Sex work stigma and non-disclosure to health care providers: data from a large RDS study among FSW in Brazil

Detalhes bibliográficos
Autor(a) principal: Dourado, Inês
Data de Publicação: 2019
Outros Autores: Guimarães, Mark Drew Crosland, Damacena, Giseli Nogueira, Magno, Laio, Souza Júnior, Paulo Roberto Borges de, Szwarcwald, Celia Landmann
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/60599
Resumo: Brazilian FSW Group: Celia Landmann Szwarcwald, Paulo Roberto Borges de Souza Júnior, Orlando C. Ferreira Jr., Giseli Nogueira Damacena, Neide Gravato da Silva, Rita Bacuri, Helena Brigido, Hermelinda Maia Macena, Ana Maria de Brito, Inês Dourado, Mark Drew Crosland Guimarães, Wanessa da Silva de Almeida, Alexandre Grangeiro, Carla Gianna Luppi, Karin Regina Luhm, Isete Maria Stella, Adriana Varela Espinola, Tânia Varela, Francisca Sueli da Silva.
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spelling Dourado, InêsGuimarães, Mark Drew CroslandDamacena, Giseli NogueiraMagno, LaioSouza Júnior, Paulo Roberto Borges deSzwarcwald, Celia Landmann2023-09-29T13:27:14Z2023-09-29T13:27:14Z2019DOURADO, Inês et al. Sex work stigma and non-disclosure to health care providers: data from a large RDS study among FSW in Brazil. BMC International Health and Human Rights, v. 19, p. 1-8, 2019.1472-698Xhttps://www.arca.fiocruz.br/handle/icict/6059910.1186/s12914-019-0193-7Brazilian FSW Group: Celia Landmann Szwarcwald, Paulo Roberto Borges de Souza Júnior, Orlando C. Ferreira Jr., Giseli Nogueira Damacena, Neide Gravato da Silva, Rita Bacuri, Helena Brigido, Hermelinda Maia Macena, Ana Maria de Brito, Inês Dourado, Mark Drew Crosland Guimarães, Wanessa da Silva de Almeida, Alexandre Grangeiro, Carla Gianna Luppi, Karin Regina Luhm, Isete Maria Stella, Adriana Varela Espinola, Tânia Varela, Francisca Sueli da Silva.Federal University of Bahia. Collective Health Institute. Salvador, BA, Brazil.Federal University of Minas Gerais. Belo Horizonte, MG, Brazil.Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Rio de Janeiro, RJ, Brasil.Bahia State University. Department of Life Sciences. Salvador, BA, Brazil.Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Rio de Janeiro, RJ, Brasil.Background: Stigma in health services may be detrimental to health seeking attitudes and practices. This study investigates non-disclosure of sex work to health care providers among female sex workers (FSW) in Brazil and its association with the utilization of health care services. Methods: This study used cross-sectional respondent-driven sampling, carried out in 12 Brazilian cities to identify HIV risk behaviors among FSW. We first assessed statistical associations of sociodemographic, human right violations, health service access and utilization, and discrimination variables with non-disclosure of FSW status to health care providers as outcome. Secondly, we investigated the association of non-disclosure of FSW status with selected preventive health care outcomes: HIV testing, PAP smear exam, and post-exposure prophylaxis (PEP). Adjusted odds ratio with 95% confidence intervals were calculated by multivariable logistic regressions. Results: Among 4245 recruited FSW, a high percentage received free condoms (82%) but only 24.4% were counseled on STI. Most FSW used non-specialized public healthcare routinely (62.6%), but only 51.5% had a Pap smear exam in the last two years and less than 40% were tested for HIV in the last 12 months. Among FSW who engaged in risky behavior (49.6%), only 8.3% used PEP. Regarding human rights violations, approximately 15% were required to give part of their earnings to owners of workplace establishments, 38% started sex work under 18 years old and 6% were required to periodically present their HIV test results. 