Adverse Pregnancy Outcomes and Sexual Violence Among Female Sex Workers Who Inject Drugs on the United States-Mexico Border

被引：16

作者：

McDougal, Lotus ^{[1
,2
]}

Strathdee, Steffanie A. ^{[3
]}

Rangel, Gudelia ^{[4
]}

Martinez, Gustavo ^{[5
]}

Vera, Alicia ^{[3
,6
]}

Sirotin, Nicole ^{[7
]}

Stockman, Jamila K. ^{[3
]}

Ulibarri, Monica D. ^{[3
]}

Raj, Anita ^{[3
]}

机构：

[1] San Diego State Univ, San Diego, CA 92182 USA

[2] Univ Calif San Diego, La Jolla, CA 92093 USA

[3] Univ Calif San Diego, Sch Med, La Jolla, CA 92093 USA

[4] Secretaria Salud Mexico, Mexico City, DF, Mexico

[5] Salud & Desarrollo Comunitario Ciudad Juarez AC, Cd Juarez, Mexico

[6] Univ Autonoma Baja California, Mexicali 21100, Baja California, Mexico

[7] Weill Cornell Med Coll, New York, NY USA

来源：

VIOLENCE AND VICTIMS | 2013年 / 28卷 / 03期

关键词：

miscarriage; stillbirth; abuse; sex work; violence; INTIMATE PARTNER VIOLENCE; REPRODUCTIVE HEALTH; TRANSMITTED INFECTIONS; INDUCED-ABORTION; NATIONAL SAMPLE; RISK BEHAVIORS; HIV-INFECTION; CONDOM USE; FETAL LOSS; WOMEN;

D O I：

10.1891/0886-6708.11-00129

中图分类号：

DF [法律]; D9 [法律];

学科分类号：

0301 ;

摘要：

This study examines the prevalence of miscarriage/stillbirth among female sex workers who inject drugs (FSW-IDUs) and measures its associations with physical and sexual violence. Baseline data from 582 FSW-IDUs enrolled in an HIV intervention study in Tijuana and Ciudad Juarez, Mexico were used for current analyses. 30% of participants had experienced at least one miscarriage/stillbirth, 51% had experienced sexual violence, and 49% had experienced physical violence. History of miscarriage/stillbirth was associated with sexual violence (adjusted odds ratio [aOR] = 1.7, p = .02) but not physical violence. Additional reproductive risks associated with miscarriage/stillbirth included high numbers of male clients in the previous month (aOR = 1.1 per 30 clients, p = 0.04), history of abortion (aOR = 3.7, p < .001), and higher number of pregnancies (aOR = 1.4 per additional pregnancy, p < .001). Programs and research with this population should integrate reproductive health and consider gender-based violence.

引用

页码：496 / 512

页数：17

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