Homelessness among a cohort of women in street-based sex work: the need for safer environment interventions

<p>Abstract</p> <p>Background</p> <p>Drawing on data from a community-based prospective cohort study in Vancouver, Canada, we examined the prevalence and individual, interpersonal and work environment correlates of homelessness among 252 women in street-based sex work.&...

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Main Authors: Gibson Kate, Deering Kathleen, Duff Putu, Tyndall Mark, Shannon Kate
Format: Article
Language:English
Published: BMC 2011-08-01
Series:BMC Public Health
Online Access:http://www.biomedcentral.com/1471-2458/11/643
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author Gibson Kate
Deering Kathleen
Duff Putu
Tyndall Mark
Shannon Kate
author_facet Gibson Kate
Deering Kathleen
Duff Putu
Tyndall Mark
Shannon Kate
author_sort Gibson Kate
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>Drawing on data from a community-based prospective cohort study in Vancouver, Canada, we examined the prevalence and individual, interpersonal and work environment correlates of homelessness among 252 women in street-based sex work.</p> <p>Methods</p> <p>Bivariate and multivariate logistic regression using generalized estimating equations (GEE) was used to examine the individual, interpersonal and work environment factors that were associated with homelessness among street-based sex workers.</p> <p>Results</p> <p>Among 252 women, 43.3% reported homelessness over an 18-month follow-up period. In the multivariable GEE logistic regression analysis, younger age (adjusted odds ratio [aOR] = 0.93; 95%confidence interval [95%CI] 0.93-0.98), sexual violence by non-commercial partners (aOR = 2.14; 95%CI 1.06-4.34), servicing a higher number of clients (10+ per week vs < 10) (aOR = 1.68; 95%CI 1.05-2.69), intensive, daily crack use (aOR = 1.65; 95%CI 1.11-2.45), and servicing clients in public spaces (aOR = 1.52; CI 1.00-2.31) were independently associated with sleeping on the street.</p> <p>Conclusions</p> <p>These findings indicate a critical need for safer environment interventions that mitigate the social and physical risks faced by homeless FSWs and increase access to safe, secure housing for women.</p>
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spelling doaj.art-1f2f05c622b249abbc7112e0efec84902022-12-22T00:24:20ZengBMCBMC Public Health1471-24582011-08-0111164310.1186/1471-2458-11-643Homelessness among a cohort of women in street-based sex work: the need for safer environment interventionsGibson KateDeering KathleenDuff PutuTyndall MarkShannon Kate<p>Abstract</p> <p>Background</p> <p>Drawing on data from a community-based prospective cohort study in Vancouver, Canada, we examined the prevalence and individual, interpersonal and work environment correlates of homelessness among 252 women in street-based sex work.</p> <p>Methods</p> <p>Bivariate and multivariate logistic regression using generalized estimating equations (GEE) was used to examine the individual, interpersonal and work environment factors that were associated with homelessness among street-based sex workers.</p> <p>Results</p> <p>Among 252 women, 43.3% reported homelessness over an 18-month follow-up period. In the multivariable GEE logistic regression analysis, younger age (adjusted odds ratio [aOR] = 0.93; 95%confidence interval [95%CI] 0.93-0.98), sexual violence by non-commercial partners (aOR = 2.14; 95%CI 1.06-4.34), servicing a higher number of clients (10+ per week vs < 10) (aOR = 1.68; 95%CI 1.05-2.69), intensive, daily crack use (aOR = 1.65; 95%CI 1.11-2.45), and servicing clients in public spaces (aOR = 1.52; CI 1.00-2.31) were independently associated with sleeping on the street.</p> <p>Conclusions</p> <p>These findings indicate a critical need for safer environment interventions that mitigate the social and physical risks faced by homeless FSWs and increase access to safe, secure housing for women.</p>http://www.biomedcentral.com/1471-2458/11/643
spellingShingle Gibson Kate
Deering Kathleen
Duff Putu
Tyndall Mark
Shannon Kate
Homelessness among a cohort of women in street-based sex work: the need for safer environment interventions
BMC Public Health
title Homelessness among a cohort of women in street-based sex work: the need for safer environment interventions
title_full Homelessness among a cohort of women in street-based sex work: the need for safer environment interventions
title_fullStr Homelessness among a cohort of women in street-based sex work: the need for safer environment interventions
title_full_unstemmed Homelessness among a cohort of women in street-based sex work: the need for safer environment interventions
title_short Homelessness among a cohort of women in street-based sex work: the need for safer environment interventions
title_sort homelessness among a cohort of women in street based sex work the need for safer environment interventions
url http://www.biomedcentral.com/1471-2458/11/643
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