A qualitative study into female sex workers' experience of stigma in the health care setting in Hong Kong
A qualitative study into female sex workers' experience of stigma in the health care setting in Hong Kong
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DOI：
10.1186/s12939-019-1084-1
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发表时间：
2019-11-14
影响因子：
4.8
通讯作者：
Loke, Alice Yuen
中科院分区：
文献类型：
--
作者：
Ma, Haixia;Loke, Alice Yuen
背景香港以优质的公共医疗服务享有盛誉。然而，越来越多的人认识到，社会耻辱是女性性工作者(FSWs)获得卫生保健服务的一个潜在障碍。在香港，缺乏针对性服务工作者在获得医疗服务时如何感受和应对污名的研究。目的本研究旨在探讨性服务工作者在获取医疗服务时如何感受到污名并制定应对策略。方法定性访谈研究。为香港的性工作者提供服务的非政府组织的工作人员协助招募参与者的过程。对22名性服务工作者进行了深入的个人访谈，重点关注她们在获得卫生保健服务时的污名经历和应对策略。采用定向内容分析方法对数据进行分析。结果访谈数据可以归类为三个主题：在卫生保健环境中经历污名；处理性工作的污名；呼吁非评判性全面卫生保健。结论本研究有助于了解香港暗娼在获得医疗服务时的污名和污名应对策略。对于很大比例的性服务工作者来说，耻辱仍然是一个重要的问题，因为他们寻求及时的专业帮助，公开自己的性工作身份，并接受全面的卫生保健服务。该研究还强调了需要解决性工作者的多种保健需求，而不仅仅是性传播疾病。此外，这项研究有助于提高对性服务工作者获得非歧视性卫生服务的人权的认识和尊重。
Background Hong Kong has gained a good reputation for its quality public health care services. However, there is a growing recognition that social stigma is a potential obstacle when female sex workers (FSWs) access health care services. There are a lack of studies focusing on how FSWs experience and cope with stigma when accessing health care services in Hong Kong. Objective This study aims to explore how FSWs experience stigma and develop coping strategies when accessing health care services in Hong Kong. Methods This is a qualitative interview study. Staff of non-governmental organizations (NGOs) that serve sex workers in Hong Kong facilitated the process of recruiting the participants. In-depth individual interviews were conducted with 22 FSWs, focusing on their experiences of stigma and coping strategies when accessing health care services. A directed content analysis approach was adopted to analyze the data. Results The interview data can be grouped into three themes: experience of stigma in the health care setting; coping with the stigma of sex work; and the call for non-judgmental holistic health care. Conclusion This study contributes to an understanding of the experience of stigma and stigma coping strategies of FSWs when accessing health care services in Hong Kong. stigma remains an important issue for a large proportion of FSWs when they seek timely professional help, openly disclose their sex work identity, and receive comprehensive health care services. The study also highlights the need to address multiple healthcare needs of FSWs beyond STDs. Moreover, the study contributes to increasing awareness of, and respect for, the human right of FSWs to receive non-discriminatory health services.