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14. Women in Sex Work and the Risk Environment: Agency, Risk Perception, and Management in the Sex Work Environments of Two Mexico-U.S. Border Cities.

Author

Andrade, Elí A, Andrade, Elí A, Leyva, René, Kwan, Mei-Po, Magis, Carlos, Stainez-Orozco, Hugo, Brouwer, Kimberly, Andrade, Elí A, Andrade, Elí A, Leyva, René, Kwan, Mei-Po, Magis, Carlos, Stainez-Orozco, Hugo, and Brouwer, Kimberly

Abstract

Sex work around the world takes place under conditions of structural violence and vulnerability. The México-U.S. border region is characterized by the presence of factors that increase the risk for health harms among female sex workers (FSW); located in this context, the risk environments of Tijuana and Ciudad Juárez have similar yet distinct characteristics that influence how risk is produced and experienced among FSWs. Exploring the ways in which FSWs enact agency in risk environments can illustrate how environmental characteristics shape perceived risks and the strategies that FSWs develop to manage them. This approach also identifies the limits that are placed by environmental characteristics over the capacity for harm reduction and prevention practices among FSWs. We analyzed the role of agency in the work environments of female sex workers and its relationship with risk perception and management in the cities of Tijuana and Cd. Juárez.

Published
2019

15. Syndemic health disparities and STI burden among Black MSM engaged in sex work in the United States

Author

Chandler, Cristian J., Meunier, Étienne, Eaton, Lisa A., Andrade, Elí, Bukowski, Leigh A., Matthews, Derrick D., Raymond, Henry F., Stall, Ronald D., and Friedman, M. Reuel

Subjects
Male, Sexual and Gender Minorities, Sexual Behavior, Sexually Transmitted Diseases, Humans, HIV Infections, Homosexuality, Male, Sex Work, Syndemic, Article
Abstract

INTRODUCTION: Black MSM engaged in sex work (BMSM-SW) experience elevated HIV and sexually transmitted infection (STI) prevalence. Further, BMSM-SW have been shown to have higher rates of syndemic psychosocial health conditions which contribute to HIV risk behavior and incidence, and poorer care outcomes than other groups of men who have sex with men (MSM). However, syndemic perspectives have not been applied to understanding past-year STI burden among BMSM-SW in the U.S. METHODS: Sexually active Black MSM ≥ 18 years old were recruited from Black Pride events in six U.S. cities (n=4421) between 2014–2017. Multivariable logistic regressions assessed correlates of past-year sex work engagement; whether BMSM-SW had higher odds of syndemic conditions; and whether BMSM-SW had higher odds of self-reported, past-year STI diagnoses. Structural equation models assessed relationships between sex work engagement, syndemic conditions, and STI controlled for sociodemographics and number of sexual partners. RESULTS: Two hundred fifty-four (5.7%) Black MSM reported past-year sex work, of whom 45.3% were HIV-positive. BMSM-SW were significantly more likely to be Hispanic, to report past-year bisexual behavior, and to report annual income

Published
2020

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