Acceso a servicios de prevención de its y vih en trabajadoras sexuales en zonas fronterizas de Centroamérica / STI and HIV prevention in female sex workers at border communities in Central America
Salud pública Méx
; 55(supl.1): S31-S38, jul. 2013. tab
Article
in Spanish
| LILACS
| ID: lil-682027
Responsible library:
BR1.1
RESUMEN
OBJETIVO:
Analizar el acceso a servicios preventivos de ITS/VIH en trabajadoras sexuales en zonas fronterizas de Centroamérica. MATERIAL YMÉTODOS:
Estudio cuasi experimental en una muestra no aleatoria de 558 trabajadoras sexuales, en zonas fronterizas de Centroamérica con y sin intervenciones relacionadas con información sobre derechos humanos, comportamiento sexual, acceso a información sobre prevención/transmisión, condones, pruebas de vih, anticoncepción, atención médica y uso de condón. Se realizó un análisis descriptivo y se estimaron modelos de regresión logística para identificar factores asociados con el uso de condón.RESULTADOS:
Las trabajadoras sexuales de comunidades con intervención presentaron mayor acceso a información preventiva (99 vs 87%), condones (98 vs 75%), pruebas de VIH (89 vs 61%), anticonceptivos (74 vs 65%), servicios ginecológicos (83 vs 57%) y mayor posibilidad -3.9 (IC1.2-12.7)- de usar condón con clientes respecto a las que no tuvieron intervención.CONCLUSIONES:
Las diferencias observadas deben considerarse en un marco relacionado con características socioculturales y de movilidad poblacional en contextos fronterizos, así como de organización de los servicios de salud.ABSTRACT
OBJECTIVE:
To analyze access to STI and HIV prevention services for female sex workers in border communities of Central America. MATERIALS ANDMETHODS:
A quasi-experimental study was carried out in a non-random sample of 558 sex workers, in border communities with and without prevention interventions related to information on human rights, sexual behavior and access to information on prevention/transmission, condoms, HIV testing, contraception, healthcare and condom use. A descriptive analysis of these variables was done and a logistic regression model was used, in order to identify factors associated with condom use.RESULTS:
Female sex workers of communities with intervention had greater access to information on prevention (99 vs 87%), condoms (98 vs 75%), HIV testing (89 vs 61%), contraception (74 vs 65%), gynecological services (83 vs 57%), and condom use with clients, 3.9 (IC1.2-12.7), compared to workers in communities without intervention.CONCLUSIONS:
The observed differences must be considered in a more general framework related to sociocultural characteristics and population mobility in border contexts, as well as to the organization of healthcare services.
Full text:
Available
Collection:
International databases
Health context:
SDG3 - Target 3.7 Universal access to health services related to reproductive and sexual health
/
Sustainable Health Agenda for the Americas
/
SDG3 - Health and Well-Being
Health problem:
Sexual Health and Reproductive Rights
/
Sexually Transmitted Infections: Prevention and Care
/
Goal 9: Noncommunicable diseases and mental health
/
Target 3.8 Achieve universal access to health
/
Target 3.3: End transmission of communicable diseases
Database:
LILACS
Main subject:
Sexually Transmitted Diseases
/
HIV Infections
/
Sex Workers
/
Health Services Accessibility
/
Occupational Diseases
Type of study:
Controlled clinical trial
/
Prognostic study
Aspects:
Social determinants of health
Limits:
Adolescent
/
Adult
/
Female
/
Humans
Country/Region as subject:
Central America
Language:
Spanish
Journal:
Salud pública Méx
Journal subject:
Public Health
Year:
2013
Document type:
Article
Affiliation country:
Mexico
Institution/Affiliation country:
Instituto Nacional de Salud Pública/MX