Caracterização de mulheres trabalhadoras do sexo em capitais brasileiras, 2016*

Braga, Letícia Penna; Szwarcwald, Célia Landmann; Damacena, Giseli Nogueira

doi:10.5123/s1679-49742020000400002

Cited by 3 publications

(5 citation statements)

References 21 publications

(28 reference statements)

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“…With regard to the proportion of FSW with a positive score for major depressive disorder on the PHQ-2 scale, there is also a high proportion in Salvador, where these women are more vulnerable. However, the highest proportion of FSW with a positive score for depressive episodes was registered in Campo Grande, with the highest proportion of sex workers who felt discriminated by their occupation (36.4%) and the highest proportion of those who frequently use alcohol 13 . This reinforces the multifaceted aspect of depression in FSW, which, in addition to precarious socioeconomic conditions, has stigma, the use of alcohol and drugs and HIV infection as strongly associated factors 33,34 .…”

Section: Discussionmentioning

confidence: 93%

“…Thus, the samples obtained in each city, of pre-established size, may not reach the diversity of characteristics of all FSW subgroups in the city. This may have influenced the worst health indicators found in cities like Salvador, where the sample was composed of the most vulnerable sex workers, crack users, with low education and monthly income, and the best indicators recorded in cities such as Belo Horizonte, in which the participants had higher education and monthly income, and a low percentage of illicit drug use 13 .…”

Section: Discussionmentioning

confidence: 99%

“…"; and age at onset of sex work (categorized into <18 and ≥18 years of age). More details regarding these variables were described in a previous publication 13 .…”

Section: Variablesmentioning

confidence: 99%

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Sexual, reproductive health and health status of female sex workers in 12 Brazilian cities, 2016

Braga

Damacena

Szwarcwald

et al. 2021

Rev. bras. epidemiol.

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Objective: To investigate differences in sexual, reproductive health and health status indicators of female sex workers in 12 Brazilian cities. Methods: Cross-sectional study of biological and behavioral surveillance survey with a minimum sample of 350 female sex workers per city, recruited by respondent driven sampling, in 2016. Complex sample design was considered in the data analysis. Indicators and 95% confidence intervals related to sexual and reproductive health, and health status were described separately by city and for the total sample. Results: The total sample consisted of 4,328 female sex workers. The coverage of Pap smear exam, human immunodeficiency virus and syphilis tests and antenatal care indicators varied by 20 percentages points or more. Pap smear exam coverage ranged from 53.4% in Recife to 73.0% in Porto Alegre. The highest percentage of female sex workers who had never been tested for human immunodeficiency virus and syphilis was in Fortaleza (36.8 and 63.8%, respectively). Antenatal coverage ranged from 61.1% in Salvador to 99.0% in Curitiba. In five cities, the proportion of female sex workers who disclosed their sex work status in health services was over 20.0%. Conclusion: The differences between the indicators in the 12 cities followed the Brazilian population profile, with more vulnerable sex workers in the North and Northeast regions. The results show that it is essential to consider the barriers to accessing health, such as stigma and discrimination, which restrict the addressing of female sex workers specific needs.

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Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 99%

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Sexual, reproductive health and health status of female sex workers in 12 Brazilian cities, 2016

Braga

Damacena

Szwarcwald

et al. 2021

Rev. bras. epidemiol.

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“…En relación con las conductas de riesgo, el análisis mostró que los ribereños que reportaron relaciones sexuales con trabajadoras sexuales tienen aproximadamente seis veces más probabilidades (OR 6.54; IC95%:3.05-14.0) para presentar una ITS. Un estudio (22) desarrollado en capitales brasileñas concluyó que el 61,2% de las trabajadoras sexuales aceptarían la práctica de relaciones sexuales sin preservativo por alguna razón, como remuneración, participación emocional, consumo de alcohol u otras drogas. Este resultado pone de relieve la necesidad de fortalecer las medidas de prevención, especialmente el fomento de conductas sexuales más seguras con el uso del preservativo y la conciencia del riesgo de infección.…”

Section: Discussionunclassified

Infecções sexualmente transmissíveis na população ribeirinha: prevalência e comportamento de risco

