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性工作者 HIV 感染者的污名与亲密伴侣暴力之间的关系:社会和经济排斥。

Relationships Between Stigma and Intimate Partner Violence Among Female Sex Workers Living With HIV: Social and Economic Exclusion.

机构信息

Department of Health Behavior, UNC Gillings School of Global Public Health, USA.

HIV Vaccine Research Unit, Instituto Dermatológico y Cirurgia de Piel Dr. Humberto Bogaert Diaz, Dominican Republic.

出版信息

Violence Against Women. 2023 Sep;29(11):1971-1997. doi: 10.1177/10778012221127722. Epub 2022 Nov 7.

Abstract

Violence against female sex workers (FSWs) perpetrated by their intimate (i.e., non-commercial) partners, particularly against FSWs living with HIV, is understudied. Stigma can deplete the economic resources, social relationships, and mental well-being of stigmatized people, which may increase their intimate partner violence (IPV) risk. We quantitatively assessed relationships between HIV stigma and sex work stigma and IPV victimization among FSWs living with HIV in the Dominican Republic ( = 266). Enacted HIV stigma, in the form of job loss, and anticipated HIV stigma, in the form of fear of exclusion by family, were associated with increased IPV risk. Potential association mechanisms, including increased economic vulnerability and social isolation, and programmatic responses are discussed.

摘要

针对女性性工作者(FSW)的亲密伴侣(即非商业性伴侣)实施的暴力行为,尤其是针对感染艾滋病毒的 FSW 的暴力行为,研究甚少。污名会耗尽受污名者的经济资源、社会关系和心理健康,从而增加他们遭受亲密伴侣暴力(IPV)的风险。我们对多米尼加共和国感染艾滋病毒的 FSW 中艾滋病毒污名和性工作污名与 IPV 受害之间的关系进行了定量评估( = 266)。以失业形式表现的艾滋病毒污名和以担心被家人排斥形式表现的预期艾滋病毒污名与更高的 IPV 风险相关。讨论了潜在的关联机制,包括经济脆弱性和社会孤立的增加,以及方案对策。

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