Examining the Intrapersonal, Interpersonal and Community Level Correlates of Access to Medical Care Among Women Employed by Sex Work in Southern Uganda: A cross-sectional Analysis of the Kyaterekera Study.
Women employed by sex work (WESW) experience significant gaps in accessing necessary healthcare services, leading to unmet health needs. Yet, there is a dearth of literature on the barriers to medical care access among WESW in Uganda. We used data from the Kyaterekera baseline to examine the correla...
| Publicado en: | AIDS & Behavior Vol. 28; no. 7; pp. 2350 - 2361 |
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| Autores principales: | , , , , , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Jul2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=178065549&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 178065549 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10907165 G1T jtl: AIDS & Behavior issn: 10907165 maglogo: N pubinfo: dt: Jul2024 vid: 28 iid: 7 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 178065549 176521708 178065549 178065549 10.1007/s10461-024-04333-y 178065549 ppf: 2350 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Examining the Intrapersonal, Interpersonal and Community Level Correlates of Access to Medical Care Among Women Employed by Sex Work in Southern Uganda: A cross-sectional Analysis of the Kyaterekera Study. aug: au: Kiyingi, Joshua Mayo-Wilson, Larissa Jennings Nabunya, Proscovia Kizito, Samuel Nabayinda, Josephine Nattabi, Jennifer Nsubuga, Edward Bahar, Ozge Sensoy Namuwonge, Flavia Nakabuye, Fatuma Nanteza, Flavia Filippone, Prema L. Mukasa, Dinah Witte, Susan S. Ssewamala, Fred M. affil: https://ror.org/01yc7t268 International Center for Child Health and Development (ICHAD), Washington University in St. Louis Brown School, 1 Brookings Drive, 63130, St. Louis, MO, USA sug: subj: Sex Work Psychosocial Factors Employment Health Services Accessibility HIV Infections Interpersonal Relations Patient Attitudes Human Female Adolescence Adult Middle Age Cross Sectional Studies Domestic Violence Attitude to Health Stigma Socioeconomic Factors Funding Source Family Support Multiple Linear Regression Educational Status Marital Status Health Knowledge Special Populations Descriptive Statistics Confidence Intervals Adolescent: 13-18 years Adult: 19-44 years Middle Aged: 45-64 years Female ab: Women employed by sex work (WESW) experience significant gaps in accessing necessary healthcare services, leading to unmet health needs. Yet, there is a dearth of literature on the barriers to medical care access among WESW in Uganda. We used data from the Kyaterekera baseline to examine the correlates of access to medical care among WESW, defined as the ability of individuals to obtain the necessary healthcare services they require in a timely, affordable, and equitable manner. The Kyaterekera study recruited 542 WESW aged 18–58 years from Southern Uganda. We conducted a multilevel linear regression model to determine the intrapersonal (age, education level, marital status, HIV knowledge, and asset ownership), interpersonal (family cohesion and domestic violence attitudes), and community (community satisfaction, sex work stigma and distance to health facility) level correlates of access to medical care among WESW. Intrapersonal and interpersonal factors were associated with access to medical care among WESW. There was no significant association between community level factors and access to medical care. WESW with secondary education (β = 0.928, 95% CI = 0.007, 1.849) were associated with increased access to medical care. WESW with high asset ownership (β = -1.154, 95% CI= -1.903, -0.405), high family cohesion (β = -0.069, 95% CI= -0.106, -0.031), and high domestic violence attitudes (β = -0.253, 95% CI= -0.438, -0.068) were associated with decreased access to medical care. The findings emphasize the critical need for targeted family strengthening interventions to enhance family support for WESW and address domestic violence. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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