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Structural vulnerabilities to HIV/STI risk among female exotic dancers in Baltimore, Maryland

机译:马里兰州巴尔的摩女性外来舞者的HIV / STI风险结构脆弱性

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摘要

Female exotic dancers (FEDs) are an important, yet understudied group of women who may engage in drug- and sex-related HIV/STI risk behaviors through their work. The study objective was to identify co-occurring indicators of vulnerability (e.g., housing, income, incarceration) associated with HIV/STI risk behavior among FEDs in Baltimore, Maryland. Surveys administered during July 2008-February 2009 captured socio-demographic characteristics, drug use, and sexual practices among dancers (N = 101) aged >= 18 years. Multivariate logistic regression was used to assess the relationship between vulnerability and risk behavior. Dancers with a high vulnerability score (i.e., 2 or more indicators) were more likely to report sex exchange (AOR: 10.7, 95% CIs: 2.9, 39.9) and multiple sex partnerships (AOR: 6.4, 95% CIs: 2.3, 18.3), controlling for demographics and drug use, compared to their less vulnerable counterparts. Findings point to primacy of macro-level factors that need to be addressed in HIV/STI prevention efforts targeting this and other high-risk populations.
机译:女外来舞者(FEDs)是重要的但尚未得到充分研究的妇女群体,他们可能通过工作从事与毒品和性相关的HIV / STI风险行为。该研究的目的是确定马里兰州巴尔的摩FED中与HIV / STI风险行为相关的易受害性的共同指标(例如,住房,收入,监禁)。 2008年7月至2009年2月进行的调查收集了18岁以上舞者(N = 101)的社会人口统计学特征,毒品使用和性行为。多元逻辑回归用于评估脆弱性与风险行为之间的关系。具有较高脆弱性得分(即,两个或更多指标)的舞者更有可能报告性交(AOR:10.7,95%CI:2.9、39.9)和多个性伴侣(AOR:6.4,95%CI:2.3、18.3) ),与人口脆弱性较低的人群相比,控制人口和毒品使用情况。研究结果表明,在针对这一人群和其他高风险人群的艾滋病毒/性传播感染预防工作中,宏观因素至关重要。

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