Sexual Exploitation as a Minor, Violence, and HIV/STI Risk among Women Trading Sex in St. Petersburg and Orenburg, Russia

摘要: Child sexual exploitation (CSE) is a major risk factor for acquiring human immunodeficiency virus/sexually transmitted infections (HIV/STI), violence and other health concerns, yet few studies have examined these associations in Russia until now. This study examines the prevalence of CSE (those entering sex trade as minor) among women how exposures behaviors related to HIV/STI structural risks differ from those who entered an adult. Women (N = 896) St. Petersburg Orenburg, were recruited via time-location sampling completed structured surveys. Adjusted logistic regression analyses assessed between victimization HIV risk-related exposures. Of 654 participants provided their age at first exploitation, 11% reported prior 18. Those more likely be organized by others prohibited leaving room or house using condoms; three-quarters experienced rape when trading sex; third involved pornography before 18 they had less education if minor. In adjusted analyses, minor significantly than adult report drug use (AOR 5.75, 95% CI 2.53–13.09) ≥5 clients/day (past 12 months; AOR 3.55, 1.56–8.08), receiving police assistance (AOR: 3.10, 1.26–7.54), fewer experiences extortion 0.35, 0.10–1.24). They four times participate 4.08, 1.32, 12.60) three been sexually abused child 2.93, 1.27, 7.54). Overall, entry was greater inability protect oneself STI/HIV.