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Enhancing sexual health and empowerment among migrant women sex workers: a community health worker-led intervention in Marseille, France

dc.rights.licenseopenen_US
hal.structure.identifierANRS - Maladies infectieuses émergentes [ANRS - MIE]
hal.structure.identifierSciences Economiques et Sociales de la Santé & Traitement de l'Information Médicale [SESSTIM - U1252 INSERM - Aix Marseille Univ - UMR 259 IRD]
hal.structure.identifierInstitut des sciences de la santé publique [Marseille] [ISSPAM]
hal.structure.identifierUniversity of Health Sciences [Phnom-Penh, Cambodia] [UHS]
dc.contributor.authorMOSNIER, Emilie
hal.structure.identifierSciences Economiques et Sociales de la Santé & Traitement de l'Information Médicale [SESSTIM - U1252 INSERM - Aix Marseille Univ - UMR 259 IRD]
hal.structure.identifierInstitut des sciences de la santé publique [Marseille] [ISSPAM]
dc.contributor.authorHOYER, Maxime
hal.structure.identifierProspective Cooperation NGO [Marseille] [PC-NGO]
dc.contributor.authorARTIGAS, Fernanda
hal.structure.identifierSciences Economiques et Sociales de la Santé & Traitement de l'Information Médicale [SESSTIM - U1252 INSERM - Aix Marseille Univ - UMR 259 IRD]
hal.structure.identifierInstitut des sciences de la santé publique [Marseille] [ISSPAM]
dc.contributor.authorREGNAULT, Hippolyte
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorRICHARD, Elodie
hal.structure.identifierAIDES [Pantin, France]
hal.structure.identifierCoalition PLUS [Pantin, France]
dc.contributor.authorMICHELS, David
hal.structure.identifierProspective Cooperation NGO [Marseille] [PC-NGO]
dc.contributor.authorMOSNIER, Marine
hal.structure.identifierProspective Cooperation NGO [Marseille] [PC-NGO]
dc.contributor.authorINEGBEZE, Grâce
hal.structure.identifierAIDES Association [France]
dc.contributor.authorROBLEDO, Manuela Salcedo
hal.structure.identifierSciences Economiques et Sociales de la Santé & Traitement de l'Information Médicale [SESSTIM - U1252 INSERM - Aix Marseille Univ - UMR 259 IRD]
hal.structure.identifierAIDES Association [France]
dc.contributor.authorSPIRE, Bruno
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorVANDENTORREN, Stephanie
hal.structure.identifierProspective Cooperation NGO [Marseille] [PC-NGO]
dc.contributor.authorLESCAUDRON, Marc
hal.structure.identifierUnité des Virus Emergents [UVE]
dc.contributor.authorELDIN, Carole
hal.structure.identifierSciences Economiques et Sociales de la Santé & Traitement de l'Information Médicale [SESSTIM - U1252 INSERM - Aix Marseille Univ - UMR 259 IRD]
hal.structure.identifierInstitut des sciences de la santé publique [Marseille] [ISSPAM]
dc.contributor.authorROUX, Perrine
dc.date.accessioned2024-10-22T10:14:24Z
dc.date.available2024-10-22T10:14:24Z
dc.date.issued2024-03-27
dc.identifier.issn2296-2565en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/202667
dc.description.abstractEnIntroduction Given the high infection rate of sexually transmitted infections (STI) among migrant women sex workers (WSWs), it is necessary to understand how to improve prevention, information and care for this vulnerable population. Community health workers (CHWs), by linking community to health services, are positioned to improve health outcomes in migrant communities. This article aims to describe a pilot innovative intervention performed by CHWs to improve sexual health in migrant WSWs. Methods This one-year intervention study used a respondent-driven sampling (RDS) to recruit a representative cohort of migrant WSWs in Marseille, France. Four CHWs were recruited from different communities and participated in all stages of the research. They performed individual and group interventions of prevention, support in care and empowerment. Data on participant characteristics, type of intervention and adherence to the intervention were reported via questionnaires given to participants. Simultaneously, semi-structured interviews and informal interviews of migrant WSW, CHWs and care providers were carried out. Results A total of 132 migrant WSWs were included in the cohort. Very few of them knew about PrEP (12%) or already used HIV post-exposure treatment (9%). Migrant WSWs were often victims of rape or racism, 15 and 21%, respectively. In two-thirds of cases the level of health literacy was low. Participants suffered from a combination of vulnerability factors: difficulties with access to social rights, food or housing. Only 13% reported having benefited from medical follow-up or assistance by an NGO in the 3 months prior to the program. By 3 months, more than one third of the participants had been tested for HIV (35%) and 63% knew about PrEP. A total retention rate of 70% was reported in the cohort after 6 months. Conclusion CHWs enabled to improve care access for migrant WSWs by improving the collaboration between care and social actors at a local level. Through these “bring-back-to” interventions for this hard-to-reach population, CHWs enabled an optimization of the care pathway. Our results also highlight the importance of a population-based approach for individual and group support of empowerment interventions in order to strengthen their capacity for action.
dc.language.isoENen_US
dc.rightsAttribution 3.0 United States*
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/us/*
dc.subject.encohort
dc.subject.encommunity health interventions
dc.subject.encommunity health workers
dc.subject.encommunity-based participatory research
dc.subject.enhealth promotion
dc.subject.enmigrants
dc.subject.enwomen sex workers
dc.title.enEnhancing sexual health and empowerment among migrant women sex workers: a community health worker-led intervention in Marseille, France
dc.title.alternativeFront Public Healthen_US
dc.typeArticle de revueen_US
dc.identifier.doi10.3389/fpubh.2024.1359363en_US
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologieen_US
dc.identifier.pubmed38601503en_US
bordeaux.journalFrontiers in Public Healthen_US
bordeaux.page1359363en_US
bordeaux.volume12en_US
bordeaux.hal.laboratoriesBordeaux Population Health Research Center (BPH) - UMR 1219en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.institutionINSERMen_US
bordeaux.teamPHARES_BPHen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
bordeaux.identifier.funderIDSidactionen_US
bordeaux.identifier.funderIDViiV Healthcareen_US
bordeaux.import.sourcehal
hal.identifierhal-04720835
hal.version1
hal.popularnonen_US
hal.audienceInternationaleen_US
hal.exportfalse
workflow.import.sourcehal
dc.rights.ccPas de Licence CCen_US
bordeaux.COinSctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=Frontiers%20in%20Public%20Health&rft.date=2024-03-27&rft.volume=12&rft.spage=1359363&rft.epage=1359363&rft.eissn=2296-2565&rft.issn=2296-2565&rft.au=MOSNIER,%20Emilie&HOYER,%20Maxime&ARTIGAS,%20Fernanda&REGNAULT,%20Hippolyte&RICHARD,%20Elodie&rft.genre=article


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