HIV Infection and Risk Heightened Among Female Sex Workers Who Entered the Sex Trade as Adolescents in Guatemala.

A dearth of empirical research exists on female sex workers in Central America who begin selling sex under age 18. Data were collected from adult female sex workers (N = 1216) sampled using census and modified time-location sampling in three urban centers of Guatemala. In adjusted analyses, female s...

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Publicado en:AIDS & Behavior Vol. 24; no. 10; pp. 2906 - 2918
Autores principales: Boyce, Sabrina C., Morales-Miranda, Sonia, Ritter, Julie, Triplett, Daniel P., Loya-Montiel, Itzel, Silverman, Jay G.
Formato: research tables/charts Journal Article
Publicado: Springer Nature Oct2020
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
      place: New York, New York
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        atl: HIV Infection and Risk Heightened Among Female Sex Workers Who Entered the Sex Trade as Adolescents in Guatemala.
      aug:
        au:
          Boyce, Sabrina C.
          Morales-Miranda, Sonia
          Ritter, Julie
          Triplett, Daniel P.
          Loya-Montiel, Itzel
          Silverman, Jay G.
        affil: Center On Gender Equity and Health, School of Medicine, University of California -San Diego, La Jolla, CA, USA
      sug:
        subj:
          HIV Infections Risk Factors
          Sex Work In Adolescence
          Women's Health
          Risk Taking Behavior In Adolescence
          Human
          Guatemala
          Female
          Adolescence
          Odds Ratio
          Confidence Intervals
          HIV Education
          Unsafe Sex
          Risk Assessment Methods
          Age Factors
          HIV Infections Prevention and Control
          Adolescent Health
          Adolescent: 13-18 years
          Female
      ab:
        A dearth of empirical research exists on female sex workers in Central America who begin selling sex under age 18. Data were collected from adult female sex workers (N = 1216) sampled using census and modified time-location sampling in three urban centers of Guatemala. In adjusted analyses, female sex workers who entered the sex trade under age 16 years were more likely to be HIV positive (AOR = 4.6, 95% CI 1.6, 13.2), have not received HIV education in their first year of sex trade (AOR = 2.8, 95% CI 1.5, 5.5), have experienced violence to force commercial sex (AOR = 4.6, 95% CI 2.2, 9.8) and have not used condoms in their first month (AOR = 2.8, 95% CI 1.3, 6.1) , relative to those who entered as adults. An interaction between age at entry and foreign migration at entry was found for HIV risk. Efforts to prevent adolescent sex trade entry are needed and may also help to reduce HIV rates in Guatemala.
        Resumen: Existe una escasez de investigaciones emperícas sobre mujeres trabajadoras sexuales en Centroamérica que inician en el trabajo sexual antes de los 18 años. Se colectaron datos de trabajadoras sexuales adultas (N=1216) usando un censo y muestreo de tiempo y lugar modificado, en tres centros urbanos de Guatemala. El análisis de datos ajustado mostró que las trabajadoras sexuales que iniciaron en el trabajo sexual a través de trata de personas antes de los 16 años de edad tuvieron una mayor probabilidad de ser VIH positivas (AOR=4.6, 95% CI=1.6, 13.2), no haber recibido educación sobre el VIH en el primer año de trabajo sexual (AOR=2.8, 95% CI=1.5, 5.5), y haber sido forzadas con violencia para hacer trabajo sexual (AOR=4.6, 95% CI=2.2, 9.8) y no usar condones (AOR=2.8, 95% CI=1.3, 6.1) en el primer mes, en comparación con aquellas que iniciaron el trabajo sexual cuando ya eran adultas. Encontramos una interacción entre la edad de inicio en el trabajo sexual y la migración al extranjero relacionado con el riesgo de infección por el VIH. Es necesario reforzar los esfuerzos para prevenir la trata de personas para el trabajo sexual, especialmente el ingreso de las mujeres menores de edad además ayudaría en la reducción de tasa de infecciones del VIH en Guatemala.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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