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Little is known about the structure and context of, and the risks encountered in, sex work in the United States. This community-based participatory research CBPR study explored female sex work and the feasibility of conducting a larger study of sex work within the immigrant Latino community in North Carolina. Twelve abbreviated life story interviews were conducted with Latina women who sold sex, other women who sold sex to Latino men, and Latino men who hired sex workers. Content analysis was used to analyze narrative data. Themes emerged to describe the structure of sex work, motivations to sell and hire sex, and the sexual health-related needs of sex workers. Study findings suggest that it is possible to identify and recruit sex workers and clients and collect formative data within this highly vulnerable and neglected community; the prevention of HIV and STDs is a priority among sex workers, and the need for a larger study to include non-Latino men who report using Latina sex workers, other community insiders e.
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Using the structural-environmental conceptual framework, this study employed mixed methods to address the question of whether sex with female sex workers contributes to HIV risk among male immigrant Latino day laborers in suburban Maryland. Qualitative research was conducted to inform the development of a quantitative survey, but also provided crucial descriptions about the motivations, locations, arrangements, and sexual activities related to sex work. Condom use was nearly universal in encounters with female sex workers, thus indicating that the sex workers were not an important source of HIV transmission in this context. Logistic regression was performed to test a model predicting sex with sex workers.
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A Latina researcher found an effective way to increase condom use among women living in farmworker communities in Florida — an important step in reducing the risks of acquiring HIV among a vulnerable community with less access to health care. So part of the homework was for the women, who are mostly Latina immigrants, to examine their own bodies. As homework, the women had to practice using a female condom, which can be placed in the body hours before intercourse, giving the woman more control over safer sex. At the end of the study, women in general were three times more likely to use condoms, while single women were four times more likely to use them. According to the study, condom use went from 19 percent to 33 percent among sexually active women between the ages of 18 and
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