Female Sex Workers’ Experiences of Violence and Substance Use on the Haitian, Dominican Republic Border

Background: Female sex workers (FSW) are socially and economically marginalized, and this vulnerability can be exacerbated when they hold the intersectional identity of also being an immigrant, such as in the case of Haitian FSWs in the Dominican Republic. Objective: Considering that half of migrato...

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Autores principales:	Kristine R. Hearld, Henna Budhwani, Macarena Martínez-Órdenes, Amber Altaf, Julia Hasburn, John Waters
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2020
Materias:	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/9baf937028fb46ca88c1ab106fb72678
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spelling	oai:doaj.org-article:9baf937028fb46ca88c1ab106fb726782021-12-02T08:46:45ZFemale Sex Workers’ Experiences of Violence and Substance Use on the Haitian, Dominican Republic Border2214-999610.5334/aogh.2889https://doaj.org/article/9baf937028fb46ca88c1ab106fb726782020-08-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/2889https://doaj.org/toc/2214-9996Background: Female sex workers (FSW) are socially and economically marginalized, and this vulnerability can be exacerbated when they hold the intersectional identity of also being an immigrant, such as in the case of Haitian FSWs in the Dominican Republic. Objective: Considering that half of migratory young women and girls relocating across the Latin American and Caribbean region do so without their families, increasing the likelihood of experiencing abuses, our primary objective was to test the hypothesis that Haitian FSWs in the Dominican Republic have higher odds of being physically abused by sexual partners compared to Haitian FSWs in Haiti. Methods: We conducted bivariate analyses and multivariate analyses on 2014 Hispaniola Sex Workers Study (N = 232). Findings: Approximately 80% of Haitian FSWs in the Dominican Republic reported experiencing violence by a regular partner (80.3%), compared with 60.0% of Haitian FSWs in Haiti (χ2 = 11.34, p < 0.001). Controlling for socio-demographics, substance use, childhood abuse, and sexual behaviors, Haitian FSWs in Haiti maintained lower odds of experiencing violence by a regular partner (OR:0.37, p < 0.01) and higher odds of experiencing violence from a coworker (OR:6.38, p < 0.001) compared to FSWs in the Dominican Republic. Using sex to avoid arrest is associated with higher odds of experiencing violence by a client and violence by a coworker (OR:2.18, p < 0.05; OR:3.74, p < 0.001; respectively). Accepting payment in the form of drugs/alcohol is associated with higher odds of experiencing physical violence by a regular partner but lower odds of experiencing violence by a client (OR:3.99, p < 0.05; OR:0.43, p < 0.05; respectively). Conclusions: Assuming health is a human right, then practitioners and scholars must actively collaborate to fortify vulnerable populations against injurious structural and sociocultural forces examining the intersectionality and compound effects of multiple stigmatized identities, in this study being an FSW and an immigrant, that moderate the potential positive effects of public health interventions.Kristine R. HearldHenna BudhwaniMacarena Martínez-ÓrdenesAmber AltafJulia HasburnJohn WatersUbiquity PressarticleInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 86, Iss 1 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
spellingShingle	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 Kristine R. Hearld Henna Budhwani Macarena Martínez-Órdenes Amber Altaf Julia Hasburn John Waters Female Sex Workers’ Experiences of Violence and Substance Use on the Haitian, Dominican Republic Border
description	Background: Female sex workers (FSW) are socially and economically marginalized, and this vulnerability can be exacerbated when they hold the intersectional identity of also being an immigrant, such as in the case of Haitian FSWs in the Dominican Republic. Objective: Considering that half of migratory young women and girls relocating across the Latin American and Caribbean region do so without their families, increasing the likelihood of experiencing abuses, our primary objective was to test the hypothesis that Haitian FSWs in the Dominican Republic have higher odds of being physically abused by sexual partners compared to Haitian FSWs in Haiti. Methods: We conducted bivariate analyses and multivariate analyses on 2014 Hispaniola Sex Workers Study (N = 232). Findings: Approximately 80% of Haitian FSWs in the Dominican Republic reported experiencing violence by a regular partner (80.3%), compared with 60.0% of Haitian FSWs in Haiti (χ2 = 11.34, p < 0.001). Controlling for socio-demographics, substance use, childhood abuse, and sexual behaviors, Haitian FSWs in Haiti maintained lower odds of experiencing violence by a regular partner (OR:0.37, p < 0.01) and higher odds of experiencing violence from a coworker (OR:6.38, p < 0.001) compared to FSWs in the Dominican Republic. Using sex to avoid arrest is associated with higher odds of experiencing violence by a client and violence by a coworker (OR:2.18, p < 0.05; OR:3.74, p < 0.001; respectively). Accepting payment in the form of drugs/alcohol is associated with higher odds of experiencing physical violence by a regular partner but lower odds of experiencing violence by a client (OR:3.99, p < 0.05; OR:0.43, p < 0.05; respectively). Conclusions: Assuming health is a human right, then practitioners and scholars must actively collaborate to fortify vulnerable populations against injurious structural and sociocultural forces examining the intersectionality and compound effects of multiple stigmatized identities, in this study being an FSW and an immigrant, that moderate the potential positive effects of public health interventions.
format	article
author	Kristine R. Hearld Henna Budhwani Macarena Martínez-Órdenes Amber Altaf Julia Hasburn John Waters
author_facet	Kristine R. Hearld Henna Budhwani Macarena Martínez-Órdenes Amber Altaf Julia Hasburn John Waters
author_sort	Kristine R. Hearld
title	Female Sex Workers’ Experiences of Violence and Substance Use on the Haitian, Dominican Republic Border
title_short	Female Sex Workers’ Experiences of Violence and Substance Use on the Haitian, Dominican Republic Border
title_full	Female Sex Workers’ Experiences of Violence and Substance Use on the Haitian, Dominican Republic Border
title_fullStr	Female Sex Workers’ Experiences of Violence and Substance Use on the Haitian, Dominican Republic Border
title_full_unstemmed	Female Sex Workers’ Experiences of Violence and Substance Use on the Haitian, Dominican Republic Border
title_sort	female sex workers’ experiences of violence and substance use on the haitian, dominican republic border
publisher	Ubiquity Press
publishDate	2020
url	https://doaj.org/article/9baf937028fb46ca88c1ab106fb72678
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Female Sex Workers’ Experiences of Violence and Substance Use on the Haitian, Dominican Republic Border

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