Sex work, discrimination, drug use and violence: a pattern for HIV risk among transgender sex workers compared to MSM sex workers and other MSM in Guatemala

Miller William M.; Miner William C.; Barrington Clare; Weir Sharon S.; Chen Sanny Y.; Emch Michael E.; Pettifor Audrey E.; Paz-Bailey Gabriela

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Sex work, discrimination, drug use and violence: a pattern for HIV risk among transgender sex workers compared to MSM sex workers and other MSM in Guatemala

机译：性工作，歧视，吸毒和暴力：与危地马拉男男性接触者性工作者和其他男男性行为者相比，跨性别性工作者的艾滋病毒感染风险模式

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The risk of HIV infection is higher among transgender women and cisgender men who have sex with men (MSM) compared to the general population due in part to social and contextual factors. This study aimed to determine the prevalence and association of alcohol and drug abuse, discrimination and violence among transgender sex workers compared to cisgender male sex workers and cisgender men who had not received money for sex in Guatemala City. In 2010, transgender women and cisgender men who had had sex with men or transgender women were recruited into a cross-sectional behavioural survey. Among transgender women, 86% received money for sex in the past year. Transgender sex workers were more likely to use drugs and binge drink, three times as likely to be discriminated against and eight times as likely to be forced to have sex compared to non-sex worker men. Male sex workers were twice as likely to use illicit drugs or experience physical violence and six times as likely to experience forced sex compared to non-sex worker men. Transgender and male sex workers would benefit from harm reduction for substance use, violence prevention, response and strategies to mitigate discrimination.

机译：与一般人群相比，与男性发生性关系的跨性别女性和顺性别男性中，HIV感染的风险较高，部分原因是由于社会和背景因素。这项研究旨在确定与在危地马拉城没有得到性服务收入的顺性别男性性工作者和顺性别男性相比，变性性别工作者的酗酒和滥用毒品，歧视和暴力的流行和关联。 2010年，我们招募了与男性或变性女性发生过性关系的变性女性和顺性别男性，进行横断面行为调查。在过去的一年中，跨性别女性中有86％接受了性交易。与非性工作者相比，跨性别的性工作者更有可能使用毒品和暴饮暴食，被歧视的可能性是三倍，被强迫进行性行为的可能性是八倍。与非性工作者相比，男性性工作者使用非法药物或遭受身体暴力的可能性是其两倍，而被强迫性行为的可能性是其六倍。跨性别者和男性性工作者将从减少毒品使用的危害，预防暴力，应对措施和减轻歧视的战略中受益。

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来源
《Global public health》 |2020年第2期|262-274|共13页
作者
Miller William M.; Miner William C.; Barrington Clare; Weir Sharon S.; Chen Sanny Y.; Emch Michael E.; Pettifor Audrey E.; Paz-Bailey Gabriela;
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作者单位

Univ N Carolina Gillings Sch Global Publ Hlth Dept Epidemiol Chapel Hill NC 27515 USA;

Univ N Carolina Gillings Sch Global Publ Hlth Dept Epidemiol Chapel Hill NC 27515 USA|Univ N Carolina Dept Med Div Infect Dis Chapel Hill NC 27515 USA;

Univ N Carolina Gillings Sch Global Publ Hlth Dept Hlth Behav Chapel Hill NC 27515 USA|Univ N Carolina Carolina Populat Ctr Chapel Hill NC 27515 USA;

Univ N Carolina Gillings Sch Global Publ Hlth Dept Epidemiol Chapel Hill NC 27515 USA|Univ N Carolina Carolina Populat Ctr Chapel Hill NC 27515 USA;

Ctr Dis Control & Prevent Cent Amer Reg Off Div Global HIV AIDS Guatemala City Guatemala;

Univ N Carolina Gillings Sch Global Publ Hlth Dept Epidemiol Chapel Hill NC 27515 USA|Univ N Carolina Carolina Populat Ctr Chapel Hill NC 27515 USA|Univ N Carolina Dept Geog Chapel Hill NC 27515 USA;

