Nurses’ attitudes toward female sex workers: A qualitative study

Ma, Haixia; Loke, Alice Yuen

doi:10.1177/0969733020961490

Cited by 4 publications

(2 citation statements)

References 27 publications

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“…A study conducted among nurses in Hong Kong discovered that nurses had a perceived unfavourable attitude, showing hesitation and reluctance to care for FSWs. Nurses' attitudes toward FSWs show that nurses stigmatise FSWs, a significant obstacle to their access to ANC care (Ma & Loke, 2021). Some FSW participants faced stigma from HCWs while seeking treatment for STIs.…”

Section: Healthcare Workers Factormentioning

confidence: 99%

Determinant Factors of Antenatal Clinic on Female Sex Workers Attendance within Nairobi County, Kenya

Tunya,

Musembi,

Akolo

2024

EAJHSS

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Globally antenatal care (ANC) initiation is at 58.6% but varies in different continents. Sub-Sahara has the lowest level of ANC care where women attend at least four times during pregnancy. Recent survey in Nairobi County found out that majority of women attends only one antenatal visit during pregnancy. The aim of the study was to explore determinants of antenatal clinic attendance among female sex workers in Nairobi County. A quantitative cross-sectional descriptive study among FSWs (18-49years) was carried out. Simple random sampling and self-administered questionnaires were used for data collection. Data analysis was done using descriptive and inferential statistics. The results show that 132 (32.8%) FSWs were aged 30 to 34 years, 242 (60.0%) were not married. 346 (85.9%) had unplanned pregnancy. Late ANC initiation was due to 42.4% (171) attitude of HCWs, 67.6% (215) distance to the healthcare facility and 86.1% (347) longer waiting time. On inferential analysis, there was an association between occupation of respondent vs number of ANC attendance which was significant = 22.525, df 12, P = 0.032 at P < 0.05. Marital of respondent vs number of ANC attendance was significant =29.058, df 15, P=0.016 at P<0.05. The income level of respondents vs number of antenatal care visits was significant =17.557, df 6, P=0.007 at P<0.05. Thus, pregnant FSWs face discrimination during ANC visits. These research findings will form a basis for future studies as well as guide the Ministry of Health and other stakeholders to develop policies that will guide ANC services among FSWs. Outreach programs on ANC among FSWs should be implemented and there should ANC services that only target FSWs.

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Section: Healthcare Workers Factormentioning

confidence: 99%

Determinant Factors of Antenatal Clinic on Female Sex Workers Attendance within Nairobi County, Kenya

Tunya,

Musembi,

Akolo

2024

EAJHSS

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“…Being defined as deviant, disordered and vulnerable is a well‐known ‘othering’ approach that creates a stereotype, a simplified and incomplete image of the patient (Aronsen et al, 2013; Putnis & Burr, 2019). Not surprisingly, therefore, researchers have shown that professionals have mixed attitudes toward female sex workers (Ma & Loke, 2020; Ouzouni & Nakakis, 2012), which may have impacted the nurse's reaction in the incident described above and made her embarrassed. She also avoided making the patient uneasy by asking questions that were too personal, which resulted in a strained conversation.…”

Section: Healthcare Professionals’ Reflections On Critical Encounters With Ethnic Minority Patientsmentioning

confidence: 99%

Healthcare professionals’ encounters with ethnic minority patients: The critical incident approach

Kartzow

Fougner

2021

Nursing Inquiry

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Ethnic minority patients face challenges concerning communication and are at higher risk of experiencing health problems and consuming fewer healthcare services. They are also exposed to disparaging societal discourses about migrants which might undermine healthcare institutions’ ambitions of equitable health care. Therefore, healthcare professionals need to critically reflect on their practices and processes related to ethnic minority patients. The aim of this article is to explore healthcare professionals’ experiences of working with ethnic minority patients by using the critical incident (CI) technique. In two focus group sessions, participants discussed challenging events in their encounters with patients. The critical incidents show that healthcare professionals may experience unfamiliar situations related to their work performance, prejudice toward patients, and labeling by patients the professionals do not identify with. The professionals’ reflections are discussed in relation to social discourses on migration and their work conditions, and the possible influence on the professionals’ preconceptions and the patient–professional relationship in health care. Reflections about work experiences with ethnic minority patients and aligned societal discourses should be included in healthcare workers’ professional development. Critical incident reflections at work may contribute to better‐coping strategies for healthcare professionals and improved patient–professional relationships with ethnic minority patients.

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Self-Care Practices and Associated Sexual Health Risks Among Cisgender Women Sex Workers in Colombia

Perdomo Sandoval,

Villamil Camacho,

Goberna-Tricas

2024

Sex Res Soc Policy

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Introduction Sexwork is a social phenomenon characterized by exchanging sexual services for money or goods. In Colombia, it generally occurs in clandestine and unsafe environments due to social exclusion related to stigma, discrimination, and criminalization of the occupation. Sex workers may experience health risks due to the ineffectiveness of some self-care measures in exercising sexual practices. Methods This qualitative, constructivist, hermeneutic phenomenological study explored the sexual health self-care practices of 34 cisgender women sex workers over 18 years of age in Colombia from the analytical lens of intersectionality. Data were obtained through in-depth interviews face-to-face and discussion groups between July 2021 and March 2022. Results After reflective thematic analysis with an inductive approach to the data, five general themes emerged: meaning of self-care promoting practices, relationship with the healthcare system, empowerment and personal autonomy, vulnerability of cisgender women sex workers, and low-risk perception. Conclusions and Policy Implications The findings show the need to promote and provide humanized, friendly, and self-sustainable sexual health care with educational strategies that favor the intersectional cooperation of preventive care linked to the body, conceptual, and cultural memory of sex workers, providing them with the necessary tools to manage sexual health risks from their situated and contextual reality with a perspective of rights, social justice, and gender equity.

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Nurses’ attitudes toward female sex workers: A qualitative study

Cited by 4 publications

References 27 publications

Determinant Factors of Antenatal Clinic on Female Sex Workers Attendance within Nairobi County, Kenya

Determinant Factors of Antenatal Clinic on Female Sex Workers Attendance within Nairobi County, Kenya

Healthcare professionals’ encounters with ethnic minority patients: The critical incident approach

Self-Care Practices and Associated Sexual Health Risks Among Cisgender Women Sex Workers in Colombia

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