Department of Public Health, Erasmus MC, Rotterdam, Zuid-Holland, The Netherlands.
RIVM, Bilthoven, The Netherlands.
BMJ Open. 2024 Oct 23;14(10):e085202. doi: 10.1136/bmjopen-2024-085202.
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.
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).
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%).
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.
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).
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.
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。
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）。
荷兰
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%）。
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。
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。
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。
