Soyoun Rachel Kim1, Shira M Goldenberg2, Putu Duff3, Paul Nguyen3, Kate Gibson4, Kate Shannon5. 1. Department of Obstetrics and Gynecology, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada. 2. Gender and Sexual Health Initiative, BC Centre for Excellence in HIV/AIDS, St. Paul's Hospital, Vancouver, BC, Canada; Department of Medicine, University of British Columbia, St. Paul's Hospital, Vancouver, BC, Canada. 3. Gender and Sexual Health Initiative, BC Centre for Excellence in HIV/AIDS, St. Paul's Hospital, Vancouver, BC, Canada. 4. WISH Drop-In Centre Society, Vancouver, BC, Canada. 5. Gender and Sexual Health Initiative, BC Centre for Excellence in HIV/AIDS, St. Paul's Hospital, Vancouver, BC, Canada; Department of Medicine, University of British Columbia, St. Paul's Hospital, Vancouver, BC, Canada. Electronic address: gshi@cfenet.ubc.ca.
Abstract
OBJECTIVE: To longitudinally examine female sex workers' (FSWs') uptake of a women-only, sex-work-specific drop-in service and its impact on their access to sexual and reproductive health (SRH) services. METHODS: For the present longitudinal analysis, data were drawn from the AESHA (An Evaluation of Sex Workers' Health Access) study, a community-based, open, prospective cohort of FSWs from Vancouver, BC, Canada. Data obtained between January 2010 and February 2013 were analyzed. Participants are followed up on a semi-annual basis. Multivariable logistic regression using generalized estimating equations was used to identify correlates of service uptake. RESULTS: Of 547 FSWs included in the present analysis, 330 (60.3%) utilized the services during the 3-year study period. Service use was independently associated with age (adjusted odds ratio [AOR] 1.04; 95% confidence interval [CI] 1.03-1.06), Aboriginal ancestry (AOR 2.18; 95% CI 1.61-2.95), injection drug use (AOR 1.67; 95% CI 1.29-2.17), exchange of sex for drugs (AOR 1.40; 95%CI 1.15-1.71), and accessing SRH services (AOR 1.65; 95% CI 1.35-2.02). CONCLUSION: A sex-work-specific drop-in space for marginalized FSWs had high uptake. Women-centered and low-threshold drop-in services can effectively link marginalized women with SRH services.
OBJECTIVE: To longitudinally examine female sex workers' (FSWs') uptake of a women-only, sex-work-specific drop-in service and its impact on their access to sexual and reproductive health (SRH) services. METHODS: For the present longitudinal analysis, data were drawn from the AESHA (An Evaluation of Sex Workers' Health Access) study, a community-based, open, prospective cohort of FSWs from Vancouver, BC, Canada. Data obtained between January 2010 and February 2013 were analyzed. Participants are followed up on a semi-annual basis. Multivariable logistic regression using generalized estimating equations was used to identify correlates of service uptake. RESULTS: Of 547 FSWs included in the present analysis, 330 (60.3%) utilized the services during the 3-year study period. Service use was independently associated with age (adjusted odds ratio [AOR] 1.04; 95% confidence interval [CI] 1.03-1.06), Aboriginal ancestry (AOR 2.18; 95% CI 1.61-2.95), injection drug use (AOR 1.67; 95% CI 1.29-2.17), exchange of sex for drugs (AOR 1.40; 95%CI 1.15-1.71), and accessing SRH services (AOR 1.65; 95% CI 1.35-2.02). CONCLUSION: A sex-work-specific drop-in space for marginalized FSWs had high uptake. Women-centered and low-threshold drop-in services can effectively link marginalized women with SRH services.
Authors: Kathleen N Deering; Thomas Kerr; Mark W Tyndall; Julio S G Montaner; Kate Gibson; Laurel Irons; Kate Shannon Journal: Drug Alcohol Depend Date: 2010-08-21 Impact factor: 4.492
Authors: Carmen Porras; Meritxell Sabidó; Percy Fernández-Dávila; Victor Hugo Fernández; Anabela Batres; Jordi Casabona Journal: Cult Health Sex Date: 2008-06
Authors: D Cohan; A Lutnick; P Davidson; C Cloniger; A Herlyn; J Breyer; C Cobaugh; D Wilson; J Klausner Journal: Sex Transm Infect Date: 2006-07-19 Impact factor: 3.519
Authors: Kathleen Nicole Deering; Kate Shannon; Hayley Sinclair; Devi Parsad; Erin Gilbert; Mark W Tyndall Journal: AIDS Patient Care STDS Date: 2009-08 Impact factor: 5.078
Authors: Andrea Krüsi; Jill Chettiar; Amelia Ridgway; Janice Abbott; Steffanie A Strathdee; Kate Shannon Journal: Am J Public Health Date: 2012-06 Impact factor: 9.308
Authors: Stanley Luchters; Matthew F Chersich; Agnes Rinyiru; Mary-Stella Barasa; Nzioki King'ola; Kishorchandra Mandaliya; Wilkister Bosire; Sam Wambugu; Peter Mwarogo; Marleen Temmerman Journal: BMC Public Health Date: 2008-04-29 Impact factor: 3.295
Authors: Miriam T H Harris; Jordana Laks; Natalie Stahl; Sarah M Bagley; Kelley Saia; Wendee M Wechsberg Journal: Med Clin North Am Date: 2022-01 Impact factor: 5.456
Authors: Daniella Barreto; Kate Shannon; Chrissy Taylor; Sabina Dobrer; Jessica St Jean; Shira M Goldenberg; Putu Duff; Kathleen N Deering Journal: AIDS Behav Date: 2017-03
Authors: Lisa Lazarus; Sheetal Patel; Ashley Shaw; Sean Leblanc; Christine Lalonde; Manisha Hladio; Kira Mandryk; Cynthia Horvath; William Petrcich; Claire Kendall; Mark W Tyndall Journal: PLoS One Date: 2016-12-02 Impact factor: 3.240
Authors: M Eugenia Socías; Jean Shoveller; Chili Bean; Paul Nguyen; Julio Montaner; Kate Shannon Journal: PLoS One Date: 2016-05-16 Impact factor: 3.240