Kızıltaş Özlem, Fidancı İzzet, Aksoy Hilal, Ayhan Başer Duygu
Seyhan Health Directorate, Adana, Turkey.
Department of Family Medicine, Faculty of Medicine, Hacettepe University, Ankara, Turkey.
Fam Pract. 2025 Jun 4;42(4). doi: 10.1093/fampra/cmaf048.
Sex workers face significant barriers to accessing health services, including stigma, economic constraints, and safety concerns. In Turkey, this group is often subjected to discrimination and prejudiced approaches when accessing sexual health services, which reduces the uptake of health services. This study aims to analyze the health care experiences of sex workers in depth.
The study conducted semi-structured in-depth interviews with 16 women working as sex workers in Adana brothel in July-October 2024, and the data were analyzed through thematic analysis. Participants were selected through purposive sampling to ensure socio-demographic diversity.
Four main themes were identified through the analysis: Barriers to Access and Use of Health Services, Health Service Experiences and Satisfaction, Information and Awareness, and Emotional Situations. Participants indicated that they often preferred private health facilities due to difficulties in accessing public health services and long waiting times, but that these preferences were limited by cost.
Improving the quality of public health services and reducing costs may improve public health by encouraging this group to use health services.
性工作者在获取医疗服务方面面临重大障碍，包括耻辱感、经济限制和安全担忧。在土耳其，这一群体在获取性健康服务时经常受到歧视和偏见性对待，这降低了医疗服务的利用率。本研究旨在深入分析性工作者的医疗保健经历。
2024年7月至10月，该研究对阿达纳妓院的16名女性性工作者进行了半结构化深度访谈，并通过主题分析对数据进行了分析。通过目的抽样选择参与者，以确保社会人口学的多样性。
通过分析确定了四个主要主题：获取和使用医疗服务的障碍、医疗服务体验与满意度、信息与认知、以及情绪状况。参与者表示，由于获取公共卫生服务困难和等待时间长，他们通常更喜欢私立医疗机构，但这些偏好受到成本的限制。
提高公共卫生服务质量并降低成本，可能会通过鼓励这一群体使用医疗服务来改善公众健康。
