Occupational stigma as a primary barrier to health care for street-based sex workers in Canada.
Occupational stigma as a primary barrier to health care for street-based sex workers in Canada.
复制标题
DOI：
10.1080/13691058.2011.628411
复制
发表时间：
2012
期刊：
影响因子：
--
通讯作者：
Shannon K
中科院分区：
文献类型：
--
作者：
Lazarus L;Deering KN;Nabess R;Gibson K;Tyndall MW;Shannon K
在性产业工作的人继续经历许多负面的健康后果。因此，找出造成医疗服务差的因素仍然是一个关键的公共卫生优先事项。在一个准犯罪化的卖淫环境中，本研究旨在评估与性工作相关的职业耻辱感的流行程度及其与获得医疗服务障碍的关系。分析利用了来自加拿大温哥华街头性工作妇女社区队列的基线问卷数据（2006-8年）。在总共252名妇女中，141名（58.5%）报告了职业性工作耻辱（定义为向家人，朋友和/或家庭社区隐瞒职业性工作状况），而125名（49.6%）报告了在过去六个月内获得医疗服务的障碍。在多变量分析中，调整了社会人口，人际关系和工作环境风险，职业性工作的耻辱感仍然与健康获得障碍的可能性增加独立相关。研究结果表明，迫切需要在政策和社会上转变将性工作视为合法职业的观点，同时改善街头性工作者获得创新的、可获得的和非评判性的医疗保健提供模式的机会，其中包括性工作者直接参与制定和实施。
Individuals working in the sex industry continue to experience many negative health outcomes. As such, disentangling the factors shaping poor health access remains a critical public health priority. Within a quasi-criminalised prostitution environment, this study aimed to evaluate the prevalence of occupational stigma associated with sex work and its relationship to barriers to accessing health services. Analyses draw on baseline questionnaire data from a community-based cohort of women in street-based sex work in Vancouver, Canada (2006–8). Of a total of 252 women, 141 (58.5%) reported occupational sex work stigma (defined as hiding occupational sex work status from family, friends and/or home community), while 125 (49.6%) reported barriers to accessing health services in the previous six months. In multivariable analysis, adjusting for socio-demographic, interpersonal and work environment risks, occupational sex work stigma remained independently associated with an elevated likelihood of experiencing barriers to health access. Study findings indicate the critical need for policy and societal shifts in views of sex work as a legitimate occupation, combined with improved access to innovative, accessible and non-judgmental health care delivery models for street-based sex workers that include the direct involvement of sex workers in development and implementation.
登录
查看更多内容
影响因子：
3.6
作者：
Groves, J.;Newton, D. C.;Fairley, C. K.
通讯作者：
Fairley, C. K.
影响因子：
3.8
作者：
Reza-Paul, Sushena;Beattie, Tara;Moses, Stephen
通讯作者：
Moses, Stephen
DOI：
10.1080/09540120500466937
发表时间：
2006-10-01
影响因子：
1.7
作者：
Halli, S. S.;Ramesh, B. M.;Blanchard, J. F.
通讯作者：
Blanchard, J. F.
影响因子：
4.9
作者：
Liu, HJ;Hu, Z;Yang, HM
通讯作者：
Yang, HM
影响因子：
3.2
作者：
Benoit, C;Jansson, M;Phillips, R
通讯作者：
Phillips, R