title: Exploring the context of trafficking and adolescent sex industry involvement in Tijuana, Mexico: consequences for HIV risk and prevention.
abstract: Coerced and adolescent sex industry involvement are linked to serious health and social consequences, including enhanced risk of HIV infection. Using ethnographic fieldwork, including interviews with 30 female sex workers with a history of coerced or adolescent sex industry involvement, we describe contextual factors influencing vulnerability to coerced and adolescent sex industry entry and their impacts on HIV risk and prevention. Early gender-based violence and economic vulnerability perpetuated vulnerability to coercion and adolescent sex exchange, while HIV risk mitigation capacities improved with increased age, control over working conditions, and experience. Structural interventions addressing gender-based violence, economic factors, and HIV prevention among all females who exchange sex are needed.
authors: University of British Columbia, Vancouver, Canada Gender and Sexual Health Initiative, British Columbia Centre for Excellence in HIV/AIDS, Vancouver, British Columbia, Canada sgoldenberg@cfenet.ubc.ca.
authors: Shira M
authors: SM
authors: Goldenberg
authors: University of California, San Diego, USA.
authors: Jay G
authors: JG
authors: Silverman
authors: San Diego State University, CA, USA.
authors: David
authors: D
authors: Engstrom
authors: El Colegio de la Frontera Norte, Tijuana, Mexico.
authors: Ietza
authors: I
authors: Bojorquez-Chapela
authors: San Diego State University, CA, USA.
authors: Paula
authors: P
authors: Usita
authors: University of California, San Diego, USA Universidad Xochicalco, Tijuana, Mexico.
authors: María Luisa
authors: ML
authors: Rolón
authors: University of California, San Diego, USA.
authors: Steffanie A
authors: SA
authors: Strathdee
mesh_terms: D000293:Adolescent; D000328:Adult; D003068:Coercion; D005260:Female; D015658:HIV Infections / Q000453:epidemiology / Q000517:prevention & control*; D015497:HIV-1; D064410:Human Trafficking / Q000706:statistics & numerical data*; D006801:Humans; D008800:Mexico / Q000453:epidemiology; D012307:Risk Factors; D012309:Risk-Taking; D011477:Sex Work / Q000706:statistics & numerical data; D060386:Sex Workers / Q000706:statistics & numerical data
keywords: HIV; adolescent sex exchange; sex trafficking; violence
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