Challenges and opportunities in female commercial sex worker health care: a critical literature review

IF 1.2 Q4 HEALTH POLICY & SERVICES

International Journal of Human Rights in Healthcare Pub Date : 2022-10-25 DOI:10.1108/ijhrh-03-2022-0021

Meagan O'Brien, Orla Kistmacher, Sabrina Marie Stephen, G. Flaherty

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引用次数: 1

Abstract

Purpose This paper aims to describe the unique health challenges facing female commercial sex workers (FSWs), including issues related to their marginalisation and difficulty accessing health care. It proposes solutions to some of these problems. Design/methodology/approach This paper addresses this sensitive subject through the methodology of a literature review, drawing on a variety of relevant published literature to inform a modern understanding of the current health challenges faced by this population. Findings This paper discusses issues around criminalisation of commercial sex workers, complexities of family planning, sexually transmitted infection prevention, mental health and substance abuse and how increasing health-care worker awareness of the health needs of this vulnerable population can be a positive step in building trust within this relationship. Although adoption of the proposed recommendations put forth in this paper may help to eliminate some of the barriers encountered by female sex workers, further research is recommended. Originality/value The subject of commercial sex worker health care is neglected in the academic literature. This review explores the topic in an open and balanced manner and presents a broad and updated overview of the current health-care challenges faced by FSWs as well as opportunities for optimising access and quality of sex worker health care.

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女性商业性工作者保健的挑战与机遇:一项批判性文献综述

目的本文旨在描述女性商业性工作者(FSWs)面临的独特健康挑战，包括与她们边缘化和难以获得医疗保健有关的问题。它提出了其中一些问题的解决方案。设计/方法/方法本文通过文献综述的方法解决了这一敏感主题，借鉴了各种相关的已发表文献，以告知这一人群当前面临的健康挑战的现代理解。本文讨论了商业性工作者的刑事定罪、计划生育的复杂性、性传播感染的预防、精神健康和药物滥用等问题，以及如何提高卫生保健工作者对这一弱势群体健康需求的认识，从而在这种关系中建立信任。虽然采纳本文提出的建议可能有助于消除女性性工作者遇到的一些障碍，但建议进行进一步的研究。在学术文献中，商业性工作者的医疗保健问题被忽视了。这篇综述以开放和平衡的方式探讨了这一主题，并对目前性工作者面临的卫生保健挑战以及优化性工作者卫生保健的机会和质量进行了广泛和最新的概述。

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来源期刊

International Journal of Human Rights in Healthcare HEALTH POLICY & SERVICES-

CiteScore

2.90

自引率

7.10%

发文量

期刊介绍： nternational Journal of Human Rights in Healthcare (IJHRH) is an international, peer reviewed journal with a unique practical approach to promoting race equality, inclusion and human rights in health and social care. The journal publishes scholarly and double blind peer-reviewed papers of the highest standard, including case studies and book reviews. IJHRH aims include: -To explore what is currently known about discrimination and disadvantage with a particular focus on health and social care -Push the barriers of the human rights discourse by identifying new avenues for healthcare practice and policy internationally -Create bridges between policymakers, practitioners and researchers -Identify and understand the social determinants of health equity and practical interventions to overcome barriers at national and international levels. The journal welcomes papers which use varied approaches, including discussion of theory, comparative studies, systematic evaluation of interventions, analysis of qualitative data and study of health and social care institutions and the political process. Papers published in IJHRH: -Clearly demonstrate the implications of the research -Provide evidence-rich information -Provoke reflection and support critical analysis of both challenges and strengths -Share examples of best practice and ‘what works’, including user perspectives IJHRH is a hugely valuable source of information for researchers, academics, students, practitioners, managers, policy-makers, commissioning bodies, social workers, psychologists, nurses, voluntary sector workers, service users and carers internationally.