Fisher Marla Renee, Turner Caitlin, McFarland Willi, Breslow Aaron Samuel, Wilson Erin C, Arayasirikul Sean
Trans Research Unit for Equity, Center for Public Health Research, San Francisco Department of Public Health/University of California San Francisco, San Francisco, California, USA.
Department of Psychiatry and Behavioral Sciences, PRIME Center for Health Equity, Albert Einstein College of Medicine, Bronx, New York, USA.
Transgend Health. 2023 Mar 31;8(2):200-206. doi: 10.1089/trgh.2021.0109. eCollection 2023 Apr.
Sex work is a common form of work among young trans women (YTW).
Using an occupational health frame, we measured associations between demographics, sex work, and vocational outcomes in 18-month visit data from the SHINE study (=263, San Francisco).
Overall, 41.8% reported lifetime sex work, primarily escorting/paid sex. Motivations included "better pay" and "can't get a job due to gender discrimination." Occupational injuries included anxiety (53.6%) and depression (50%), with significantly higher relative risk for YTW doing multiple types of sex work. Criminalization experiences (i.e., incarceration, arrests, and police interaction) were common.
Results echo calls for sex worker-affirming mental health care for YTW.
性工作是年轻跨性别女性(YTW)中一种常见的工作形式。
我们采用职业健康框架,在“闪耀”研究(旧金山,n = 263)的18个月随访数据中,测量了人口统计学、性工作和职业结果之间的关联。
总体而言,41.8%的人报告有过终身性工作经历,主要是充当应召女郎/有偿性交易。动机包括“收入更高”和“因性别歧视找不到工作”。职业伤害包括焦虑(53.6%)和抑郁(50%),从事多种类型性工作的年轻跨性别女性的相对风险显著更高。被定罪经历(即监禁、逮捕和与警方互动)很常见。
研究结果呼应了为年轻跨性别女性提供支持性工作者的心理健康护理的呼声。