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Syphilis and Prostitution: A View from the Stroll

Syphilis and Prostitution: A View from the Stroll. N.L. Winterbauer, M.S., Ph.D Community Outreach and Intervention Projects University of Illinois, Chicago. P&S Syphilis, Chicago, by Year. P&S Syphilis Cases by Zip Code, 1999. 60701. 60626. 60631. 60646. 60659. 60630. 60625. 60656.

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Syphilis and Prostitution: A View from the Stroll

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  1. Syphilis and Prostitution: A View from the Stroll N.L. Winterbauer, M.S., Ph.D Community Outreach and Intervention Projects University of Illinois, Chicago

  2. P&S Syphilis, Chicago, by Year

  3. P&S Syphilis Cases by Zip Code, 1999 60701 60626 60631 60646 60659 60630 60625 60656 60640 60613 Lakeview 60618 60634 60641 60657 60635 60647 60614 60639 Gunner 60622 60651 60671 PS Syphilis Cases 60601 60624 60612 Mile Square More than 10 (11) 60605 6 to 10 (11) 60616 60608 31stStreet 1 to 5 (17) 60623 0 to 0 (45) 60653 60632 60609 60615 Englewood 60638 60637 60621 60629 60649 60652 60619 60620 60617 60655 60628 60643 Roseland 60658 60633

  4. Syphilis and Prostitution: Methods • 57 Semi-structured, open-ended interviews • Recruitment • CDPH STD clinic (n=13) • Street outreach (n=44) • Key informant interviews • Observations along strolls and other risk venues

  5. Syphilis and Prostitution: “Punishment Stroll” • Recruitment sites: > 90% African American • Among Chicago’s highest concentration of: • People living below the poverty line • Unemployment • Persons receiving public aid • Births to mothers younger than 20 • All cause mortality • Crime

  6. Syphilis and Prostitution: Sample Characteristics

  7. The View from the Stroll • Low levels of community awareness • Little knowledge regarding: • Symptoms • Treatment • Cure • Reproductive health / biology • Local public health facilities

  8. Syphilis and Prostitution: Barriers to Prevention and Care • Drug addiction – the drug addicted woman is the most dependent person in the world • Sex-trading as a survival strategy • Low levels of education / awareness • Little “where-with-all” – diminished capacity • Police presence on strolls

  9. Police Presence on Strolls “And I’m like, damn, look like they would, you know, say that you better have a rubber on. But it’s like if you have a rubber on you, they fuck with you more. Yes. Yes.”

  10. Syphilis and Prostitution: Conclusions • Implications for Programs/Policy: • Street-level reproductive health centers that target drug-using women • Collaboration with law-enforcement agencies to develop alternatives to incarceration • Collaboration with service organizations • Implications for Research: • Sex-trading as a survival strategy • Understanding “triggers” for sex work

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