A comprehensive review of HIV/STI prevention and sexual and reproductive health services among sex Workers in Conflict-Affected Settings: call for an evidence- and rights-based approach in the humanitarian response.
A comprehensive review of HIV/STI prevention and sexual and reproductive health services among sex Workers in Conflict-Affected Settings: call for an evidence- and rights-based approach in the humanitarian response.
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全面审查受冲突影响环境中性工作者的艾滋病毒/性传播感染预防以及性健康和生殖健康服务：呼吁在人道主义响应中采用基于证据和权利的方法。
DOI：
10.1186/s13031-017-0124-y
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发表时间：
2017
影响因子：
3.6
通讯作者：
Goldenberg SM
中科院分区：
文献类型：
--
作者：
Ferguson A;Shannon K;Butler J;Goldenberg SM
虽然紧急人道主义和受冲突影响环境中的条件往往会导致性工作经济大幅增长，但有关这些环境中性工作的社会和结构条件以及对艾滋病毒/性传播感染预防和性工作者获得性健康和生殖健康（SRH）服务的影响的信息有限。我们的目标是全面审查关于艾滋病毒/性传播感染预防以及全球受冲突影响地区性工作者获得性健康和生殖健康服务的现有证据。我们对过去 15 年（2000-2015 年）发表的所有同行评审（流行病学和定性）和灰色文献进行了全面审查，重点关注 1）艾滋病毒/性传播感染的脆弱性或预防，和/或 2）受冲突影响环境中性工作者获得性健康和生殖健康服务的情况。结合使用性工作、冲突/流动、艾滋病毒/性传播感染和性健康与生殖健康服务术语，对五个数据库进行了检索。还手工检索了相关的同行评审文献和灰色文献，并交叉引用了关键论文以获取更多材料。筛选了 551 条记录，审查了 416 条记录。在 33 份描述受冲突影响地区性工作者预防艾滋病毒/性传播感染和/或获得性健康与生殖健康服务的记录中，24 份来自撒哈拉以南非洲地区； 18 项研究描述了主要研究的结果（13 项定量、3 项定性、2 项混合方法），15 项研究为非主要研究（例如评论、政策报告、纲领手册）。现有证据表明，在受冲突影响的环境中，社会工作者参与艾滋病毒/性传播感染预防和获得性健康与生殖健康服务的能力受到社会和结构性决定因素的严重削弱，包括广泛的暴力和侵犯人权行为、生计和传统社会结构崩溃、流离失所率高以及由于污名、歧视和刑事定罪而难以获得本已匮乏的卫生服务。该审查发现了针对受冲突影响的性工作者的艾滋病毒/性传播感染和性健康与生殖健康研究、政策和规划方面的重大差距，突显了人道主义应对措施中的关键差距。建议采取性工作者知情的政策和干预措施，以基于权利的方式促进艾滋病毒/性传播感染预防以及获得艾滋病毒和性健康与生殖健康服务，并建议进一步研究受冲突影响的性工作者获得艾滋病毒/性传播感染和性健康与生殖健康服务的程度。强烈建议从行为和生物医学方法转向基于人权的艾滋病毒/性传播感染预防和性健康与生殖健康方法。
While the conditions in emergency humanitarian and conflict-affected settings often result in significant sex work economies, there is limited information on the social and structural conditions of sex work in these settings, and the impacts on HIV/STI prevention and access to sexual and reproductive health (SRH) services for sex workers. Our objective was to comprehensively review existing evidence on HIV/STI prevention and access to SRH services for sex workers in conflict-affected settings globally. We conducted a comprehensive review of all peer review (both epidemiological and qualitative) and grey literature published in the last 15 years (2000–2015), focusing on 1) HIV/STI vulnerability or prevention, and/or 2) access to SRH services for sex workers in conflict-affected settings. Five databases were searched, using combinations of sex work, conflict/mobility, HIV/STI, and SRH service terms. Relevant peer-reviewed and grey literature were also hand-searched, and key papers were cross-referenced for additional material. Five hundred fifty one records were screened and 416 records reviewed. Of 33 records describing HIV/STI prevention and/or access to SRH services among sex workers in conflict-affected settings, 24 were from sub-Saharan Africa; 18 studies described the results of primary research (13 quantitative, 3 qualitative, 2 mixed-methods) and 15 were non-primary research (e.g., commentaries, policy reports, programmatic manuals). Available evidence indicated that within conflict-affected settings, SWs’ capacity to engage in HIV/STI prevention and access SRH services is severely undermined by social and structural determinants including widespread violence and human rights violations, the collapse of livelihoods and traditional social structures, high levels of displacement, and difficulties accessing already scant health services due to stigma, discrimination and criminalization. This review identified significant gaps in HIV/STI and SRH research, policy, and programming for conflict-affected sex workers, highlighting a critical gap in the humanitarian response. Sex worker-informed policies and interventions to promote HIV/STI prevention and access to HIV and SRH services using a rights-based approach are recommended, and further research on the degree to which conflict-affected sex workers are accessing HIV/STI and SRH services is recommended. A paradigm shift from the behavioural and biomedical approach to a human rights-based approach to HIV/STI prevention and SRH is strongly recommended.
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对非洲女性性工作者的基于设施的性和生殖健康服务的系统审查。
影响因子：
10.8
作者：
Dhana A;Luchters S;Moore L;Lafort Y;Roy A;Scorgie F;Chersich M
通讯作者：
Chersich M
影响因子：
56.3
作者：
Baral, Stefan;Beyrer, Chris;Kerrigan, Deanna
通讯作者：
Kerrigan, Deanna
影响因子：
3.8
作者：
Alary, Michel;Lowndes, Catherine M.;Nagot, Nicolas
通讯作者：
Nagot, Nicolas
DOI：
10.1111/j.1759-5436.2010.00121.x
发表时间：
2010-03-01
影响因子：
0.7
作者：
Abdullah, Hussainatu J.;Ibrahim, Aisha F.;King, Jamesina
通讯作者：
King, Jamesina
DOI：
10.1097/qai.0000000000001030
发表时间：
2016-09-01
影响因子：
3.6
作者：
Goldenberg, Shira M.;Muzaaya, Godfrey;Shannon, Kate
通讯作者：
Shannon, Kate