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首页> 外文期刊>Global public health >Venue-level correlates of female sex worker registration status: A multilevel analysis of bars in Tijuana, Mexico
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Venue-level correlates of female sex worker registration status: A multilevel analysis of bars in Tijuana, Mexico

机译:女性性工作者注册状态的场所水平相关性:墨西哥蒂华纳酒吧的多层次分析

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摘要

In Tijuana, Mexico, sex work is regulated by the municipal government, through registration cards issued to female sex workers (FSWs) for an annual fee. Registration has been associated with decreased drug use and increase condom use and HIV testing. Previously, it was demonstrated that FSWs operating in bars were more likely than street-based FSWs to be registered. This implies that certain venues may be more accessible to local authorities for the enforcement of this type of programme. Taking a novel multilevel approach, we examined whether venue characteristics of bars reflecting greater organised management and visibility affect registration status of FSWs. In an analysis of venue-level characteristics, predictors of being registered were availability of free condoms at work and distance to the main sex strip; however, these were not independently associated after inclusion of FSWs' income, illicit drug use and history of HIV testing. Our findings suggest that sex work regulations may inadvertently exclude venues in which the more vulnerable and less visible FSWs, such as injection drug users and those with limited financial resources, are situated. Efforts to revise or reconsider sex work regulations to ensure that they best promote FSWs' health, human and labour rights are recommended.
机译:在墨西哥的蒂华纳(Tijuana),性工作由市政府通过发给女性性工作者(FSW)的年费注册卡进行管理。注册与减少药物使用,增加安全套使用和艾滋病毒检测有关。以前,已经证明在酒吧经营的FSW比街头FSW更容易注册。这意味着地方当局可能更容易进入某些场所以执行此类计划。我们采用一种新颖的多层次方法,研究了反映更好的组织管理和能见度的酒吧场所特征是否会影响FSW的注册状态。在对场所级别特征的分析中,被登记的预测因素是工作中是否有免费避孕套,以及与主要性别隔离带的距离。但是,在将FSW的收入,非法药物使用和HIV检测史包括在内之后,这些因素并没有独立关联。我们的研究结果表明,性工作法规可能会无意中排除那些更脆弱,更不可见的性工作者,例如注射吸毒者和财力有限的场所。建议努力修改或重新考虑性工作法规,以确保它们最有效地促进性工作者的健康,人权和劳工权利。

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