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在新冠疫情期间,荷兰性工作者面临严重的财务问题、心理健康水平下降和 HIV/性传播感染检测减少:一项重复的横断面调查。

Major financial problems, low mental well-being and reduced HIV/STI testing among sex workers in the Netherlands during the COVID-19 pandemic: a repeated cross-sectional survey.

机构信息

Department of Public Health, Erasmus MC, Rotterdam, Zuid-Holland, The Netherlands.

RIVM, Bilthoven, The Netherlands.

出版信息

BMJ Open. 2024 Oct 23;14(10):e085202. doi: 10.1136/bmjopen-2024-085202.

Abstract

OBJECTIVES

To determine associations between the banning of sex work during the COVID-19 pandemic, and work, financial problems, mental well-being and HIV/sexually transmittable infection (STI) testing among sex workers in the Netherlands.

DESIGN

Two cross-sectional online surveys. The first survey covered two time-periods: pre-COVID-19 (1 January 2019 to 31 December 2019) and period 1 (15 March 2020 to 1 July 2020). The second survey covered period 2 (1 January 2021 to 31 December 2021).

SETTING

The Netherlands PARTICIPANTS: In total, 106 (first survey) and 196 (second survey) sex workers participated. Most of the participants in the first and second survey were cisgender women (respectively, 76.4% and 66.5%), followed by cisgender men (respectively, 12.3% and 15.7%) and the combination of transgender men, transgender women, non-binary or other (respectively, 11.3% and 17.6%). Most participants were born in the Netherlands (respectively, 61.4% and 69.7%).

PRIMARY AND SECONDARY OUTCOME MEASURES

We provide descriptive statistics of self-reported work during and prior to COVID-19 measures, financial problems due to COVID-19 measures and HIV/STI testing and mental well-being during the COVID-19 pandemic. We also performed logistic and linear regression analyses to identify risk factors associated with reporting financial problems due to COVID-19 measures, not testing for HIV/STIs and lower mental well-being during the COVID-19 pandemic.

RESULTS

In periods 1 and 2, respectively, 69.6% and 62.0% reported financial problems due to the COVID-19 measures. Among those who reported to have had sex with clients, the percentage not HIV/STI testing was: 4.5% (95% CI: 0.9; 12.5) pre-COVID-19, 28.2% (95% CI: 15.0; 44.9) in period 1, and 15.2% (95% CI: 9.7; 22.3) in period 2. In the multivariate analysis, reported financial problems due to the COVID-19 pandemic was associated with not HIV/STI testing (OR: 12.1, p<0.001) and lower mental well-being (B: -2.7, p<0.001).

CONCLUSION

The COVID-19 pandemic control measures in the Netherlands were associated with major financial problems, low mental well-being and reduced HIV/STI testing among sex workers.

摘要

目的

确定在 COVID-19 大流行期间禁止性工作与荷兰性工作者的工作、财务问题、心理健康和艾滋病毒/性传播感染(STI)检测之间的关联。

设计

两项横断面在线调查。第一项调查涵盖了两个时期:COVID-19 前(2019 年 1 月 1 日至 12 月 31 日)和第 1 期(2020 年 3 月 15 日至 7 月 1 日)。第二项调查涵盖了第 2 期(2021 年 1 月 1 日至 12 月 31 日)。

地点

荷兰

参与者

共有 106 名(第一次调查)和 196 名(第二次调查)性工作者参加了调查。第一次和第二次调查的大多数参与者都是 cisgender 女性(分别为 76.4%和 66.5%),其次是 cisgender 男性(分别为 12.3%和 15.7%)和跨性别男性、跨性别女性、非二进制或其他(分别为 11.3%和 17.6%)。大多数参与者出生于荷兰(分别为 61.4%和 69.7%)。

主要和次要结果

我们提供了 COVID-19 期间和之前自我报告工作、因 COVID-19 措施而产生的财务问题以及 COVID-19 期间心理健康的描述性统计数据。我们还进行了逻辑和线性回归分析,以确定与报告因 COVID-19 措施而产生的财务问题、未进行 HIV/STI 检测以及 COVID-19 期间心理健康水平较低相关的风险因素。

结果

在第 1 期和第 2 期,分别有 69.6%和 62.0%的人因 COVID-19 措施而出现财务问题。在那些报告与客户发生性关系的人中,未进行 HIV/STI 检测的百分比为:COVID-19 前为 4.5%(95%CI:0.9; 12.5),第 1 期为 28.2%(95%CI:15.0; 44.9),第 2 期为 15.2%(95%CI:9.7; 22.3)。在多变量分析中,因 COVID-19 大流行而报告的财务问题与未进行 HIV/STI 检测(OR:12.1,p<0.001)和心理健康水平较低(B:-2.7,p<0.001)相关。

结论

荷兰的 COVID-19 大流行控制措施与性工作者的重大财务问题、心理健康水平下降和 HIV/STI 检测减少有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7dd8/11499764/8f63397b253c/bmjopen-14-10-g001.jpg

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Sex Res Social Policy. 2023;20(2):810-824. doi: 10.1007/s13178-022-00729-4. Epub 2022 May 25.
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6
The effects of COVID-19 on the health and socio-economic security of sex workers in Nairobi, Kenya: Emerging intersections with HIV.
Glob Public Health. 2020 Jul;15(7):1073-1082. doi: 10.1080/17441692.2020.1770831. Epub 2020 May 27.
7
Sex workers must not be forgotten in the COVID-19 response.
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8
The Untold Toll - The Pandemic's Effects on Patients without Covid-19.
N Engl J Med. 2020 Jun 11;382(24):2368-2371. doi: 10.1056/NEJMms2009984. Epub 2020 Apr 17.
9
Associations between sex work laws and sex workers' health: A systematic review and meta-analysis of quantitative and qualitative studies.
PLoS Med. 2018 Dec 11;15(12):e1002680. doi: 10.1371/journal.pmed.1002680. eCollection 2018 Dec.
10
The global response and unmet actions for HIV and sex workers.
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