Private sex workers’ engagement with sexual health services: an online survey
C. Thng A , E. Blackledge B , R. McIver A E , L. Watchirs Smith D and A. McNulty A CA Sydney Sexual Health Centre, Macquarie Street, Sydney, NSW 2000, Australia.
B UNSW, Kensington, NSW 2052, Australia.
C School of Public Health and Community Medicine, UNSW, Kensington, NSW 2052, Australia.
D Kirby Institute, UNSW, Kensington, NSW 2052, Australia.
E Corresponding author. Email: ruthy.mciver@health.nsw.gov.au
Sexual Health 15(1) 93-95 https://doi.org/10.1071/SH16243
Submitted: 23 December 2016 Accepted: 6 July 2017 Published: 1 September 2017
Abstract
This study examined where private sex workers (PSW) present for sexual health services, disclosure, services received, and their satisfaction with care. An online anonymous survey was conducted via SurveyMonkey (surveymonkey.com). Among the 53 participants, 42% attended a sexual health clinic, 24% attended a general practitioner (GP) and 34% attended both. Participants attending GPs were less likely to be offered a throat swab and opportunities for cervical screening, contraception and vaccination were often missed in both service models. Participants attending GPs were less likely to disclose sex work and were less satisfied. Better awareness of the sexual health needs of PSWs is important in GP services.
References
[1] Callander D, McManus H, McNulty A, Lewis D, Carmody C, Hellard M, Chow E, Schmidt HM, Kim J, Guy R, Donovan B. Sex work, HIV and sexually transmitted infections: a study of incidence among women attending sexual health clinics. Poster presented at: Australasian Sexual Health Conference 2016; November 14–16 2016; Adelaide, Australia.[2] Donovan B, Harcourt C, Egger S, Watchirs Smith L, Schneider K, Kaldor JM, Chen MY, Fairley CK, Tabrizi S. The sex industry in New South Wales: a report to the NSW Ministry of Health. Sydney: Kirby Institute, University of New South Wales; 2012.
[3] Cunningham S, Kendall TD. Risk behaviours among internet-facilitated sex workers: evidence from two new datasets. Sex Transm Infect 2010; 86 100–5.
| Risk behaviours among internet-facilitated sex workers: evidence from two new datasets.Crossref | GoogleScholarGoogle Scholar |
[4] Kim J. Scarlet alliance. Decriminalisation of sex work: The evidence is in. HIV Australia 2015; 13 39–42.
[5] Harcourt C, O’Connor J, Egger S, Fairley C, Wand H, Chen MY, Marshall L, Kaldor JM, Donovan B. The decriminalisation of prostitution is associated with better coverage of health promotion programs for sex workers. Aust N Z J Public Health 2010; 34 482–6.
| The decriminalisation of prostitution is associated with better coverage of health promotion programs for sex workers.Crossref | GoogleScholarGoogle Scholar |
[6] Read PJ, Wand H, Guy R, Donovan B, McNulty AM. Condomless fellatio between female sex workers and their clients in Sydney, Australia. Sex Transm Infect 2012; 88 581–4.
| Condomless fellatio between female sex workers and their clients in Sydney, Australia.Crossref | GoogleScholarGoogle Scholar |
[7] Martin L, Knight V, Read P, McNulty A. Clients’ preferred methods of obtaining sexually transmissible infection or HIV results from Sydney Sexual Health Centre. Sex Health 2013; 10 91–2.