Food Insecurity Increases HIV Risk Among Young Sex Workers in Metro Vancouver, Canada.

This research aimed to determine the effect of food insecurity on sexual HIV risk with clients among youth sex workers (YSWs) <30 years in Metro Vancouver, Canada. Data were drawn from a prospective community cohort of sex workers (2010-2013). We examined the independent relationship between YSWs' f...

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Publicado en:AIDS & Behavior Vol. 21; no. 3; pp. 734 - 745
Autores principales: Barreto, Daniella, Shannon, Kate, Taylor, Chrissy, Dobrer, Sabina, Jean, Jessica, Goldenberg, Shira, Duff, Putu, Deering, Kathleen
Formato: research tables/charts Journal Article
Publicado: Springer Nature Mar2017
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
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        atl: Food Insecurity Increases HIV Risk Among Young Sex Workers in Metro Vancouver, Canada.
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        au:
          Barreto, Daniella
          Shannon, Kate
          Taylor, Chrissy
          Dobrer, Sabina
          Jean, Jessica
          Goldenberg, Shira
          Duff, Putu
          Deering, Kathleen
        affil: BC Centre for Excellence in HIV/AIDS , St. Paul's Hospital , 608 - 1081 Burrard Street Vancouver V6Z 1Y6 Canada
      sug:
        subj:
          Food Security
          HIV Infections Risk Factors
          Sex Work Canada
          Canada
          Human
          Prospective Studies
          Unsafe Sex
          Odds Ratio
          Confidence Intervals
          Food Assistance
      ab: This research aimed to determine the effect of food insecurity on sexual HIV risk with clients among youth sex workers (YSWs) <30 years in Metro Vancouver, Canada. Data were drawn from a prospective community cohort of sex workers (2010-2013). We examined the independent relationship between YSWs' food insecurity and being pressured into sex without a condom by clients ('client condom refusal'). Of 220 YSWs, 34.5 % (n = 76) reported client condom refusal over the 3.5-year study period and 76.4 % (n = 168) reported any food insecurity. Adjusting for other HIV risk pathways, food insecurity retained an independent effect on client condom refusal (AOR 2.08, 95 % CI 1.23-3.51), suggesting that food insecurity is significantly associated with HIV risk among YSWs. This study indicates a critical relationship between food insecurity and HIV risk, and demonstrates YSWs' particular vulnerability. Public policies for food assistance as a harm reduction measure may be key to addressing this disparity.
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      ougenre: Article
    language: English
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