Ma Polly H X, Chan Zenobia C Y, Loke Alice Yuen
School of Nursing, The Hong Kong Polytechnic University, Hung Hom, Kowloon, GH 525, Hong Kong, China.
AIDS Behav. 2017 Aug;21(8):2412-2438. doi: 10.1007/s10461-017-1818-2.
Inequities in accessing health care persist among sex workers. The purpose of the review is to understand the health-seeking behaviours of sex workers and their access to health care services with socio-ecological model. Of 3852 citations screened, 30 met the inclusion criteria for this review. The access that sex workers have to health services is a complex issue. A wide range of barriers and facilitators at multiple levels could influence sex workers' utilization of health care services, such as health or service information, stigma, social support, quality of health care, available, accessible and affordable services, healthcare policy. Health services or future intervention studies should take into account the facilitators and barriers identified in this review to improve the health services utilization and health of sex workers, as part of the effort to protect the right of humans to health.
性工作者在获得医疗保健方面的不平等现象依然存在。本综述的目的是运用社会生态模型了解性工作者的就医行为及其获得医疗保健服务的情况。在筛选的3852篇文献中，有30篇符合本综述的纳入标准。性工作者获得医疗服务的机会是一个复杂的问题。多个层面存在的一系列障碍和促进因素可能会影响性工作者对医疗保健服务的利用，例如健康或服务信息、耻辱感、社会支持、医疗保健质量、可获得、可及且可负担的服务、医疗政策等。医疗服务或未来的干预研究应考虑到本综述中确定的促进因素和障碍，以提高性工作者对医疗服务的利用率并改善其健康状况，这是保护人类健康权努力的一部分。
