Homelessness among a cohort of women in street-based sex work: the need for safer environment interventions

BMC Public Health

Research Article

Mark Tyndall¹  Putu Duff²  Kathleen Deering²  Kate Shannon³  Kate Gibson⁴ 

[1] British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital, 608-1081 Burrard Street, V6Z 1Y6, Vancouver, BC, Canada;British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital, 608-1081 Burrard Street, V6Z 1Y6, Vancouver, BC, Canada;School of Population and Public Health, University of British Columbia, 5804 Fairview Avenue, V6T 1Z3, Vancouver, BC, Canada;British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital, 608-1081 Burrard Street, V6Z 1Y6, Vancouver, BC, Canada;School of Population and Public Health, University of British Columbia, 5804 Fairview Avenue, V6T 1Z3, Vancouver, BC, Canada;Department of Medicine, University of British Columbia, St. Paul's Hospital, 608-1081 Burrard Street, V6Z 1Y6, Vancouver, BC, Canada;WISH Drop-In Centre Society, V6B 1S5, Vancouver, BC, Canada;

关键词: Sexual Violence;    Generalize Estimate Equation;    Injection Drug User;    Work Environment Factor;    Multivariable Generalize Estimate Equation;   

DOI  :  10.1186/1471-2458-11-643

 received in 2011-05-06, accepted in 2011-08-12,  发布年份 2011

来源: Springer

【 摘 要 】

BackgroundDrawing on data from a community-based prospective cohort study in Vancouver, Canada, we examined the prevalence and individual, interpersonal and work environment correlates of homelessness among 252 women in street-based sex work.MethodsBivariate and multivariate logistic regression using generalized estimating equations (GEE) was used to examine the individual, interpersonal and work environment factors that were associated with homelessness among street-based sex workers.ResultsAmong 252 women, 43.3% reported homelessness over an 18-month follow-up period. In the multivariable GEE logistic regression analysis, younger age (adjusted odds ratio [aOR] = 0.93; 95%confidence interval [95%CI] 0.93-0.98), sexual violence by non-commercial partners (aOR = 2.14; 95%CI 1.06-4.34), servicing a higher number of clients (10+ per week vs < 10) (aOR = 1.68; 95%CI 1.05-2.69), intensive, daily crack use (aOR = 1.65; 95%CI 1.11-2.45), and servicing clients in public spaces (aOR = 1.52; CI 1.00-2.31) were independently associated with sleeping on the street.ConclusionsThese findings indicate a critical need for safer environment interventions that mitigate the social and physical risks faced by homeless FSWs and increase access to safe, secure housing for women.

【 授权许可】

Unknown   
© Duff et al; licensee BioMed Central Ltd. 2011. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.