Structural vulnerability and access to medical care among migrant street-based male sex workers in Germany

Castañeda, Heide

doi:10.1016/j.socscimed.2013.02.010

Cited by 53 publications

(24 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Therefore, MSW can be considered as a risk factor for HIV infection compared to SB identity. This is similar to Heide Castañeda's research, which found that MSW was more susceptible to HIV infection than ordinary MSM [17] . The reasons may be as follows.…”

Section: Discussionsupporting

confidence: 89%

Is male sex workers(MSW) more susceptible to HIV than sex buyers(SB)?

Cui

Zhang

et al. 2020

Preprint

View full text Add to dashboard Cite

Introduction: As both parties to commercial sex, MSW and SB are both at high risk of HIV infection. However, there are few studies on the comparison of HIV infection rates between these two groups of people.Methods: The method of snowball sampling was used to recruit research participants by means of baths, bars, and the Internet. The recruited participants should cooperate with the investigators to complete the questionnaire (including general demographic characteristics, high risky behaviors, status of HIV and AIDS infection, awareness of AIDS knowledge )and blood antibody / antigen tests / oral mucosal exudate antibody tests. The difference analysis was performed using the c2 test, and the correlates of HIV infection were analyzed using logistic regression.Results: The final analysis included 435 MSWs and 729 SBs with HIV infection rates of 7.1% and 2.6%, respectively. Compared with SB, the HIV infection rate of MSW was 2.775 (1.340 -5.746) times higher (after adjusting for age and marital status), 3.173 (1.512-6.659) times higher (after further adjusting the awareness rate of AIDS-related knowledge), 3.688 (1.711-7.950) times higher (after further adjusting the frequency of condom use in homosexual intercourse and commercial sex in the past six months).Conclusions: MSW is more likely to infect HIV than SB. Therefore, effective preventive measures should be focused on MSW.

show abstract

Section: Discussionsupporting

confidence: 89%

Is male sex workers(MSW) more susceptible to HIV than sex buyers(SB)?

Cui

Zhang

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…Although “migrant worker insurance” was launch in 2006, it covered the migrant workers with stable employment relation with urban employers, and was not applicable for the self-employed or the unregistered migrants [ 33 ]. Working without a contract is common to labor migrants in most industries in majority immigrant countries, which often can prevent privilege to the typical national or local health insurance, support services or social assistance [ 34 – 36 ]. Lower health insurance coverage and complicated reimbursement procedure increased the barriers to access health services for migrants.…”

Section: Discussionmentioning

confidence: 99%

Analysis of health service utilization of migrants in Beijing using Anderson health service utilization model

Shao

Wang

Gao

et al. 2018

BMC Health Serv Res

View full text Add to dashboard Cite

BackgroundMigrants are the unique production of China’s urbanization process. They are often excluded from social welfare and security systems of cities, and often exposed to high health risk related closely to their health problems. This research sought to unveil and explore the influencing factors on health services utilization of migrants in Beijing.MethodsA sample of 2014 inter-provincial migrants and 4578 residents with Beijing “Hukou” who were 15 years old and above was chosen by three-stage stratified cluster sampling method. A structured questionnaire survey was conducted via face-to-face interviews. Anderson health service utilization model was used to demonstrate the effects of the explanatory variables on health seeking behavior from predisposing, enabling and need variables.ResultsThe study reveals that the rate of ‘having symptoms’ of migrants was lower than that of residents with “Hukou” only in the group of 25 to 34 years old in the past month. 503 migrants (25.0%) and 1441 (31.5%) residents with “Hukou” reported at least one episode of discomfort in the past month, and the rate of health service seeking behavior among migrants (46.8%) was lower than residents with “Hukou” (62.6%) (P < 0.0001). Chi-square independence test shows that age, ethnicity, employment status, having chronic disease and the degree of symptom were the major determinants affecting migrants to receive health services. The binary logistic regression indicates that the degree of symptom as the need variable and ethnicity as the predisposing variable were the strong and consistent determinants of health services seeking behavior. The migrants with moderate degree and severe degree of symptom in the past month were at 1.623-times (OR = 1.623) and 5.035-times (OR = 5.035) higher chances of seeking health services respectively, comparing to mild degree of symptom. Minority migrants were less likely to seek health services than Han migrants (OR = 0.282).ConclusionsThe results indicate that the current health delivery system is not conducive for migrants to seek appropriate health services. Relevant policies and feasible measures, including increasing the coverage of health insurance and improving the health perception of migrants should be vigorously implemented to provide affordable health services and change health service utilization behaviors for migrants.

show abstract

“…They call for a focus on social inequalities through concepts such as fundamental social causes (73)(74)(75)103), social stratification (78), social determinants of health inequality (63,76,78,80,125), income inequality (63), webs of causation (65), higher-order causal-level structural factors (87), upstream factors (86), discrimination, and racial disparities in health outcomes (42,66,71,79,123,144). Drawing from the social sciences, frameworks have incorporated concepts related to the importance of social structures and social inequalities, such as political economy and political and economic determinants (94,95,121), structural violence (41), symbolic violence (19,21,54), structural vulnerability (29,54,111), conjugated oppression and hierarchies of embodied suffering (20,52), zones of abandonment (16), intersectionality (136,139), and discourses of deservingness (28,53,81,119,133,143). Here, we do not explore each of these concepts in depth because they overlap and together inform our understanding of the importance of the social determinants lens for understanding the health effects of immigration.…”

Section: Social Determinants Of Healthmentioning

confidence: 99%

Immigration as a Social Determinant of Health

Castañeda

Holmes

Madrigal³

et al. 2015

Annu. Rev. Public Health

Self Cite

770

631

View full text Add to dashboard Cite

Although immigration and immigrant populations have become increasingly important foci in public health research and practice, a social determinants of health approach has seldom been applied in this area. Global patterns of morbidity and mortality follow inequities rooted in societal, political, and economic conditions produced and reproduced by social structures, policies, and institutions. The lack of dialogue between these two profoundly related phenomena-social determinants of health and immigration-has resulted in missed opportunities for public health research, practice, and policy work. In this article, we discuss primary frameworks used in recent public health literature on the health of immigrant populations, note gaps in this literature, and argue for a broader examination of immigration as both socially determined and a social determinant of health. We discuss priorities for future research and policy to understand more fully and respond appropriately to the health of the populations affected by this global phenomenon.

show abstract

Structural vulnerability and access to medical care among migrant street-based male sex workers in Germany

Cited by 53 publications

References 10 publications

Is male sex workers(MSW) more susceptible to HIV than sex buyers(SB)?

Is male sex workers(MSW) more susceptible to HIV than sex buyers(SB)?

Analysis of health service utilization of migrants in Beijing using Anderson health service utilization model

Immigration as a Social Determinant of Health

Contact Info

Product

Resources

About