Paula¹,

Brasil²,

Araújo³

et al. 2022

Enf Global

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Introduction: The riparians population is considered vulnerable to Sexually Transmitted Infections due to restrictions related to access to health, information and education.Objective: To analyze the prevalence of self-reported Sexually Transmitted Infections among the riparians population and associated sociodemographic and behavioral factors.Material and Method: Cross-sectional, analytical study, conducted with 250 riparians dwellers from João Pessoa, Paraiba state, from June to October 2019. Data were collected through interviews using a structured questionnaire. Logistic regression analysis was performed. The research was approved by the Research Ethics Committee under opinion number 3,340,273.Results: The prevalence of Sexually Transmitted Infections was 20.8%. Male ribs (OR=3.27; CI95%:1.74-6.15), who reported sexual intercourse with sex workers (OR=6.54; CI95%:3.05-14.0) and illicit drug use (OR 2.13; CI95%:1.10-4.13) were more likely to develop sexually transmitted infection.Conclusions: High prevalence of sexually transmitted infections and presence of risk behaviors among riparians. Screening, early diagnosis and health education is essential for discontinuation of the transmission chain. Introducción: La población ribereña se considera vulnerable a las infecciones de transmisión sexual debido a cambios relacionados con el acceso a la salud, la información y la educación.Objetivo: Analizar la prevalencia de infecciones de transmisión sexual autoinformadas en una población ribereña y los factores sociodemográficos y conductuales asociados.Material y Método: Estudio transversal, analítico, realizado con 250 habitantes ribereños de João Pessoa, en el estado de Paraíba, de junio a octubre de 2019. Los datos fueron recolectados a través de entrevistas mediante un cuestionario estructurado. Se realizó un análisis de regresión logística. La investigación fue aprobada por el Comité de Ética en Investigación con el dictamen número 3.340.273.Resultados: La prevalencia de Infecciones de Transmisión Sexual fue de 20,8%. Hombres habitantes de la ribera (OR = 3,27; IC del 95%: 1,74-6,15), que informaron haber tenido relaciones sexuales con una trabajadora sexual (OR = 6,54; IC del 95%: 3,05-14,0) y uso de drogas ilícitas (OR 2,13; IC del 95%: 1.10-4.13) disipación mayores posibilidades de desarrollar una infección de transmisión sexual.Conclusiones: Alta prevalencia de riesgo de transmisión sexual y presencia de tendencia de riesgo entre los habitantes de las riberas. El cribado, el diagnóstico precoz y la educación sanitaria son fundamentales para interrumpir la transmisión. Introdução: A população ribeirinha é considerada vulnerável às Infecções Sexualmente Transmissíveis devido às restrições relacionadas ao acesso à saúde, informação e educação.Objetivo: Analisar a prevalência de Infecções Sexualmente Transmissíveis autorreferidas entre a população ribeirinha e fatores sociodemográficos e comportamentais associados. Material e Método: Estudo transversal, analítico, realizado com 250 ribeirinhos de João Pessoa, no estado da Paraíba, no período de junho a outubro de 2019. Os dados foram coletados por meio de entrevista com a utilização de questionário estruturado. Realizou-se análise de regressão logística. A pesquisa foi aprovada pelo Comitê de Ética em Pesquisa sob número de parecer 3.340.273.Resultados: A prevalência de Infecções Sexualmente Transmissíveis foi de 20,8%. Ribeirinhos do sexo masculino (OR=3,27;IC95%: 1,74-6,15), que relataram relação sexual com profissional do sexo (OR=6,54;IC95%:3,05-14,0) e uso de droga ilícita (OR 2,13; IC95%: 1,10-4,13) apresentaram maiores chances de desenvolver alguma infecção sexualmente transmissível. Conclusões: Alta prevalência de infecções sexualmente transmissíveis e presença de comportamentos de risco entre os ribeirinhos. Rastreio, diagnóstico precoce e educação em saúde é fundamental para descontinuação da cadeia de transmissão.

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“…[9] In some cases, this resulted in overrepresentation of crack user FSW, for example, in São Paulo and Salvador; in others, in underrepresentation of street point FSW, such as in Belo Horizonte. [41] Another limitation refers to the delay between the study time frame and the publication. Despite this delay, the results represent relevant data regarding health vulnerability among FSW and are still valid in view of the scarcity of large studies among this population in Brazil.…”

Section: Discussionmentioning

confidence: 99%

Health vulnerabilities in female sex workers in Brazil, 2016

et al. 2022

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Female sex workers (FSW) suffer stigma and discrimination that negatively impact their physical and mental health and affect access to health care services. This paper aims to describe selected health indicators among FSW in 12 Brazilian cities in 2016. Brazilian cross-sectional Biological Behavioral Surveillance Survey was conducted in 2016 among 4328 FSW recruited by respondent-driven sampling. The sample weighing was inversely proportional to participant's network sizes and the seeds were excluded from the analysis. Health indicators were estimated with 95% confidence interval and included indicators of health status, symptoms of depression, antenatal care, pap smear coverage, signs and symptoms of sexually transmitted infection, contraception and regular condom use, number of births and children alive per women, human immunodeficiency virus and syphilis testing, usual source of care, and perception of discrimination. Most participants self-rated their health as very good/good (65.8%) and 27.7% were positively screened for major depressive disorder episode on Patient Health Questionnaire-2. Antenatal coverage was 85.8% and 62.3% of FSW had access to pap smear exam in the past 3 years. A total of 67.0% of FSW were using some contraceptive method at the time of the study. Male condom was the most common method (37.1%), followed by oral pill (28.9%). A total of 22.5% FSW had never been tested for HIV and the main reasons were "not feeling at risk" (40.4%) and "being afraid or ashamed" (34.0%). The vast majority of FSW used Brazilian National Health System as their usual source of health care (90.2%). Approximately one-fifth of the participants felt discriminated against or were treated worse for being FSW (21.4%) and only 24.3% disclose their sex work status in health services. The vulnerability of FSW is expressed in all health indicators. Indicators of health status, antenatal care, pap smear coverage, and contraception were worse than in the Brazilian population, and point out to the importance of increase FSW's access to health care services. Also, stigma and discrimination emerged as an important barrier to FSW's health care in all dimensions and need to be struggled.

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Caracterização de mulheres trabalhadoras do sexo em capitais brasileiras, 2016*

Cited by 3 publications

References 21 publications

Sexual, reproductive health and health status of female sex workers in 12 Brazilian cities, 2016

Sexual, reproductive health and health status of female sex workers in 12 Brazilian cities, 2016

Infecções sexualmente transmissíveis na população ribeirinha: prevalência e comportamento de risco

Health vulnerabilities in female sex workers in Brazil, 2016

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