2023-09-28 14:46:10 +00:00
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abstract: 'BackgroundAcross diverse regions globally, sex workers continue to face
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a disproportionate burden of HIV and other sexually transmitted and
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blood borne infections (STBBIs). Evidence suggests that behavioural and
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biomedical interventions are only moderately successful in reducing
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STBBIs at the population level, leading to calls for increased
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structural and community-led interventions. Given that structural
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approaches to mitigating STBBI risk beyond HIV among sex workers in
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high-income settings remain poorly understood, this critical review
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aimed to provide a comprehensive synthesis of the global research and
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literature on determinants of HIV and other STBBIs and promising
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intervention practices for sex workers of all genders in high-income
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countries.MethodsWe searched for publications over the last decade
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(January 2005-March 2016) among sex workers (cis women, cis men, and
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trans individuals). Data obtained from quantitative peer-reviewed
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studies were triangulated with publicly available reports and
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qualitative/ethnographic research where quantitative evidence was
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limited.ResultsResearch demonstrates consistent evidence of the direct
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and indirect impacts of structural factors (e.g., violence, stigma,
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criminalization, poor working conditions) on increasing risk for STBBIs
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among sex workers, further compounded by individual and interpersonal
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factors (e.g., mental health, substance use, unprotected sex).
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Sub-optimal access to health and STBBI prevention services remains
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concerning. Full decriminalization of sex work has been shown to have
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the largest potential to avert new infections in sex work, through
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reducing workplace violence and increasing access to safer workspaces.
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Promising practices and strategies that should be scaled-up and
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evaluated to prevent STBBIs are highlighted.ConclusionsThe high burden
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of STBBIs among sex workers across high-income settings is of major
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concern. This review uniquely contributes to our understanding of
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multilevel factors that potentiate and mitigate STBBI risk for sex
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workers of all genders. Research suggests that multipronged structural
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and community-led approaches are paramount to addressing STBBI burden,
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and are necessary to realizing health and human rights for sex workers.
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Given the heterogeneity of sex worker populations, and distinct
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vulnerabilities faced by cis men and trans sex workers, further research
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utilizing mixed-methods should be implemented to delineate the
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intersections of risk and ameliorate critical health inequalities.'
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affiliation: 'Shannon, K (Corresponding Author), Univ British Columbia, Dept Med,
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Ctr Gender \& Sexual Hlth Equ, 1190 Hornby St, Vancouver, BC V6Z 2K5, Canada.
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Shannon, K (Corresponding Author), Univ British Columbia, Sch Populat \& Publ Hlth,
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Fac Med, 2206 East Mall, Vancouver, BC V6T 1Z9, Canada.
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Argento, Elena; Goldenberg, Shira; Shannon, Kate, Univ British Columbia, Dept Med,
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Ctr Gender \& Sexual Hlth Equ, 1190 Hornby St, Vancouver, BC V6Z 2K5, Canada.
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Argento, Elena, Univ British Columbia, Interdisciplinary Studies Grad Program, 2357
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Main Mall, Vancouver, BC V6T 1Z4, Canada.
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Goldenberg, Shira, Simon Fraser Univ, Fac Hlth Sci, 8888 Univ Dr, Burnaby, BC V5A
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1S6, Canada.
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Shannon, Kate, Univ British Columbia, Sch Populat \& Publ Hlth, Fac Med, 2206 East
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Mall, Vancouver, BC V6T 1Z9, Canada.'
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article-number: '212'
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author: Argento, Elena and Goldenberg, Shira and Shannon, Kate
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author-email: Dr.Shannon@cgshe.ubc.ca
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author_list:
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- family: Argento
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given: Elena
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- family: Goldenberg
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given: Shira
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- family: Shannon
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given: Kate
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da: '2023-09-28'
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doi: 10.1186/s12879-019-3694-z
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eissn: 1471-2334
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files: []
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journal: BMC INFECTIOUS DISEASES
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keywords: 'Sex workers; HIV prevention; STBBI; Risk environment; High-income
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countries; Structural interventions'
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keywords-plus: 'CROSS-SECTIONAL DATA; HIV-PREVENTION; TRANSGENDER WOMEN; CONDOM USE;
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STRUCTURAL DETERMINANTS; INTERNET ESCORTS; ENGLAND ANALYSIS; SOCIAL
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COHESION; RISK BEHAVIORS; HEALTH-CARE'
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language: English
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month: MAR 5
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number-of-cited-references: '112'
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orcid-numbers: Goldenberg, Shira/0000-0003-1633-9749
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papis_id: 34eb224bab70176966d5a615155a94cb
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ref: Argento2019preventingsexually
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researcherid-numbers: Goldenberg, Shira/C-9627-2009
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tags:
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- review
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times-cited: '22'
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title: 'Preventing sexually transmitted and blood borne infections (STBBIs) among
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sex workers: a critical review of the evidence on determinants and interventions
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in high-income countries'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000460516800002
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usage-count-last-180-days: '1'
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usage-count-since-2013: '7'
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volume: '19'
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web-of-science-categories: Infectious Diseases
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year: '2019'
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