对性工作者的态度：德国医疗保健提供者的全国横断面调查。
Attitudes towards sex workers: a nationwide cross-sectional survey among German healthcare providers.
机构信息
Department of Psychiatry and Psychotherapy, LVR University Hospital Essen, Faculty of Medicine, University of Duisburg-Essen, Essen, Germany.
Center for Translational Neuro- and Behavioral Sciences (C-TNBS), University Hospital Essen, University of Duisburg-Essen, Essen, Germany.
出版信息
Front Public Health. 2023 Sep 6;11:1228316. doi: 10.3389/fpubh.2023.1228316. eCollection 2023.
BACKGROUND
Worldwide, sex workers face stigmatization and discrimination, also within healthcare. Only few studies on healthcare providers' attitudes towards care of sex workers have been performed. This study assessed attitudes and knowledge of healthcare providers in Germany towards sex workers and their specific health risks.
METHODS
German healthcare professionals and medical students were invited to participate in a nationwide cross-sectional study in 2022. The online survey used a German translation of the "Attitudes towards Prostitutes and Prostitution Scale" by Levin and Peled for assessment of attitudes towards sex work and workers, together with prevalence estimates of common mental and physical disorders.
RESULTS
A total of 469 questionnaires were included into analysis. Older participants tended to regard sex work as less of a choice ( < 0.004) and sex workers as more victimized ( < 0.001). The frequency of professional contact to sex workers neither affected the perception of sex workers' status as victims vs. independent individuals, nor the perceived moral status. Moreover, healthcare professionals overestimated the prevalence of various disorders which was influenced by participants' attitudes towards sex workers.
DISCUSSION
A comparison to a recent Allensbach survey demonstrated similar attitudes of healthcare providers and the general population towards sex workers. Our results suggest that German healthcare professionals are not free of prejudices against sex workers, as has been shown for other marginalized groups in society. Instead, they seem to be influenced by personal opinion rather than by objective facts which they should have acquired during their professional education. Future interventions (e.g., better training regarding marginal societal groups) are necessary to encounter these issues in order to improve healthcare for sex workers.
背景
在全球范围内，性工作者面临污名化和歧视，这也包括在医疗保健领域。只有少数研究关注医疗保健提供者对性工作者护理的态度。本研究评估了德国医疗保健提供者对性工作者及其特定健康风险的态度和知识。
方法
邀请德国医疗保健专业人员和医学生参加 2022 年的一项全国性横断面研究。在线调查使用 Levin 和 Peled 的“对妓女和卖淫态度量表”的德语翻译来评估对性工作和性工作者的态度，以及常见精神和身体障碍的流行率估计。
结果
共纳入 469 份问卷进行分析。年龄较大的参与者倾向于认为性工作者的选择较少（<0.004），性工作者的受害程度更高（<0.001）。与性工作者的专业接触频率既不会影响对性工作者作为受害者与独立个体的地位的看法，也不会影响对其道德地位的看法。此外，医疗保健专业人员高估了各种障碍的流行率，这受到参与者对性工作者的态度的影响。
讨论
与最近的一项阿伦巴赫民意调查进行比较表明，医疗保健提供者和普通人群对性工作者的态度相似。我们的研究结果表明，德国医疗保健专业人员并没有摆脱对性工作者的偏见，就像社会上其他边缘化群体一样。相反，他们似乎受到个人意见的影响，而不是受到他们在专业教育中应该获得的客观事实的影响。为了改善性工作者的医疗保健，未来有必要进行干预（例如，更好地培训边缘社会群体）来解决这些问题。
Zotero 插件