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Lack of full citizenship rights linked to heightened client condom refusal among im/migrant sex workers in Metro Vancouver (2010–2018).
- Source :
- Global Public Health; May2021, Vol. 16 Issue 5, p664-678, 15p
- Publication Year :
- 2021
-
Abstract
- In Canada, im/migrant sex workers face stigma, health access barriers, and overlapping marginalisation, with end-demand law reforms in 2014 postulated to exacerbate these inequities. Yet, little quantitative evidence on how immigration status shapes HIV/STI risk exists. Drawing on community-based longitudinal cohort data (AESHA, 2010–2018), we used multivariable confounder models with logistic regression to model (1) the independent effect of precarious immigration status (any status revocable under criminal charges: permanent residency/temporary residency/undocumented) on client condom refusal, and (2) the moderating effect of precarious status on the relationship between condom refusal and exposure to end-demand law reform (2015–2018). Over this 8-year study involving 758 sex workers in Metro Vancouver, 16.0% were im/migrants, of whom 57% had precarious immigration status at baseline. 16.5% of participants experienced client condom refusal. Precarious immigration was associated with increased odds of facing condom refusal (adjusted odds ratio [AOR] 2.53, 95% confidence interval [CI] 1.37–4.68), and these odds were heightened post-end-demand law reforms (AOR 4.35, 95%CI 1.21–15.66). Our findings suggest that lack of citizenship rights may enhance barriers to safer sex negotiation and increase HIV/STI risk among sex workers, highlighting the need for sex work and immigration policy reforms. [ABSTRACT FROM AUTHOR]
- Subjects :
- SEX work laws
CIVIL rights
HIV infection risk factors
CITIZENSHIP
SEXUALLY transmitted disease risk factors
IMMIGRANTS
STATISTICS
HEALTH services accessibility
CONFIDENCE intervals
MULTIPLE regression analysis
CONSUMER attitudes
SOCIAL stigma
MANN Whitney U Test
FISHER exact test
QUESTIONNAIRES
DESCRIPTIVE statistics
CHI-squared test
GOVERNMENT policy
RESEARCH funding
CONDOMS
LOGISTIC regression analysis
ODDS ratio
STATISTICAL correlation
LONGITUDINAL method
SEXUAL health
Subjects
Details
- Language :
- English
- ISSN :
- 17441692
- Volume :
- 16
- Issue :
- 5
- Database :
- Complementary Index
- Journal :
- Global Public Health
- Publication Type :
- Academic Journal
- Accession number :
- 150039921
- Full Text :
- https://doi.org/10.1080/17441692.2019.1708961