Food Insecurity Increases HIV Risk Among Young Sex Workers in Metro Vancouver,Canada |
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Authors: | Daniella Barreto Kate Shannon Chrissy Taylor Sabina Dobrer Jessica St. Jean Shira M. Goldenberg Putu Duff Kathleen N. Deering |
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Affiliation: | 1.BC Centre for Excellence in HIV/AIDS,St. Paul’s Hospital,Vancouver,Canada;2.YouthCO HIV & Hep C Society,Vancouver,Canada;3.Department of Medicine,University of British Columbia,Vancouver,Canada;4.Faculty of Health Sciences,Simon Fraser University,Burnaby,Canada |
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Abstract: | This research aimed to determine the effect of food insecurity on sexual HIV risk with clients among youth sex workers (YSWs) <30 years in Metro Vancouver, Canada. Data were drawn from a prospective community cohort of sex workers (2010–2013). We examined the independent relationship between YSWs’ food insecurity and being pressured into sex without a condom by clients (“client condom refusal”). Of 220 YSWs, 34.5 % (n = 76) reported client condom refusal over the 3.5-year study period and 76.4 % (n = 168) reported any food insecurity. Adjusting for other HIV risk pathways, food insecurity retained an independent effect on client condom refusal (AOR 2.08, 95 % CI 1.23–3.51), suggesting that food insecurity is significantly associated with HIV risk among YSWs. This study indicates a critical relationship between food insecurity and HIV risk, and demonstrates YSWs’ particular vulnerability. Public policies for food assistance as a harm reduction measure may be key to addressing this disparity. |
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