Barriers to health and social services for street-based sex workers
Barriers to health and social services for street-based sex workers
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DOI：
10.1353/hpu.2005.0038
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发表时间：
2005-05-01
影响因子：
1.4
通讯作者：
Inciardi, JA
中科院分区：
文献类型：
--
作者：
Kurtz, SP;Surratt, HL;Inciardi, JA
街头性工作者面临无家可归、贫穷、滥用药物和暴力侵害等问题，产生了对各种保健和社会服务的需求，但同时也成为获得这些服务的障碍。本研究利用访谈（n = 586）和焦点小组（n = 25）数据来调查佛罗里达州迈阿密女性性工作者的服务需求和相关障碍。妇女最常报告的急性急性疾病服务需求包括住所、淡水、交通、危机干预和戒毒，以及对精神和身体保健、药物治疗、法律和就业服务的长期需求。障碍包括结构因素（如项目目标人群、旅行成本、办公时间和社会污名）和个人因素（如吸毒、精神稳定和恐惧）。鉴于这一人群的疾病负担，从公共卫生角度来看，弥合这些差距非常重要。建议包括服务人员培训、外展和有前途的研究方向。
Homelessness, poverty, drug abuse and violent victimization faced by street-based women sex workers create needs for a variety of health and social services, yet simultaneously serve as barriers to accessing these very services. The present study utilized interview (n = 586) and focus group (n = 25) data to examine the service needs and associated barriers to access among women sex workers in Miami, Florida. Women most often reported acute OF service needs for shelter, fresh water, transportation, crisis intervention, and drug detoxification, as well as long-term needs for mental and physical health care, drug treatment, and legal and employment services. Barriers included both structural (e.g., program target population, travel costs, office hours, and social stigma) and individual (e.g., drug use, mental stability, and fear) factors. Bridging these gaps is tremendously important from a public health perspective given the disease burden among this population. Recommendations include service staff training, outreach, and promising research directions.