Maiko Ohtaka, Izumi Hiramoto, Hiroshi Minagawa, Masashi Matsuzaki, Hideya Kodama
Screening of the Maturity Status of the Tibial Tuberosity by Ultrasonography in Higher Elementary School Grade Schoolchildren
International journal of environmental research and public health
explore factors associated early age entry sex work among cohort female sex workers fsws nairobi kenya younger age sex work initiation increases risk hiv acquisition condom nonuse violence victimisation alcohol andor substance use problems study aimed understand factors childhood adolescence shape vulnerability underage sex work initiation building previous qualitative research cohort analysis behaviouralbiological crosssectional data using hierarchical logistic regression fsws aged 1845 years randomly selected seven sex workers outreach programme clinics nairobi june december 2019 completed baseline behaviouralbiological survey measurement tools included adverse childhood experiences alcohol smoking substance involvement screening test questionnaires sociodemographic information sexual risk behaviours genderbased violence descriptive statistics logistic regression conducted using hierarchical modelling 1003 fsws participated baseline survey response rate 96 176 175 initiated sex work underage 18 years multivariable analysis factors associated entering sex work underage included incomplete secondary school education aor282 95 ci169 473 experiencing homelessness child aor220 95 ci139 348 experiencing childhood physical sexual violence aor185 95 ci109 315 young age sexual debut 15 years aor503 95 ci183 1379 childless time sex work initiation aor980 95 ci360 2666 lower education level childhood homelessness combined sexual violence sexual risk behaviours childhood create pathways underage initiation sex work interventions designed girls young women pivotal points lives could help prevent underage sex work initiation associated health social economic consequences