Acceso a servicios de prevención de its y vih en trabajadoras sexuales en zonas fronterizas de Centroamérica

Abstract

Objetivo. Analizar el acceso a servicios preventivos de ITS/VIH en trabajadoras sexuales en zonas fronterizas de Centroamérica. Material y métodos. Estudio cuasi experimental en una muestra no aleatoria de 558 trabajadoras sexuales, en zonas fronterizas de Centroamérica con y sin intervenciones relacionadas con información sobre derechos humanos, comportamiento sexual, acceso a información sobre prevención/transmisión, condones, pruebas de vih, anticoncepción, atención médica y uso de condón. Se realizó un análisis descriptivo y se estimaron modelos de regresión logística para identificar factores asociados con el uso de condón. Resultados. Las trabajadoras sexuales de comunidades con intervención presentaron mayor acceso a información preventiva (99 vs 87%), condones (98 vs 75%), pruebas de VIH (89 vs 61%), anticonceptivos (74 vs 65%), servicios ginecológicos (83 vs 57%) y mayor posibilidad –3.9 (IC:1.2-12.7)– de usar condón con clientes respecto a las que no tuvieron intervención. Conclusiones. Las diferencias observadas deben considerarse en un marco relacionado con características socioculturales y de movilidad poblacional en contextos fronterizos, así como de organización de los servicios de salud.

The paradox of choice in the sexual and reproductive health and rights challenges of south-south migrant girls and women in Central America and Mexico: A scoping review of the literature

“…(2012) Quantitative Mexico northern border 51 females of 693 total respondent deportees, age range unspecified Estimate levels of HIV infection and behavioral risk factors among deported migrants 15 Rodriguez-Montejano et al. (2015) Qualitative Mexico northern border 12 female deportees with injection drug use aged 29–53 years Describes adaptation to the post-deportation environment among Mexican-born injection drug-using women 16 Kendall and Pelcastre (2010) Qualitative Mexico central region 26 female internal migrant factory workers, aged 15–49 years Explore perceptions of HIV and condom use among Mexican migrant female factory workers 17 Leyva-Flores et al. (2013) Quantitative Central America and Mexico 558 female sex workers aged 18–55 years, includes migrants and non-migrants Analyze access to STI and HIV prevention services for female sex workers in border communities 18 Rocha-Jiménez et al.…”

Migrants on the Move and Food (In)security: A Call for Research

“…Migrants on the move face challenges to achieving food security in all four food security dimensions, however, food access is especially susceptible to variations during active mobility due to its heavy dependence on external resources. Table 1 shows potential barriers and facilitators which may impact the four dimensions of food security during the active mobility stage of migration [ 24 , 25 ].…”

Migration and Mobility: Correlates of Recent HIV Testing Among Substance Using Female Sex Workers at the Mexico–Guatemala Border

“…Many populations (e.g., FSW, MSM, migrants) in diverse settings face barriers to HIV testing due to stigma, criminalization, and limited access to health services [1,14,[17][18][19][20]. However, less is known about the possible compounding effects of migration and mobility on HIV testing access [21,22].…”

“…Overall, there is limited data on the accessibility of HIV testing and SRH services among FSW in this setting, and data on access to prevention services differ [ 21 , 22 ]. A 2013 study conducted in six border regions including the Mexico–Guatemala border found that 61% of the 301 FSW reported receiving HIV testing and 57%, access to SRH services in the past 5 years [ 22 ].…”

“…Overall, there is limited data on the accessibility of HIV testing and SRH services among FSW in this setting, and data on access to prevention services differ [ 21 , 22 ]. A 2013 study conducted in six border regions including the Mexico–Guatemala border found that 61% of the 301 FSW reported receiving HIV testing and 57%, access to SRH services in the past 5 years [ 22 ]. An epidemiological survey conducted in Guatemala also in 2013 found that, in the border cities of Tecun Uman and Malacatan, 80% of the FSW reported receiving an HIV test in the past year [ 21 ].…”