PURPOSE: To examine correlates of early initiation into sex work in two Mexico-U.S. border cities. METHODS: Female sex workers (FSWs) >/=18 years without known HIV infection living in Tijuana and Ciudad Juarez who had recent unprotected sex with clients underwent baseline interviews. Correlates of initiation into sex work before age 18 were identified with logistic regression. RESULTS: Of 920 FSWs interviewed in Tijuana (N=474) and Ciudad Juarez (N=446), 9.8% (N=90) were early initiators (<18 years) into sex work. Median age of entry into sex work was 26 years (range: 6-58). After adjusting for age, compared to older initiators, early initiators were more likely to use inhalants (21.1% vs. 9.6%, p=.002), initiate sex work to pay for alcohol (36.7% vs. 18.4%, p < .001), report abuse as a child (42.2% vs. 18.7%, p<.0001), and they were less likely to be migrants (47.8% vs. 62.3%, p=.02). Factors independently associated with early initiation included inhalant use (adjOR=2.39), initiating sex work to pay for alcohol (adjOR=1.88) and history of child abuse (adjOR=2.92). Factors associated with later initiation included less education (adjOR=0.43 per 5-year increase), migration (adjOR=0.47), and initiating sex work for better pay (adjOR=0.44) or to support children (adjOR=0.03). CONCLUSIONS: Different pathways for entering sex work are apparent among younger versus older females in the Mexico-U.S. border region. Among girls, interventions are needed to prevent inhalant use and child abuse and to offer coping skills; among older initiators, income-generating strategies, childcare, and services for migrants may help to delay or prevent entry into sex work. Copyright 2010 Society for Adolescent Medicine. Published by Elsevier Inc. All rights reserved.
PURPOSE: To examine correlates of early initiation into sex work in two Mexico-U.S. border cities. METHODS: Female sex workers (FSWs) >/=18 years without known HIV infection living in Tijuana and Ciudad Juarez who had recent unprotected sex with clients underwent baseline interviews. Correlates of initiation into sex work before age 18 were identified with logistic regression. RESULTS: Of 920 FSWs interviewed in Tijuana (N=474) and Ciudad Juarez (N=446), 9.8% (N=90) were early initiators (<18 years) into sex work. Median age of entry into sex work was 26 years (range: 6-58). After adjusting for age, compared to older initiators, early initiators were more likely to use inhalants (21.1% vs. 9.6%, p=.002), initiate sex work to pay for alcohol (36.7% vs. 18.4%, p < .001), report abuse as a child (42.2% vs. 18.7%, p<.0001), and they were less likely to be migrants (47.8% vs. 62.3%, p=.02). Factors independently associated with early initiation included inhalant use (adjOR=2.39), initiating sex work to pay for alcohol (adjOR=1.88) and history of child abuse (adjOR=2.92). Factors associated with later initiation included less education (adjOR=0.43 per 5-year increase), migration (adjOR=0.47), and initiating sex work for better pay (adjOR=0.44) or to support children (adjOR=0.03). CONCLUSIONS: Different pathways for entering sex work are apparent among younger versus older females in the Mexico-U.S. border region. Among girls, interventions are needed to prevent inhalant use and child abuse and to offer coping skills; among older initiators, income-generating strategies, childcare, and services for migrants may help to delay or prevent entry into sex work. Copyright 2010 Society for Adolescent Medicine. Published by Elsevier Inc. All rights reserved.
Authors: Ma Elena Medina-Mora; Patricia Cravioto; Jorge Villatoro; Clara Fleiz; Fernando Galván-Castillo; Roberto Tapia-Conyer Journal: Salud Publica Mex Date: 2003
Authors: V D Ojeda; S A Strathdee; R Lozada; M L A Rusch; M Fraga; P Orozovich; C Magis-Rodriguez; A De La Torre; H Amaro; W Cornelius; T L Patterson Journal: Sex Transm Infect Date: 2009-02-02 Impact factor: 3.519
Authors: Jay G Silverman; Michele R Decker; Jhumka Gupta; Ayonija Maheshwari; Brian M Willis; Anita Raj Journal: JAMA Date: 2007-08-01 Impact factor: 56.272
Authors: Brooke S West; Daniela Abramovitz; Hugo Staines; Alicia Vera; Thomas L Patterson; Steffanie A Strathdee Journal: J Urban Health Date: 2016-02 Impact factor: 3.671
Authors: Shira M Goldenberg; Jay G Silverman; David Engstrom; Ietza Bojorquez-Chapela; Paula Usita; María Luisa Rolón; Steffanie A Strathdee Journal: Violence Against Women Date: 2015-02-03
Authors: Shira M Goldenberg; Gudelia Rangel; Alicia Vera; Thomas L Patterson; Daniela Abramovitz; Jay G Silverman; Anita Raj; Steffanie A Strathdee Journal: AIDS Behav Date: 2012-05
Authors: Angela M Parcesepe; Kelly L L'Engle; Sandra L Martin; Sherri Green; Chirayath Suchindran; Peter Mwarogo Journal: J Urban Health Date: 2016-12 Impact factor: 3.671
Authors: Meghan D Morris; Patricia Case; Angela M Robertson; Remedios Lozada; Alicia Vera; John D Clapp; Maria Elena Medina-Mora; Steffanie A Strathdee Journal: Drug Alcohol Depend Date: 2011-03-26 Impact factor: 4.492
Authors: Cari L Miller; Sarah J Fielden; Mark W Tyndall; Ruth Zhang; Kate Gibson; Kate Shannon Journal: J Adolesc Health Date: 2011-05-26 Impact factor: 5.012
Authors: Sarah A MacLean; Kathryn E Lancaster; Thandie Lungu; Pearson Mmodzi; Mina C Hosseinipour; Brian W Pence; Bradley N Gaynes; Irving F Hoffman; William C Miller Journal: Int J Ment Health Addict Date: 2017-11-14 Impact factor: 3.836
Authors: Lianne A Urada; Steffanie A Strathdee; Donald E Morisky; Robert F Schilling; Nymia P Simbulan; Leonardo R Estacio; Anita Raj Journal: Asia Pac J Public Health Date: 2013-01-22 Impact factor: 1.399