title: The influence of having children on HIV-related risk behaviors of female sex workers and their intimate male partners in two Mexico-US border cities.
abstract: Among female sex workers who use drugs, the experience of having children and its effect on HIV risk behaviors remains underexplored. We draw from a study of 214 female sex workers and their intimate non-commercial partners in Tijuana and Ciudad Juárez, México (n = 428), approximately 30% of whom have children living with them. During qualitative interviews with 41 of these couples, having children emerged as an important topic. Children influenced partners' lives and HIV-related risk behaviors in positive and negative ways. Couples perceived that children strengthened their relationships. Concern for children's well-being motivated couples to contemplate healthier lifestyle changes. However, childrearing costs motivated sex work and structural constraints prevented couples from enacting lifestyle changes. Case studies illustrate these themes and highlight implications for couple- and family-based harm reduction interventions. Specifically, our results suggest a need for economic alternatives to sex work while working with families to develop risk reduction skills.
authors: Division of Global Public Health, Department of Medicine, UC San Diego, CA 92093-0507, USA.
authors: Maria Luisa
authors: ML
authors: Rolon
authors: Jennifer L
authors: JL
authors: Syvertsen
authors: Angela M
authors: AM
authors: Robertson
authors: M Gudelia
authors: MG
authors: Rangel
authors: Gustavo
authors: G
authors: Martinez
authors: Monica D
authors: MD
authors: Ulibarri
authors: Argentina
authors: A
authors: Servin
authors: Steffanie A
authors: SA
authors: Strathdee
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D005260:Female; D015658:HIV Infections / Q000517:prevention & control; D006801:Humans; D007223:Infant; D007398:Interpersonal Relations; D007407:Interviews as Topic; D008297:Male; D008800:Mexico; D036301:Qualitative Research; D012309:Risk-Taking; D011477:Sex Work; D060386:Sex Workers / Q000523:psychology*; D012725:Sexual Behavior / Q000523:psychology*; D012747:Sexual Partners / Q000523:psychology*; D012959:Socioeconomic Factors; D047568:Unsafe Sex
keywords: HIV; Mexico; children; couple-based research; female sex workers