Sexual Violence and Low Rates of HIV Post-exposure Prophylaxis Access Among Female Sex Workers in Brazil

Female sex workers (FSW) are disproportionately affected by sexual violence (SV) and HIV. Social and structural barriers limit their access to post-exposure prophylaxis (PEP). Respondent-driven sampling survey in 12 Brazilian cities among 4188 FSW aimed to estimate the rates of SV and factors associ...

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Bibliographic Details
Published inAIDS and behavior Vol. 26; no. 12; pp. 4082 - 4092
Main Authors de Lima, Acácia Mayra Pereira, Magno, Laio, Luppi, Carla Gianna, Szwarcwald, Célia Landmann, Grangeiro, Alexandre, Santana, Elis Passos, Dourado, Inês
Format Journal Article
LanguageEnglish
Published New York Springer US 01.12.2022
Springer Nature B.V
Subjects
Access
Aggression
Disease prevention
Females
Health care
Health Psychology
Health services
HIV
Human immunodeficiency virus
Infectious Diseases
Medicine
Medicine & Public Health
Occupational exposure
Original Paper
Prophylaxis
Prostitution
Public Health
Sex crimes
Sex industry
Sex workers
Sexual assault
Sexually transmitted diseases
STD
Violence
Womens health
Brazil
Female sex workers
Profilaxis posterior a la exposición
Sexual violence
HIV
VIH
Muestreo dirigido por encuestados (MDE)
Brazil
Violencia sexual
Post-exposure prophylaxis
Mujeres trabajadoras sexuales
Respondent-driven sampling
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Summary:Female sex workers (FSW) are disproportionately affected by sexual violence (SV) and HIV. Social and structural barriers limit their access to post-exposure prophylaxis (PEP). Respondent-driven sampling survey in 12 Brazilian cities among 4188 FSW aimed to estimate the rates of SV and factors associated with access to PEP use among FSW who experienced SV. The prevalence of SV was 26.3% (1199). Of the 1199, 7.5% sought out healthcare and used PEP, 19% sought out healthcare, but did not use PEP, and 73.5% did not seek out healthcare after SV. Factors associated with PEP use included PEP awareness, participation in HIV/STI prevention workshops, and disclosure of FSW status in healthcare services. Although Brazil has a PEP program free of charge, it is not readily accessible, even for FSW who seek out healthcare. The development of effective strategies to link FSW to HIV preventive services is urgently needed.
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ISSN:1090-7165
1573-3254
DOI:10.1007/s10461-022-03734-1