moderately or highly effective contraceptive methods was 37.7% in Port Moresby, 30.9% in Lae, and 26.5% in Mt. Hagen. After adjusting for covariates, factors significantly associated with the use of moderately or highly effective contraceptive methods in Port Moresby were being age 20-24, being married, being divorced or separated, having one or more dependent children, being away from home for more than 1 month in the last 6 months, and having tested HIV negative. No factors were significantly associated in Lae or Mt. Hagen. ANC attendance amongst FSW and CSE girls who gave birth in last 3 years was highest in Port Moresby at 91.2%. HIV testing was inconsistently and inadequately offered at ANC across the three cities.

CONCLUSIONS

Kauntim mi tu provides much-needed insight into the SRH experiences of FSW and CSE girls in PNG, where their use of moderately or highly effective contraceptive methods is low. We hope to shed light on the complicated reality they face due to illegality of sex work and multitude of complex healthcare experiences.

摘要

背景

在巴布亚新几内亚（PNG），很少有研究探讨女性性工作者（FSW）的性与生殖健康（SRH）经历，包括年龄小于18岁遭受商业性剥削（CSE）的女孩。本文描述了PNG三个地区FSW和遭受CSE的女孩的SRH史，以及与她们使用中度或高效避孕方法相关的因素。

方法

2016年至2017年，在莫尔斯比港、莱城和哈根山对FSW和遭受CSE的女孩进行了应答驱动抽样（RDS）调查。出生为女性、年龄≥12岁、在过去6个月内有过阴道性交易、会说英语或托克皮辛语且持有有效RDS研究优惠券的FSW和遭受CSE的女孩有资格参与。进行面对面访谈，并为参与者提供快速常规HIV和梅毒检测。采用调查逻辑回归程序确定与使用中度或高效避孕方法相关的因素。进行加权数据分析。

结果

共招募了2901名FSW和遭受CSE的女孩（莫尔斯比港673名；莱城709名；哈根山709名）。在莫尔斯比港，使用中度或高效避孕方法的比例为37.7%，在莱城为30.9%，在哈根山为26.5%。在调整协变量后，在莫尔斯比港与使用中度或高效避孕方法显著相关的因素包括年龄在20 - 24岁、已婚、离异或分居、有一个或多个受抚养子女、在过去6个月内离家超过1个月以及HIV检测呈阴性。在莱城或哈根山没有显著相关因素。在过去3年生育的FSW和遭受CSE的女孩中，莫尔斯比港的产前检查出勤率最高，为91.2%。在这三个城市的产前检查中，HIV检测的提供情况不一致且不充分。