21.3% reported having faced discrimination in health services, and 24.3% always disclosed their FSW status. Multivariable logistic models indicated significant associations of non-disclosure on the four healthcare outcomes, with lower odds of using preventive health services among women who did not disclose their sex work status, even after controlling for age, educational level, NGO affiliation, and type of health care routinely used. Conclusions: Our results indicate that sex work stigmatization within health services may be one of the main barriers to STI control and HIV response among FSW. It is essential to combat stigmatization and discrimination against FSW in health services to guarantee the appropriate uptake of preventive services available in the public health system in Brazil.engBMC Int Health Hum RightsSex work stigma and non-disclosure to health care providers: data from a large RDS study among FSW in Brazilinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleFemale sex workerHuman rightsStigma and discriminationHealth careRDSBrazilinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-82991https://www.arca.fiocruz.br/bitstream/icict/60599/1/license.txt5a560609d32a3863062d77ff32785d58MD51ORIGINALartigo.pdfartigo.pdfArtigoapplication/pdf383621https://www.arca.fiocruz.br/bitstream/icict/60599/2/artigo.pdf1a2f302fb5fbfd1e24592e78a9983861MD52icict/605992023-10-27 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dc.title.en_US.fl_str_mv Sex work stigma and non-disclosure to health care providers: data from a large RDS study among FSW in Brazil
title Sex work stigma and non-disclosure to health care providers: data from a large RDS study among FSW in Brazil
spellingShingle Sex work stigma and non-disclosure to health care providers: data from a large RDS study among FSW in Brazil
Dourado, Inês
Female sex worker
Human rights
Stigma and discrimination
Health care
RDS
Brazil
title_short Sex work stigma and non-disclosure to health care providers: data from a large RDS study among FSW in Brazil
title_full Sex work stigma and non-disclosure to health care providers: data from a large RDS study among FSW in Brazil
title_fullStr Sex work stigma and non-disclosure to health care providers: data from a large RDS study among FSW in Brazil
title_full_unstemmed Sex work stigma and non-disclosure to health care providers: data from a large RDS study among FSW in Brazil
title_sort Sex work stigma and non-disclosure to health care providers: data from a large RDS study among FSW in Brazil
author Dourado, Inês
author_facet Dourado, Inês
Guimarães, Mark Drew Crosland
Damacena, Giseli Nogueira
Magno, Laio
Souza Júnior, Paulo Roberto Borges de
Szwarcwald, Celia Landmann
author_role author
author2 Guimarães, Mark Drew Crosland
Damacena, Giseli Nogueira
Magno, Laio
Souza Júnior, Paulo Roberto Borges de
Szwarcwald, Celia Landmann
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Dourado, Inês
Guimarães, Mark Drew Crosland
Damacena, Giseli Nogueira
Magno, Laio
Souza Júnior, Paulo Roberto Borges de
Szwarcwald, Celia Landmann
dc.subject.en.en_US.fl_str_mv Female sex worker
Human rights
Stigma and discrimination
Health care
RDS
Brazil
topic Female sex worker
Human rights
Stigma and discrimination
Health care
RDS
Brazil
description Brazilian FSW Group: Celia Landmann Szwarcwald, Paulo Roberto Borges de Souza Júnior, Orlando C. Ferreira Jr., Giseli Nogueira Damacena, Neide Gravato da Silva, Rita Bacuri, Helena Brigido, Hermelinda Maia Macena, Ana Maria de Brito, Inês Dourado, Mark Drew Crosland Guimarães, Wanessa da Silva de Almeida, Alexandre Grangeiro, Carla Gianna Luppi, Karin Regina Luhm, Isete Maria Stella, Adriana Varela Espinola, Tânia Varela, Francisca Sueli da Silva.
publishDate 2019
dc.date.issued.fl_str_mv 2019
dc.date.accessioned.fl_str_mv 2023-09-29T13:27:14Z
dc.date.available.fl_str_mv 2023-09-29T13:27:14Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv DOURADO, Inês et al. Sex work stigma and non-disclosure to health care providers: data from a large RDS study among FSW in Brazil. BMC International Health and Human Rights, v. 19, p. 1-8, 2019.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/60599
dc.identifier.issn.en_US.fl_str_mv 1472-698X
dc.identifier.doi.none.fl_str_mv 10.1186/s12914-019-0193-7
identifier_str_mv DOURADO, Inês et al. Sex work stigma and non-disclosure to health care providers: data from a large RDS study among FSW in Brazil. BMC International Health and Human Rights, v. 19, p. 1-8, 2019.
1472-698X
10.1186/s12914-019-0193-7
url https://www.arca.fiocruz.br/handle/icict/60599
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv BMC Int Health Hum Rights
publisher.none.fl_str_mv BMC Int Health Hum Rights
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Repositório Institucional da FIOCRUZ (ARCA)
collection Repositório Institucional da FIOCRUZ (ARCA)
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