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住房不稳定和驱逐与加拿大温哥华女性性工作者中亲密伴侣暴力和工作场所暴力的增加有关:2010-2019 年基于社区的前瞻性队列研究结果。

Housing Instability and Evictions Linked to Elevated Intimate Partner and Workplace Violence Among Women Sex Workers in Vancouver, Canada: Findings of a Prospective, Community-Based Cohort, 2010-2019.

机构信息

Shira M. Goldenberg is with the School of Public Health, San Diego State University, CA. Natalie Buglioni recently graduated from the Faculty of Health Sciences, Simon Fraser University, Burnaby, BC. Andrea Krüsi and Kate Shannon are with the Department of Medicine, University of British Columbia (UBC), Vancouver. Elizabeth Frost is a doctoral student in the Joint Doctoral Program in Public Health (Epidemiology), San Diego State University-University of California, San Diego. Sarah Moreheart is a doctoral student in the Faculty of Health Sciences, Simon Fraser University. Melissa Braschel is with the Centre for Gender & Sexual Health Equity, UBC.

出版信息

Am J Public Health. 2023 Apr;113(4):442-452. doi: 10.2105/AJPH.2022.307207.

Abstract

To model the relationship of unstable housing and evictions with physical and sexual violence perpetrated against women sex workers in intimate and workplace settings. We used bivariate and multivariable logistic regression with generalized estimating equations to model the association of unstable housing exposure and evictions with intimate partner violence (IPV) and workplace violence among a community-based longitudinal cohort of cisgender and transgender women sex workers in Vancouver, Canada, from 2010 through 2019. Of 946 women, 85.9% experienced unstable housing, 11.1% eviction, 26.2% IPV, and 31.8% workplace violence. In multivariable generalized estimating equation models, recent exposure to unstable housing (adjusted odds ratio [AOR] = 2.04; 95% confidence interval [CI] = 1.45, 2.87) and evictions (AOR = 2.45; 95% CI = 0.99, 6.07) were associated with IPV, and exposure to unstable housing was associated with workplace violence (AOR = 1.46; 95% CI = 1.06, 2.00). Women sex workers face a high burden of unstable housing and evictions, which are linked to increased odds of intimate partner and workplace violence. Increased access to safe, women-centered, and nondiscriminatory housing is urgently needed. (. 2023;113(4):442-452. https://doi.org/10.2105/AJPH.2022.307207).

摘要

为了模拟不稳定住房和驱逐与在亲密和工作场所对女性性工作者实施的身体和性暴力之间的关系。我们使用双变量和多变量逻辑回归以及广义估计方程,对加拿大温哥华一个基于社区的跨性别和 transgender 女性性工作者纵向队列进行建模,研究 2010 年至 2019 年期间不稳定住房暴露和驱逐与亲密伴侣暴力(IPV)和工作场所暴力之间的关联。在 946 名女性中,85.9%经历过不稳定住房,11.1%被驱逐,26.2%经历过 IPV,31.8%经历过工作场所暴力。在多变量广义估计方程模型中,最近暴露于不稳定住房(调整后的优势比 [AOR] = 2.04;95%置信区间 [CI] = 1.45, 2.87)和驱逐(AOR = 2.45;95% CI = 0.99, 6.07)与 IPV 相关,暴露于不稳定住房与工作场所暴力相关(AOR = 1.46;95% CI = 1.06, 2.00)。女性性工作者面临着不稳定住房和驱逐的高负担,这与亲密伴侣和工作场所暴力的几率增加有关。迫切需要增加获得安全、以妇女为中心、非歧视性住房的机会。

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