Barriers to Accessing Sexual Health Services for Transgender and Male Sex Workers: A Systematic Qualitative Meta-summary.

Access to safe and effective sexual healthcare services for transgender and male sex workers (TMSW) is a human right. Globally, TMSW experience a higher prevalence of human immunodeficiency virus (HIV) and sexually transmitted infections than the general population or other sex workers, suggesting t...

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Publicado en:AIDS & Behavior Vol. 24; no. 3; pp. 682 - 697
Autores principales: Brookfield, Samuel, Dean, Judith, Forrest, Candi, Jones, Jesse, Fitzgerald, Lisa
Formato: research systematic review tables/charts Journal Article
Publicado: Springer Nature Mar2020
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2020
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s10461-019-02453-4
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        atl: Barriers to Accessing Sexual Health Services for Transgender and Male Sex Workers: A Systematic Qualitative Meta-summary.
      aug:
        au:
          Brookfield, Samuel
          Dean, Judith
          Forrest, Candi
          Jones, Jesse
          Fitzgerald, Lisa
        affil: School of Public Health, Faculty of Medicine, University of Queensland, Brisbane, Australia
      sug:
        subj:
          Health Services Accessibility Evaluation
          Sex Work
          Transgender Persons Psychosocial Factors
          Sexual Health
          Health Services
          Human
          Systematic Review
          Guideline Adherence
          Qualitative Studies
          Stigma
          Sexuality
          Gender Identity
          Health Status
          Health Literacy
          Privacy and Confidentiality
      ab: Access to safe and effective sexual healthcare services for transgender and male sex workers (TMSW) is a human right. Globally, TMSW experience a higher prevalence of human immunodeficiency virus (HIV) and sexually transmitted infections than the general population or other sex workers, suggesting the existence of unique challenges for this group when accessing healthcare. A systematic database search identified 22 qualitative papers addressing barriers to accessing sexual healthcare services for TMSW. These papers were critically evaluated for adherence to best practice standards for qualitative research and research with sex workers. A coding process identified five themes. Stigma was the predominant barrier, and was divided into stigma related to sexuality, gender identity, HIV status, sex worker status, and internalised stigma. Other barriers were confidentiality concerns, sexual health literacy, fatalism, and structural barriers. Each of these themes were informed by the wider context of stigma. The literature presents a complex syndemic of social disadvantage and exclusion acting to produce and reinforce health disparities related to sexual health and access to screening and treatment for TMSW.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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