Training Programs Epidemiol & Publ Hlth Intervent Guatemala City Guatemala;

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原文格式 PDF
正文语种 eng
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关键词
Transgender Persons; MSM; HIV; gender-based violence;

机译：变性人;MSM;艾滋病病毒;基于性别的暴力;

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1. Drug Use and Sexual HIV Transmission Risk Among Men Who have Sex with Men and Women (MSMW), Men Who have Sex with Men only (MSMO), and Men Who have Sex with Women Only (MSWO) and the Female Partners of MSMW and MSWO: A Network Perspective [J] . Typhanye V. Dyer, Maria R. Khan, Milagros Sandoval, AIDS and behavior . 2017,第12期

机译：药物使用和性艾滋病毒在与男性和女性（MSMW）发生性关系的男性（MSMW），只与男性发生性关系（MSMO），以及仅与女性发生性关系的人（MSWO）和MSMW和MSWO的女性合作伙伴：网络透视
2. High burden of STI and HIV in male sex workers working as internet escorts for men in an observational study: a hidden key population compared with female sex workers and other men who have sex with men [J] . Amanja Verhaegh-Haasnoot, Nicole HTM Dukers-Muijrers, Christian JPA Hoebe BMC Infectious Diseases . 2015,第1期

机译：在一项观察性研究中，充当男性互联网伴游者的男性性工作者的性传播感染和艾滋病毒负担高：与女性性工作者和其他与男性发生性关系的男性相比，这是一个隐藏的关键人群
3. Experiences of gender-based violence among female sex workers, men who have sex with men, and transgender women in Latin America and the Caribbean: a qualitative study to inform HIV programming [J] . Emily Evens, Michele Lanham, Karin Santi, BMC International Health and Human Rights . 2019,第1期

机译：在拉丁美洲和加勒比海地区，女性性工作者，与男子发生性关系的男子以及变性妇女中基于性别的暴力的经验：一项定性研究，旨在为艾滋病规划提供依据
4. Pattern of Sexually Transmitted Diseases Among HIV-1 Infected Commercial Sex Workers in Ibadan, Nigeria [C] . S.A. Fayemiwo, R.A. Bakare, G.N. Odaibo International AIDS Conference . 2004

机译：尼日利亚Ibadan的HIV-1受感染的商业工作者的性传播疾病的模式
5. Contextual factors that contribute to increased risk of HIV among transgender and MSM sex workers and recommendations for service delivery. [D] . Miller, William Meihack. 2016

机译：导致跨性别者和MSM性工作者中HIV风险增加的背景因素以及提供服务的建议。
6. Drug use and sexual HIV transmission risk among men who have sex with men and women (MSMW) men who have sex with men only (MSMO) and men who have sex with women only (MSWO) and the female partners of MSMW and MSWO: A network perspective [O] . Typhanye V. Dyer, Maria R. Khan, Milagros Sandoval, -1

机译：与男女发生性关系的男性（MSMW）仅与男性发生性关系的男性（MSMO）和仅与女性发生性行为的男性（MSWO）以及MSMW和MSWO的女性伴侣之间的毒品使用和性HIV传播风险：网络角度
7. Drug Use and Sexual HIV Transmission Risk Among Men Who have Sex with Men and Women (MSMW), Men Who have Sex with Men only (MSMO), and Men Who have Sex with Women Only (MSWO) and the Female Partners of MSMW and MSWO: A Network Perspective [O] . Typhanye V. Dyer, Maria R. Khan, Milagros Sandoval, 2017

机译：药物使用和性艾滋病毒在与男性和女性（MSMW）发生性关系的男性中，只与男人发生性关系（MSMO），以及仅与女性发生性关系（MSWO）和MSMW和MSWO的女性合作伙伴进行性关系：网络透视

Sex work, discrimination, drug use and violence: a pattern for HIV risk among transgender sex workers compared to MSM sex workers and other MSM in Guatemala

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