Xu Wenqian, Liang Peng, Wang Cheng
Dermatology Hospital of Southern Medical University, Guangzhou, China.
Southern Medical University Institute for Global Health, Guangzhou, China.
Open Forum Infect Dis. 2023 Jul 25;10(8):ofad397. doi: 10.1093/ofid/ofad397. eCollection 2023 Aug.
We conducted a scoping review to examine the barriers and facilitators accessing and testing among female sex workers. A literature search was conducted in Embase, Medline, and Web of Science for studies published from the date of creation of database to 17 March 2023, without restrictions for publication date. We used thematic synthesis to identify common affecting factors across included studies and then linked them into categories of the socioecological framework. Among the 14 articles included, 3 utilized qualitative methods, 7 utilized quantitative surveys, 2 were mixed methods, and 2 were randomized controlled trials. Several important affecting factors stood out during this review, including stigma and discrimination, as well as social support at the societal level, and financial costs at the service level. This review suggested that interventions on addressing societal- and service-level determinants are needed, which includes reducing stigma and discrimination toward sex work and cost for facility testing, as well as increasing social support and community engagement.
我们进行了一项范围综述，以研究女性性工作者在获取服务和接受检测方面的障碍及促进因素。在Embase、Medline和Web of Science数据库中进行了文献检索，检索时间范围为各数据库创建之日至2023年3月17日，对发表日期无限制。我们采用主题综合法来确定纳入研究中的共同影响因素，然后将这些因素与社会生态框架的类别相联系。在纳入的14篇文章中，3篇采用定性方法，7篇采用定量调查，2篇为混合方法，2篇为随机对照试验。在本次综述中，几个重要的影响因素脱颖而出，包括耻辱感和歧视，以及社会层面的社会支持和服务层面的经济成本。该综述表明，需要针对社会和服务层面的决定因素进行干预，包括减少对性工作的耻辱感和歧视以及检测设施的费用，同时增加社会支持和社区参与。
