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Correlates of early versus later initiation into sex work in two Mexico-U.S. border cities.
Loza, Oralia; Strathdee, Steffanie A; Lozada, Remedios; Staines, Hugo; Ojeda, Victoria D; Martínez, Gustavo A; Amaro, Hortensia; Patterson, Thomas L.
Afiliação
  • Loza O; Department of Medicine, University of California at San Diego, La Jolla, California 92093-0680, USA.
J Adolesc Health ; 46(1): 37-44, 2010 Jan.
Article em En | MEDLINE | ID: mdl-20123256
PURPOSE: To examine correlates of early initiation into sex work in two Mexico-U.S. border cities. METHODS: Female sex workers (FSWs) >/=18 years without known HIV infection living in Tijuana and Ciudad Juarez who had recent unprotected sex with clients underwent baseline interviews. Correlates of initiation into sex work before age 18 were identified with logistic regression. RESULTS: Of 920 FSWs interviewed in Tijuana (N=474) and Ciudad Juarez (N=446), 9.8% (N=90) were early initiators (<18 years) into sex work. Median age of entry into sex work was 26 years (range: 6-58). After adjusting for age, compared to older initiators, early initiators were more likely to use inhalants (21.1% vs. 9.6%, p=.002), initiate sex work to pay for alcohol (36.7% vs. 18.4%, p < .001), report abuse as a child (42.2% vs. 18.7%, p<.0001), and they were less likely to be migrants (47.8% vs. 62.3%, p=.02). Factors independently associated with early initiation included inhalant use (adjOR=2.39), initiating sex work to pay for alcohol (adjOR=1.88) and history of child abuse (adjOR=2.92). Factors associated with later initiation included less education (adjOR=0.43 per 5-year increase), migration (adjOR=0.47), and initiating sex work for better pay (adjOR=0.44) or to support children (adjOR=0.03). CONCLUSIONS: Different pathways for entering sex work are apparent among younger versus older females in the Mexico-U.S. border region. Among girls, interventions are needed to prevent inhalant use and child abuse and to offer coping skills; among older initiators, income-generating strategies, childcare, and services for migrants may help to delay or prevent entry into sex work.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Trabalho Sexual / Tomada de Decisões Tipo de estudo: Prognostic_studies / Qualitative_research / Risk_factors_studies Limite: Adolescent / Adult / Child / Female / Humans / Middle aged País/Região como assunto: Mexico Idioma: En Revista: J Adolesc Health Assunto da revista: PEDIATRIA Ano de publicação: 2010 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Trabalho Sexual / Tomada de Decisões Tipo de estudo: Prognostic_studies / Qualitative_research / Risk_factors_studies Limite: Adolescent / Adult / Child / Female / Humans / Middle aged País/Região como assunto: Mexico Idioma: En Revista: J Adolesc Health Assunto da revista: PEDIATRIA Ano de publicação: 2010 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Estados Unidos