Reducing stigma in healthcare and law enforcement: a novel approach to service provision for street level sex workers.
Reducing stigma in healthcare and law enforcement: a novel approach to service provision for street level sex workers.
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DOI：
10.1186/s12939-015-0156-0
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发表时间：
2015-04-09
影响因子：
4.8
通讯作者：
O'Shea T
中科院分区：
文献类型：
--
作者：
Bodkin K;Delahunty-Pike A;O'Shea T
为街头性工作者提供服务需要采取多学科的方法，既要解决其年龄和性别特有的健康和安全问题，也要解决其工作领域特有的问题。尽管性工作者是一个多样化的人群，但研究已经确定了性工作者的一些特定健康需求，包括成瘾治疗，心理健康。此外，研究表明，这一人群遭受人身攻击和性攻击的风险更高。加拿大安大略伦敦的风险人群方案于2005年启动，目的是通过使用减少危害的警务和医疗保健提供模式，满足街头性工作者的具体需求。这项定性研究从改善街头性工作者获得医疗保健和基本警察服务的角度评估了这种护理模式。共有14个半结构化的采访进行了与当前和以前的女性街头性工作者参加PAR计划。此外，还与卫生和执法专业人员进行了3次半结构化访谈。然后，研究小组使用定性描述对成绩单进行分析和编码，以确定数据中的关键主题。结果表明，参与者代表了一个脆弱的人群，他们对成瘾，心理健康和传染病的安全问题和医疗保健需求增加。尽管如此，参与者报告说，由于害怕耻辱或影响，他们过去会避开医护人员和警察。所有参与者都认为PAR计划的危害减少方法对他们继续参与该计划至关重要。其他重要方面包括灵活的工作时间、诊所的地点、简化获得心理健康和成瘾治疗的途径以及警察和保健工作者的女性性别。PAR计划为性工作者提供了急需的初级医疗保健，这种医疗保健是灵活的，没有判断。此外，还为他们提供了接触执法部门的直接渠道。我们认为类似的护理模式可以适用于加拿大的许多城市。
Providing services for street level sex workers requires a multidisciplinary approach, addressing both health and safety concerns typical of their age and gender and those that arise specific to their line of work. Despite being a diverse population, studies have identified some specific health needs for sex workers including addictions treatment, mental health. Additionally, studies have shown a higher risk of physical and sexual assault for this population. The Persons at Risk program (PAR) in London, Ontario, Canada was started in 2005 to address the specific needs of street level sex workers by using a harm-reduction model for policing and healthcare provision. This qualitative study evaluated this model of care in terms of improving access to healthcare and essential police services for street level sex workers. A total of 14 semi-structured interviews were conducted with current and former female street level sex workers enrolled in the PAR program. In addition, 3 semi-structured interviews were conducted with health and law enforcement professionals. The research team then analyzed and coded the transcripts using qualitative description to identify key themes in the data. Results indicated that participants represent a vulnerable population with increased safety concerns and healthcare needs relating to addictions, mental health and infectious disease. Despite this, participants reported avoiding healthcare workers and police officers in the past because of fear of stigma or repercussions. All participants identified the harm reduction approach of the PAR program as being essential to their continued engagement with the program. Other important aspects included flexible hours, the location of the clinic, streamlined access to mental health and addictions treatment and the female gender of the police and healthcare worker. The PAR program provides sex workers access to much needed primary healthcare that is flexible and without judgment. In addition, they are provided with a direct avenue to access law enforcement. We feel a similar model of care could be applicable to many cities across Canada.
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影响因子：
4.4
作者：
Shannon, K.;Rusch, M.;Tyndall, M. W.
通讯作者：
Tyndall, M. W.
DOI：
10.1080/09540120410001716397
发表时间：
2004-07-01
影响因子：
1.7
作者：
Surratt, HL;Inciardi, JA
通讯作者：
Inciardi, JA
DOI：
10.1080/09540120500159292
发表时间：
2006-02-01
影响因子：
1.7
作者：
Spittal, PM;Hogg, RS;Wood, E
通讯作者：
Wood, E
DOI：
10.1080/13691058.2011.628411
发表时间：
2012
期刊：
Culture, health & sexuality
影响因子：
--
作者：
Lazarus L;Deering KN;Nabess R;Gibson K;Tyndall MW;Shannon K
通讯作者：
Shannon K
影响因子：
4
作者：
Neergaard, Mette Asbjoern;Olesen, Frede;Sondergaard, Jens
通讯作者：
Sondergaard, Jens