性与生殖健康服务需求与几内亚比绍成年女性性工作者未成年卖淫的关联。
Sexual and Reproductive Health Service Needs Associated with Underage Initiation of Selling Sex among Adult Female Sex Workers in Guinea-Bissau.
机构信息
Department of Urban-Global Public Health, Rutgers School of Public Health, Newark, NJ 07102, USA.
Center for Population Behavioral Health, Rutgers Institute for Health, Health Care Policy and Aging Research, New Brunswick, NJ 08901, USA.
出版信息
Int J Environ Res Public Health. 2022 Oct 5;19(19):12715. doi: 10.3390/ijerph191912715.
OBJECTIVE
To assess the prevalence and predictors of underage initiation of selling sex among female sex workers (FSW) in Guinea-Bissau.
METHODS
505 adult FSW recruited using respondent-driven sampling were surveyed in 2017. Multivariable logistic regression was used to identify demographic, behavioral, and psychosocial characteristics associated with initiation of selling sex while underage (<18 years).
RESULTS
A total of 26.3% (133/505) of FSW started selling sex before age 18. Underage initiation of selling sex was associated with experiencing forced sex before age 18 (adjusted odds ratio (aOR): 6.74; 95% confidence interval (CI): 2.05-22.13), and never being tested for HIV (aOR: 0.43; 95% CI: 0.20-0.91). Despite having lower odds of wanting to have children or more children (aOR: 0.31; 95% CI: 0.17-0.56), FSW who started selling sex while underage had lower odds of using highly effective contraception such as implants (aOR: 0.43; 95% CI: 0.24-0.77). Among those who were ever pregnant, a lower percentage of FSW who started selling sex while underage accessed antenatal care (56.6% vs. 74.7%, = 0.008).
CONCLUSIONS
These data suggest that early initiation of selling sex among adult FSW in Guinea-Bissau is common. Social services for youth and integrated HIV and reproductive health services are critical to address the persisting sexual and reproductive health needs of FSW who started selling sex while underage.
目的
评估几内亚比绍女性性工作者（FSW）未成年开始卖淫的流行率和预测因素。
方法
2017 年采用应答者驱动抽样法招募了 505 名成年 FSW 进行调查。采用多变量逻辑回归分析确定与未成年（<18 岁）开始卖淫相关的人口统计学、行为和心理社会特征。
结果
共有 26.3%（133/505）的 FSW 在 18 岁之前开始卖淫。未成年开始卖淫与 18 岁之前经历过强迫性行为有关（调整后的优势比（aOR）：6.74；95%置信区间（CI）：2.05-22.13），并且从未接受过 HIV 检测（aOR：0.43；95%CI：0.20-0.91）。尽管未成年开始卖淫的 FSW 更不愿意要孩子或要更多的孩子（aOR：0.31；95%CI：0.17-0.56），但她们使用高效避孕措施（如宫内节育器）的可能性较低（aOR：0.43；95%CI：0.24-0.77）。在曾经怀孕的人中，未成年开始卖淫的 FSW 接受产前保健的比例较低（56.6% vs. 74.7%， = 0.008）。
结论
这些数据表明，几内亚比绍成年 FSW 中早期开始卖淫的现象很普遍。针对未成年开始卖淫的 FSW，提供青年社会服务和综合 HIV 和生殖健康服务至关重要，以满足其持续存在的性和生殖健康需求。
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