"I was beaten severely for having spoken to a client instead of silently obeying.
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RDS-weighted logistic regression was used to identify correlates of prior HIV testing.
Results RDS-adjusted prevalence of prior and recent (≤12 months) HIV testing was 63.5% (95% CI 51.9% to 73.5%) and 36.8% (95% CI 25.4% to 46.4%), respectively.
She said she was being held prisoner at the brothel by "Francisco" and his family, who together had tricked her into believing he would marry her when she was a teenager.
His method of "charming" her to gain her trust is reportedly common in the town, with one in five children in Tenancingo saying they want to be a pimp when they grow older because it is seen as lucrative, and women are regarded as the property of men.
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Prior HIV testing was positively associated with older age (adjusted OR (AOR)=1.09, 95% CI 1.04 to 1.15), being born in Tijuana (AOR=2.68, 95% CI 1.05 to 6.86), higher levels of education (AOR=2.65, 95% CI 1.08 to 6.53), identifying as homosexual or gay (AOR=3.73, 95% CI 1.48 to 9.42), being more ‘out’ about having sex with men (AOR=1.28, 95% CI:1.02 to 1.62), and a history of sexual abuse (AOR=3.24, 95% CI 1.06 to 9.86).
Prior HIV testing was negatively associated with reporting more condomless anal intercourse acts (past 2 months) (AOR=0.95, 95% CI 0.92 to 0.98) and greater internalised homophobia (AOR=0.92, 95% CI 0.86 to 0.99).
Together, these cultural factors create a perfect storm for generations upon generations of unspoken incest, a cycle that takes great courage and strength to heal from and overcome.
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