Title |
Food Insecurity Increases HIV Risk Among Young Sex Workers in Metro Vancouver, Canada
|
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Published in |
AIDS and Behavior, October 2016
|
DOI | 10.1007/s10461-016-1558-8 |
Pubmed ID | |
Authors |
Daniella Barreto, Kate Shannon, Chrissy Taylor, Sabina Dobrer, Jessica St. Jean, Shira M. Goldenberg, Putu Duff, Kathleen N. Deering |
Abstract |
This research aimed to determine the effect of food insecurity on sexual HIV risk with clients among youth sex workers (YSWs) <30 years in Metro Vancouver, Canada. Data were drawn from a prospective community cohort of sex workers (2010-2013). We examined the independent relationship between YSWs' food insecurity and being pressured into sex without a condom by clients ("client condom refusal"). Of 220 YSWs, 34.5 % (n = 76) reported client condom refusal over the 3.5-year study period and 76.4 % (n = 168) reported any food insecurity. Adjusting for other HIV risk pathways, food insecurity retained an independent effect on client condom refusal (AOR 2.08, 95 % CI 1.23-3.51), suggesting that food insecurity is significantly associated with HIV risk among YSWs. This study indicates a critical relationship between food insecurity and HIV risk, and demonstrates YSWs' particular vulnerability. Public policies for food assistance as a harm reduction measure may be key to addressing this disparity. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 7 | 44% |
Canada | 4 | 25% |
Kenya | 1 | 6% |
United Kingdom | 1 | 6% |
India | 1 | 6% |
Unknown | 2 | 13% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 16 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 71 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 14 | 20% |
Student > Bachelor | 12 | 17% |
Student > Ph. D. Student | 9 | 13% |
Researcher | 6 | 8% |
Other | 4 | 6% |
Other | 7 | 10% |
Unknown | 19 | 27% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 17 | 24% |
Nursing and Health Professions | 10 | 14% |
Social Sciences | 9 | 13% |
Psychology | 5 | 7% |
Arts and Humanities | 2 | 3% |
Other | 7 | 10% |
Unknown | 21 | 30% |