International Journal of Gynecology and Obstetrics
Volume 132, Issue 1, 2016, Pages 55-59

Socio-structural and behavioral risk factors associated with trafficked history of female bar/spa entertainers in the sex trade in the Philippines (Conference Paper)

Urada L.A.* , Halterman S. , Raj A. , Tsuyuki K. , Pimentel-Simbulan N. , Silverman J.G.
  • a Division of Global Public Health, Department of Medicine, University of California, San Diego, CA, United States, Division of Global Public Health, University of California, San Diego School of Medicine, MC 0507, 9500 Gilman Drive, San Diego, CA 92093-0507, United States
  • b School of Medicine, University of California, San Diego, CA, United States
  • c Division of Global Public Health, Department of Medicine, University of California, San Diego, CA, United States
  • d Division of Global Public Health, Department of Medicine, University of California, San Diego, CA, United States
  • e Department of Behavioral Sciences, College of Arts and Sciences, University of the Philippines, Manila, Philippines
  • f Division of Global Public Health, Department of Medicine, University of California, San Diego, CA, United States

Abstract

Objective To explore factors associated with trafficking (deceptive/coercive entry to sex trade) among female bar/spa entertainers who traded sex in the Philippines. Method Female bar/spa entertainers who traded sex in the past 6 months were recruited from 25 bar/spa venues in Metro Manila (April 2009-January 2010) and assessed via cross-sectional survey data collection for HIV-risk-related socio-structural factors associated with deceptive/coercive entry into the sex trade. The study employed hierarchical linear modeling. Results Of 166 bar/spa entertainers assessed, 19 (11.4%) reported being deceived/coerced (i.e. trafficked) into their first jobs. Trafficking history was independently associated with current drug use (adjusted odds ratio [AOR] 2.05; 95% confidence interval [CI] 1.00-3.97) decreased availability of condoms at venues for entertainers (AOR 0.18; 95% CI 0.05-0.71) and, conversely, increased peer support for practicing safer sex behaviors (AOR 3.08; 95% CI 1.63-5.09). Those deceived/coerced into their positions were more likely than non-trafficked women to have been recruited by an agency who came to their rural province (AOR 12.07; 95% CI 1.77-82.25) as opposed to getting the job from advertisement (AOR 0.10; 95% CI 0.02-0.65) or a friend/acquaintance (AOR 0.02; 95% CI 0.00-0.48). Conclusion The findings have implications for designing interventions to prevent and target trafficked women in the Philippines who may be more vulnerable to substance use and, potentially, HIV infection. © 2015 International Federation of Gynecology and Obstetrics.

Author Keywords

Sex work Sexually transmitted infections Socio-structural factors HIV/AIDS Trafficking

Index Keywords

rural area HIV Infections Human immunodeficiency virus infection Safe Sex human friend statistics and numerical data condom Condoms social aspect priority journal Substance-Related Disorders controlled study Coercion drug dependence persuasive communication sex worker sex trafficking Cross-Sectional Studies Deception condom use Young Adult cross-sectional study Humans psychology Adolescent female Socioeconomic Factors risk factor substance use Risk Factors socioeconomics prostitution Conference Paper peer group human trafficking high risk behavior advertizing adult infection risk drug use utilization Linear Models Sex Workers statistical model Philippines sexual coercion performing artist

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84954378950&doi=10.1016%2fj.ijgo.2015.07.004&partnerID=40&md5=502728b02f74a541a369063813c9e5b8

DOI: 10.1016/j.ijgo.2015.07.004
ISSN: 00207292
Cited by: 6
Original Language: English