reducing harm from hivaids misconceptions among female sex workers in tijuana and ciudad juarez, mexico a cross sectional analysis减少伤害的条件之间的误解女性性工作者在提华纳和华雷斯城,墨西哥一个横截面分析.pdfVIP

Robertson et al. Harm Reduction Journal 2012, 9:35 /content/9/1/35 RESEARCH Open Access Reducing harm from HIV/AIDS misconceptions among female sex workers in Tijuana and Ciudad Juarez, Mexico: A cross sectional analysis 1 1 1 2 3 Angela M Robertson , Victoria D Ojeda , Lucie Nguyen , Remedios Lozada , Gustavo A Martínez , Steffanie A Strathdee1 and Thomas L Patterson4* Abstract Background: HIV prevalence is increasing among female sex workers (FSWs) in Mexico’s Northern border region, who experience multiple occupational risks. Improving vulnerable populations’ education, empowerment, and access to preventive services are important components of harm reduction strategies. Given the increasing interest in adapting harm reduction principles from drug use to sex work and other public health responses to the HIV epidemic, we used a sex work harm reduction framework to guide our investigation of FSWs’ HIV knowledge. Methods: From 2004–2006, FSWs aged ≥18 years in Tijuana and Ciudad Juarez participated in a behavioral intervention study and completed structured interviews. Measures included HIV knowledge assessment and factors within each domain of our theoretical framework for sex work harms: (1) socio-demographic factors that may lead to sex work, (2) sex work characteristics and behaviors that may lead to harm, and (3) mutually reinforcing harms that lead to sex work and result from it (e.g., drug abuse). Negative binomial regression identified factors independently associated with suboptimal HIV knowledge (i.e., incorrect responses during the HIV knowledge assessment). Results: Among 924 FSWs, the median proportion of incorrect responses was nearly one third (28% incorrect). Examination of item re