Suboptimal access to primary healthcare among street-based sex workers in southwest Switzerland.

Details

Serval ID
serval:BIB_5589787AC55E
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Suboptimal access to primary healthcare among street-based sex workers in southwest Switzerland.
Journal
Postgraduate Medical Journal
Author(s)
Darling K.E., Gloor E., Ansermet-Pagot A., Vaucher P., Durieux-Paillard S., Bodenmann P., Cavassini M.
ISSN
1469-0756 (Electronic)
ISSN-L
0032-5473
Publication state
Published
Issued date
2013
Peer-reviewed
Oui
Volume
89
Number
1053
Pages
371-375
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Abstract
OBJECTIVES: Street-based sex workers (SSWs) in Lausanne, Switzerland, are poorly characterised. We set out to quantify potential vulnerability factors in this population and to examine SSW healthcare use and unmet healthcare requirements.
METHODS: We conducted a cross-sectional questionnaire-based survey among SSWs working in Lausanne's red light district between 1 February and 31 July 2010, examining SSW socio-demographic characteristics and factors related to their healthcare.
RESULTS: We interviewed 50 SSWs (76% of those approached). A fifth conducted their interviews in French, the official language in Lausanne. 48 participants (96%) were migrants, of whom 33/48 (69%) held no residence permit. 22/50 (44%) had been educated beyond obligatory schooling. 28/50 (56%) had no health insurance. 18/50 (36%) had been victims of physical violence. While 36/50 (72%) had seen a doctor during the preceding 12 months, only 15/50 (30%) were aware of a free clinic for individuals without health insurance. Those unaware of free services consulted emergency departments or doctors outside Switzerland. Gynaecology, primary healthcare and dental services were most often listed as needed. Two individuals (of 50, 4%) disclosed positive HIV status; of the others, 24/48 (50%) had never had an HIV test.
CONCLUSIONS: This vulnerable population comprises SSWs who, whether through mobility, insufficient education or language barriers, are unaware of services they are entitled to. With half the participants reporting no HIV testing, there is a need to enhance awareness of available facilities as well as to increase provision and uptake of HIV testing.
Pubmed
Web of science
Create date
28/01/2013 9:29
Last modification date
09/04/2020 5:21
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