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Sex Workers and Syndemics: A Population Vulnerable to HIV and COVID-19.
Rogers, Brooke G; Paradis-Burnett, Annaka; Nagel, Katherine; Yolken, Annajane; Strong, Sabrina H; Arnold, Trisha; Napoleon, Siena C; Maynard, Michaela; Sosnowy, Collette; Murphy, Matthew; Daley Ndoye, Colleen; Holcomb, Richard; Schierberl Scherr, Anna; Pinkston, Megan; Chan, Philip A.
  • Rogers BG; Department of Medicine, Infectious Diseases, The Miriam Hospital, 11 Fourth St., Providence, RI, 02906, USA. brooke_rogers@brown.edu.
  • Paradis-Burnett A; Department of Medicine, Warren Alpert Medical School of Brown University, Providence, RI, USA. brooke_rogers@brown.edu.
  • Nagel K; Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, RI, USA. brooke_rogers@brown.edu.
  • Yolken A; Department of Behavioral and Social Sciences, Brown University School of Public Health, Providence, RI, USA.
  • Strong SH; Department of Medicine, Warren Alpert Medical School of Brown University, Providence, RI, USA.
  • Arnold T; Project Weber/RENEW, Providence, RI, USA.
  • Napoleon SC; Department of Medicine, Infectious Diseases, The Miriam Hospital, 11 Fourth St., Providence, RI, 02906, USA.
  • Maynard M; Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, RI, USA.
  • Sosnowy C; Department of Medicine, Infectious Diseases, The Miriam Hospital, 11 Fourth St., Providence, RI, 02906, USA.
  • Murphy M; Department of Medicine, Infectious Diseases, The Miriam Hospital, 11 Fourth St., Providence, RI, 02906, USA.
  • Daley Ndoye C; Department of Medicine, Infectious Diseases, The Miriam Hospital, 11 Fourth St., Providence, RI, 02906, USA.
  • Holcomb R; Department of Medicine, Warren Alpert Medical School of Brown University, Providence, RI, USA.
  • Schierberl Scherr A; Department of Medicine, Warren Alpert Medical School of Brown University, Providence, RI, USA.
  • Pinkston M; Project Weber/RENEW, Providence, RI, USA.
  • Chan PA; Project Weber/RENEW, Providence, RI, USA.
Arch Sex Behav ; 50(5): 2007-2016, 2021 07.
Article in English | MEDLINE | ID: covidwho-1147601
ABSTRACT
COVID-19 has disproportionately affected vulnerable populations across the U.S. Street-based sex workers are one vulnerable population whose health and impact of COVID-19 have been understudied to date. The goal of this study was to evaluate findings from a community needs assessment with street-based sex workers on impact of COVID-19 on health behaviors and social circumstances. A brief survey was developed at a community-based harm reduction and recovery services organization. Surveys were administered by peer specialists to street-based sex workers during street outreach in April and May 2020. A total of 46 surveys were analyzed. Many individuals reported continuing to do sex work and use substances during the COVID pandemic. Slightly more than a quarter of individuals (n = 13; 28.3%) indicated using personal protective equipment while doing sex work and described challenges to using precautions when working with clients. Individuals had used marijuana (n = 32, 71.1%), cocaine (n = 17, 39.5%), prescription stimulants (n = 9, 21.4%), methamphetamines (n = 5, 11.9%), prescription opioids (n = 12, 27.3%), street opioids (n = 12, 27.3%), sedatives (n = 11, 25.0%), hallucinogens (n = 3, 6.8%), inhalants (n = 3, 7.0%), or some other substance (n = 4, 8.7%) in the past 30 days. About half (48.8%) reported that COVID-19 had a major impact on their lives. This study is among the first to characterize the impact of COVID-19 on street-based sex workers. From a public health standpoint, this group also represents a high-priority population given their vulnerability and close contact with others, which increases the potential for community spread.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: HIV Infections / Vulnerable Populations / Sex Workers / COVID-19 Type of study: Experimental Studies / Observational study / Randomized controlled trials Limits: Adolescent / Adult / Female / Humans / Male / Middle aged / Young adult Language: English Journal: Arch Sex Behav Year: 2021 Document Type: Article Affiliation country: S10508-021-01940-x

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Full text: Available Collection: International databases Database: MEDLINE Main subject: HIV Infections / Vulnerable Populations / Sex Workers / COVID-19 Type of study: Experimental Studies / Observational study / Randomized controlled trials Limits: Adolescent / Adult / Female / Humans / Male / Middle aged / Young adult Language: English Journal: Arch Sex Behav Year: 2021 Document Type: Article Affiliation country: S10508-021-01940-x