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Click to edit Master title style,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,*,Which comes first,:Sexual exploitation or other risk exposures among street-involved youth?,Dr.Elizabeth Saewyc,UBC School of Nursing,Vancouver,Co-authors and Funding Acknowledgments,Dr.Laura MacKay,Dr.Angela Henderson,Dr.Maya Peled,Melissa Northcott,Funded by CIHRs,Institute for Population&Public Health,Institute of Gender&Health,Office of Ethics,Street-involvement,Creates health challenges for youth,Risk-laden environments,Unstable housing,Alcohol and drugs,Violence,Infectious disease,Erratic access to basic necessities,Sexual exploitation/survival sex,What is sexual exploitation?,In BC,occurs when youth under age 19 trade sexual activities with adults in exchange for resources such as money,drugs,food,shelter,gifts,transportation or other material considerations,Illegal to exploit,regardless of presumed or explicit consent,But what comes first?,Sexual exploitation due to risk exposures once on the street?,or,Sexual exploitation leads to other risks afterwards?,Purpose,Timing of patterns of risk behaviours among sexually exploited youth in British Columbia,Suggestions for points of intervention to prevent exploitation,Methods,3 surveys of street-involved youth in cities across BC(all regions),SY 2000:12-19 y.o.,n=523,SY 2001:18-25 y.o.Vancouver only,n=180,SY 2006:12-18 y.o.,n=762,Participatory epidemiology approach,Methods,Pencil and paper surveys,read aloud,Questions assessed various life experiences,risk behaviours,Included age of first experience,i.e.,age first tried marijuana,Analyses,Timing of exploitation calculated as:,Prior to other risk behaviour,Same year as other risk,After other risk,Analyses separately by gender with cross-tabulations with,2,to test gender differences,Results,Results,In all surveys,both risk exposures and sexual exploitation occur at young ages:,Exploitation,14 to 15 years on average,Alcohol&marijuana use,12 to 13 years,Running away and being kicked out,13 years,Majority experienced other risks first,10-30%other risks,exploited same year,Few gender differences,Leaving home:Kicked out,(SY 2006 data Only),Leaving home:Running away,Street involvement,SY 2001,SY 2006,males,females,males,females,Street involved first,41%,52%,71%,62%,Both same year,22%,22%,22%,28%,Exploited first,37%,26%,7%,10%,Alcohol use,Marijuana use,What does this tell us?,For most youth,sexual exploitation occurs,once street-involved,after leaving home,and,after exposure to alcohol and drugs,All of these exposures happened very early for most youth,What can we do?,Intervening early in the cycle of leaving home,working with families,Services for younger teens with patterns of running away,those newly on the street,Thank you!,For pdf copy of report:,saewycinterchange.ubc.ca,
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