Introduction

In the Philippines, drug use is inevitably embedded in the culture of sex work. This has led to an increase in HIV infection rates within the country. However, exploration of sex work engagement particularly among people who used drugs remains to be understudied.

Method

This is a quantitative cross-sectional study done in 2015 to 2016 with 392 eligible participants aged 10 to 35 recruited from 6 TRCs in Luzon, Philippines. Data was collected through administered questionnaires and analyzed using logistic regression and chi square.

Results

Sex work engagement was found to be highly likely among substance users who lived with a drug user, experienced sexual, verbal, and physical abuse, and had problems with friends. On the contrary, sex work engagement was found to have no significant relationship with sociodemographic profile and psychological symptoms. Lastly, results on HIV testing indicate a low case finding rate.

Discussion

There is a lack of HIV testing among the doubly vulnerable population of drug users turned sex workers, whose kinship systems, social environment, and experiences of social injustice influenced their engagement in sex work.

Conclusion

Shifting focus on public health approaches such as harm reduction and community-based programs are necessary in addressing the needs of drug users turned sex workers.

Policy Implication

Policies based on public health approaches may reduce stigma and improve health outcomes among individuals who engage in sex work and drug use.

中文翻译：

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菲律宾吸毒者心理社会因素，HIV和性工作的关系

介绍

在菲律宾，吸毒不可避免地根植于性工作文化中。这导致该国艾滋病毒感染率上升。然而，探索性工作的参与，特别是在吸毒人群中的探索仍有待研究。

方法

这是一项在2015年至2016年进行的定量横断面研究，从菲律宾吕宋岛的6个TRC中招募了392名年龄在10至35岁之间的合格参与者。通过管理问卷收集数据，并使用逻辑回归和卡方分析。

结果

发现与吸毒者一起生活，经历过性，口头和身体虐待以及与朋友有问题的吸毒者极有可能从事性工作。相反，发现从事性工作与社会人口统计学特征和心理症状没有显着关系。最后，艾滋病毒检测结果表明发现病例的比率很低。

讨论

在吸毒者转变为性工作者的双重脆弱群体中，缺乏艾滋病毒检测，其亲属制度，社会环境和社会不公正经历影响了他们从事性工作。

结论

为了满足吸毒者转变为性工作者的需求，有必要将重点转移到减少伤害和基于社区的计划等公共卫生方法上。

政策含义

基于公共卫生方法的政策可以减少从事性工作和吸毒的个人的污名，并改善他们的健康结果。