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Sexual Exploitation as a Minor, Violence, and HIV/STI Risk among Women Trading Sex in St. Petersburg and Orenburg, Russia
- Source :
- International Journal of Environmental Research and Public Health, Volume 16, Issue 22, International Journal of Environmental Research and Public Health, Vol 16, Iss 22, p 4343 (2019)
- Publication Year :
- 2019
-
Abstract
- Child sexual exploitation (CSE) is a major risk factor for acquiring human immunodeficiency virus/sexually transmitted infections (HIV/STI), violence and other health concerns, yet few studies have examined these associations in Russia until now. This study examines the prevalence of CSE (those entering the sex trade as a minor) among women in the sex trade in Russia and how exposures and behaviors related to violence and HIV/STI structural risks differ from those who entered the sex trade as an adult. Women in the sex trade (N = 896) in St. Petersburg and Orenburg, Russia were recruited via time-location sampling and completed structured surveys. Adjusted logistic regression analyses assessed associations between CSE victimization and HIV risk-related exposures. Of the 654 participants who provided their age at first sexual exploitation, 11% reported CSE prior to age 18. Those who reported CSE were more likely to be organized by others and to be prohibited from leaving a room or house and from using condoms<br />three-quarters experienced rape when trading sex<br />a third were involved in pornography before age 18 and they had less education if they entered the sex trade as a minor. In adjusted analyses, those entering the sex trade as a minor were significantly more likely than those entering the sex trade as an adult to report drug use prior to age 18 (AOR = 5.75, 95% CI = 2.53&ndash<br />13.09) to have &ge<br />5 clients/day (past 12 months<br />AOR = 3.55, 95% CI = 1.56&ndash<br />8.08), to report receiving police assistance (AOR: 3.10, 95% CI = 1.26&ndash<br />7.54), and to have fewer experiences of police extortion (AOR = 0.35, 95% CI = 0.10&ndash<br />1.24). They were four times more likely to participate in pornography before the age of 18 (AOR = 4.08, 95% CI = 1.32, 12.60) and three times more likely to have been sexually abused as child (AOR = 2.93, 95% CI = 1.27, 7.54). Overall, entry as a minor was related to greater risk for victimization and an inability to protect oneself from STI/HIV.
- Subjects :
- Adult
Adolescent
Substance-Related Disorders
Health, Toxicology and Mutagenesis
Sexual Behavior
Human immunodeficiency virus (HIV)
Sexually Transmitted Diseases
lcsh:Medicine
HIV Infections
Minor (academic)
Violence
medicine.disease_cause
Logistic regression
Article
Russia
Condoms
03 medical and health sciences
Young Adult
0302 clinical medicine
5. Gender equality
Risk Factors
Surveys and Questionnaires
parasitic diseases
Medicine
Pornography
Humans
030212 general & internal medicine
Risk factor
030505 public health
child sexual exploitation
business.industry
human trafficking
lcsh:R
Public Health, Environmental and Occupational Health
sex trade
virus diseases
St petersburg
HIV
Child Abuse, Sexual
16. Peace & justice
Sex Work
Cross-Sectional Studies
violence victimization
Human trafficking
Female
0305 other medical science
business
Demography
Subjects
Details
- ISSN :
- 16604601
- Volume :
- 16
- Issue :
- 22
- Database :
- OpenAIRE
- Journal :
- International journal of environmental research and public health
- Accession number :
- edsair.doi.dedup.....91627ebc79114e5293abb3325fe0b824