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Int J Gynaecol Obstet. 2015 Mar;128(3):201-5. doi: 10.1016/j.ijgo.2014.09.026. Epub 2014 Nov 27.

Uptake of a women-only, sex-work-specific drop-in center and links with sexual and reproductive health care for sex workers.

Author information

1
Department of Obstetrics and Gynecology, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada.
2
Gender and Sexual Health Initiative, BC Centre for Excellence in HIV/AIDS, St. Paul's Hospital, Vancouver, BC, Canada; Department of Medicine, University of British Columbia, St. Paul's Hospital, Vancouver, BC, Canada.
3
Gender and Sexual Health Initiative, BC Centre for Excellence in HIV/AIDS, St. Paul's Hospital, Vancouver, BC, Canada.
4
WISH Drop-In Centre Society, Vancouver, BC, Canada.
5
Gender and Sexual Health Initiative, BC Centre for Excellence in HIV/AIDS, St. Paul's Hospital, Vancouver, BC, Canada; Department of Medicine, University of British Columbia, St. Paul's Hospital, Vancouver, BC, Canada. Electronic address: gshi@cfenet.ubc.ca.

Abstract

OBJECTIVE:

To longitudinally examine female sex workers' (FSWs') uptake of a women-only, sex-work-specific drop-in service and its impact on their access to sexual and reproductive health (SRH) services.

METHODS:

For the present longitudinal analysis, data were drawn from the AESHA (An Evaluation of Sex Workers' Health Access) study, a community-based, open, prospective cohort of FSWs from Vancouver, BC, Canada. Data obtained between January 2010 and February 2013 were analyzed. Participants are followed up on a semi-annual basis. Multivariable logistic regression using generalized estimating equations was used to identify correlates of service uptake.

RESULTS:

Of 547 FSWs included in the present analysis, 330 (60.3%) utilized the services during the 3-year study period. Service use was independently associated with age (adjusted odds ratio [AOR] 1.04; 95% confidence interval [CI] 1.03-1.06), Aboriginal ancestry (AOR 2.18; 95% CI 1.61-2.95), injection drug use (AOR 1.67; 95% CI 1.29-2.17), exchange of sex for drugs (AOR 1.40; 95%CI 1.15-1.71), and accessing SRH services (AOR 1.65; 95% CI 1.35-2.02).

CONCLUSION:

A sex-work-specific drop-in space for marginalized FSWs had high uptake. Women-centered and low-threshold drop-in services can effectively link marginalized women with SRH services.

KEYWORDS:

Health access; Health services; Outreach services; Peer-led; Reproductive health; Sex work; Sexual health; Support services

PMID:
25627707
PMCID:
PMC4329272
DOI:
10.1016/j.ijgo.2014.09.026
[Indexed for MEDLINE]
Free PMC Article

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