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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doaj-9baf937028fb46ca88c1ab106fb726782020-11-25T02:52:41ZengLevy Library PressAnnals of Global Health2214-99962020-08-0186110.5334/aogh.28892526Female Sex Workers’ Experiences of Violence and Substance Use on the Haitian, Dominican Republic BorderKristine R. Hearld0Henna Budhwani1Macarena Martínez-Órdenes2Amber Altaf3Julia Hasburn4John Waters5University of Alabama at BirminghamUniversity of Alabama at BirminghamUniversidad San SebastianPrinceton UniversityCaribbean Vulnerable Communities CoalitionCaribbean Vulnerable Communities CoalitionBackground: 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.https://annalsofglobalhealth.org/articles/2889 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Kristine R. Hearld Henna Budhwani Macarena Martínez-Órdenes Amber Altaf Julia Hasburn John Waters |
spellingShingle |
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 Annals of Global Health |
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 |
Levy Library Press |
series |
Annals of Global Health |
issn |
2214-9996 |
publishDate |
2020-08-01 |
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. |
url |
https://annalsofglobalhealth.org/articles/2889 |
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