Abstract
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.
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Acknowledgements
The data for this study were derived from a research entitled “Drug Use and Behavioral Health Among Young People In Metro-Manila: A Baseline Cum Intervention Study.” The contributions of the following persons to the project are hereby acknowledged: Andrea B. Martinez, Gaea Marelle Miranda, Mariel Quiogue, and Kim Ronaline Salvador.
Funding
This work was supported by the Office of the Vice President for Academic Affairs, University of the Philippines System through the Emerging Interdisciplinary Research (EIDR) Program (grant number C2-R-07-612-98).
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This manuscript has been subjected to ethics review by the University of the Philippines Manila Research Ethics Board (UPMREB, code 2013-154-01) and has been endorsed favorably by the said board.
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Estacio, L., Estacio, J.Z. & Alibudbud, R. Relationship of Psychosocial Factors, HIV, and Sex Work Among Filipino Drug Users. Sex Res Soc Policy 18, 933–940 (2021). https://doi.org/10.1007/s13178-021-00563-0
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DOI: https://doi.org/10.1007/s13178-021-00563-0