Trends and Factors Affecting Knowledge of and Stigma and Violence Towards Female Sex Workers in Morocco.

IF 1.7 3区 心理学 Q3 PSYCHOLOGY, CLINICAL
Gauri Phatak, Lisa G Johnston, Ibtissam Khoudri, Houssine El Rhilani, Amina El Kettani, Katherine R McLaughlin
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引用次数: 0

Abstract

Background: We investigate factors affecting HIV knowledge, stigma, and violence among female sex workers (FSW) in Agadir, Rabat, Fes, and Tangier, Morocco, over three rounds of HIV surveillance surveys (2012, 2016, and 2019) conducted using respondent-driven sampling (RDS). Multivariable analyses from RDS studies examining the relationships between variables are under-utilized, particularly analyses that combine multiple locations and years of data together in a principled manner.

Method: We fit three weighted logistic regression models for HIV transmission knowledge, having been denied service (experienced stigma), and having been hit (experienced violence) in the last 12 months, and perform model selection using 41 possible explanatory variables.

Results: Variables significantly associated with higher risk included reasons for sex work, how FSW solicit clients, if female family members are also involved in sex work, ever being forced to have sex, and ever being arrested or jailed. There were also significant differences between cities and in trends over time, with HIV transmission knowledge increasing and having been denied health services and having been hit decreasing.

Conclusion: We found associations indicating that some particularly vulnerable FSW may be subject to multiple intersecting risks related to HIV knowledge, stigma, and violence which may decrease their agency to receive proper HIV testing, care, and treatment. Although Morocco has made excellent progress in providing HIV services to vulnerable populations, this additional analysis will be useful as Morocco makes programmatic decisions related to ending HIV by 2030.

Abstract Image

摩洛哥对女性性工作者的了解、污名和暴力行为的趋势和影响因素。
背景:我们调查了摩洛哥阿加迪尔、拉巴特、费斯和丹吉尔的女性性工作者(FSW)中影响艾滋病毒知识、污名和暴力的因素,通过使用受访者驱动抽样(RDS)进行的三轮艾滋病毒监测调查(2012年、2016年和2019年)。RDS研究中对变量之间关系的多变量分析利用不足,尤其是以原则性的方式将多个地点和多年的数据结合在一起的分析。方法:我们拟合了过去12个月内艾滋病毒传播知识、被拒绝服务(经历耻辱)和被殴打(经历暴力)的三个加权逻辑回归模型,并使用41个可能的解释变量进行模型选择。结果:与较高风险显著相关的变量包括性工作的原因、FSW如何招揽客户、女性家庭成员是否也参与性工作、是否曾被迫发生性行为以及是否曾被逮捕或监禁。城市之间也存在显著差异,随着时间的推移,艾滋病毒传播知识不断增加,被剥夺了医疗服务,受到的打击也在减少。结论:我们发现的关联表明,一些特别脆弱的FSW可能会面临与艾滋病毒知识、污名和暴力有关的多重交叉风险,这可能会降低他们接受适当艾滋病毒检测、护理和治疗的能力。尽管摩洛哥在向弱势人群提供艾滋病毒服务方面取得了良好进展,但随着摩洛哥做出与到2030年消除艾滋病毒有关的方案决定,这一补充分析将是有用的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
5.20
自引率
3.70%
发文量
97
期刊介绍: The International Journal of Behavioral Medicine (IJBM) is the official scientific journal of the International Society for Behavioral Medicine (ISBM). IJBM seeks to present the best theoretically-driven, evidence-based work in the field of behavioral medicine from around the globe. IJBM embraces multiple theoretical perspectives, research methodologies, groups of interest, and levels of analysis. The journal is interested in research across the broad spectrum of behavioral medicine, including health-behavior relationships, the prevention of illness and the promotion of health, the effects of illness on the self and others, the effectiveness of novel interventions, identification of biobehavioral mechanisms, and the influence of social factors on health. We welcome experimental, non-experimental, quantitative, qualitative, and mixed-methods studies as well as implementation and dissemination research, integrative reviews, and meta-analyses.
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