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Navigating healthcare barriers: a cross-sectional study using respondent-driven sampling to assess migrant women sex workers' access to primary care in France

dc.rights.licenseopenen_US
dc.contributor.authorJEGO, Maeva
dc.contributor.authorSHAHBAZKIA, Roxane
dc.contributor.authorHOYER, Maxime
dc.contributor.authorMOSNIER, Marine
dc.contributor.authorGAUDART, Jean
dc.contributor.authorROUX, Perrine
dc.contributor.authorSPIRE, Bruno
dc.contributor.authorINEGBEZE, Grace
dc.contributor.authorMICHELS, David
dc.contributor.authorSALCEDO ROBLEDO, Manuela
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorVANDENTORREN, Stephanie
dc.contributor.authorELDIN, Carole
dc.contributor.authorMOSNIER, Emilie
dc.date.accessioned2025-04-25T09:11:32Z
dc.date.available2025-04-25T09:11:32Z
dc.date.issued2025-01
dc.identifier.issn2753-4294en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/206431
dc.description.abstractEnINTRODUCTION: Migrant women sex workers (MWSWs) are affected by higher morbidity rates, reflecting the complex health risks associated with sex work and migration which they face. This study aimed to assess MWSWs' use of primary care services in France, as well as the factors associated with having a family doctor. METHODS: This cross-sectional observational study of 135 cisgender and transgender MWSWs is part of the larger Favoriser l'Accès à la Santé Sexuelle des Travailleuses du Sexe project, which aims to improve global knowledge of and access to sexual healthcare among this population. MWSWs aged 18 years and older were enrolled over 1 year between 2022 and 2023. The primary outcome was the percentage of MWSWs who reported having a family doctor. A best model analysis and a regression model were used to examine associations between having a family doctor and MWSWs' health and social characteristics. RESULTS: Only 33% of participants reported having a family doctor. Among these, 24% had disclosed they were sex workers to the latter. In general, MWSWs had poor access to preventive healthcare (33% had been HIV tested in the previous year, 33% had used contraception and 19% reported lifetime cervical cancer screening). In contrast, most participants (63.5%) perceived they were in good health. In the multivariate analysis, having a family doctor was not significantly associated with better health outcomes or with the quality of healthcare. CONCLUSIONS: The majority of MWSWs did not have a family doctor; this fact compounds existing health vulnerabilities faced by this marginalised population. Improved targeted interventions are needed to increase healthcare access and quality for MWSWs. These interventions should include strategies to enhance communication with healthcare providers about this population's specific needs.
dc.language.isoENen_US
dc.rightsAttribution-NonCommercial 3.0 United States*
dc.rights.urihttp://creativecommons.org/licenses/by-nc/3.0/us/*
dc.title.enNavigating healthcare barriers: a cross-sectional study using respondent-driven sampling to assess migrant women sex workers' access to primary care in France
dc.title.alternativeBMJ Public Healthen_US
dc.typeArticle de revueen_US
dc.identifier.doi10.1136/bmjph-2024-002234en_US
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologieen_US
dc.identifier.pubmed40099135en_US
bordeaux.journalBMJ Public Healthen_US
bordeaux.pagee002234en_US
bordeaux.volume3en_US
bordeaux.hal.laboratoriesBordeaux Population Health Research Center (BPH) - UMR 1219en_US
bordeaux.issue1en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.institutionINSERMen_US
bordeaux.teamPHARES_BPHen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
bordeaux.identifier.funderIDConseil Général Département des Bouches du Rhôneen_US
bordeaux.identifier.funderIDSidactionen_US
bordeaux.identifier.funderIDViiV Healthcareen_US
hal.identifierhal-05046599
hal.version1
hal.date.transferred2025-04-25T09:11:36Z
hal.popularnonen_US
hal.audienceInternationaleen_US
hal.exporttrue
dc.rights.ccPas de Licence CCen_US
bordeaux.COinSctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=BMJ%20Public%20Health&rft.date=2025-01&rft.volume=3&rft.issue=1&rft.spage=e002234&rft.epage=e002234&rft.eissn=2753-4294&rft.issn=2753-4294&rft.au=JEGO,%20Maeva&SHAHBAZKIA,%20Roxane&HOYER,%20Maxime&MOSNIER,%20Marine&GAUDART,%20Jean&rft.genre=article


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