Institute for Global Public Health, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Canada.
Ukrainian Institute for Social Research After Oleksandr Yaremenko, Kyiv, Ukraine.
Curr HIV/AIDS Rep. 2022 Feb;19(1):76-85. doi: 10.1007/s11904-021-00591-w. Epub 2021 Nov 25.
To review the impact of the COVID-19 pandemic and its public health response on key populations at risk of HIV infection, with a focus on sex workers.
Since last year several groups have documented how the COVID-19 pandemic has impacted the livelihoods and health of sex workers. We focus on case studies from Kenya, Ukraine, and India and place these in the broader global context of sex worker communities, drawing on common themes that span geographies. COVID-19-associated lockdowns have significantly disrupted sex work, leading to economic and health challenges for sex workers, ranging from HIV-related services to mental health and exposure to violence. Several adaptations have been undertaken by sex workers and frontline workers, including migration, a move to mobile services, and struggling to find economic supports. Strengthening community-based responses for future pandemics and other shocks is critical to safeguard the health of marginalized populations.
综述 COVID-19 大流行及其公共卫生应对措施对感染 HIV 风险较高的重点人群(尤其是性工作者)的影响。
自去年以来,多个团体已经记录了 COVID-19 大流行如何影响性工作者的生计和健康。我们重点关注肯尼亚、乌克兰和印度的案例研究,并将这些案例置于性工作者社区的更广泛的全球背景下,借鉴跨越地域的共同主题。与 COVID-19 相关的封锁措施严重扰乱了性工作,导致性工作者在 HIV 相关服务、心理健康和暴力暴露等方面面临经济和健康挑战。性工作者和一线工作者已经采取了一些适应措施,包括移民、转向移动服务以及努力寻找经济支持。加强以社区为基础的应对措施,以应对未来的大流行和其他冲击,对于维护边缘化人群的健康至关重要。