Access to Health Care Services among Young People Exchanging Sex in Detroit.
J Urban Health
; 96(3): 452-468, 2019 06.
Article
em En
| MEDLINE
| ID: mdl-29623656
ABSTRACT
Within the related epidemics of sex exchange, drug use, and poverty, access to health care is shaped by intersecting identities, policy, and infrastructure. This study uses a unique survey sample of young adults in Detroit, who are exchanging sex on the street, in strip clubs, and at after-hours parties and other social clubs. Factors predicting access to free or affordable health care services, such as venue, patterns of sexual exchange influence, drug use and access to transportation, were examined using multivariable logistic regression and qualitative comparative analysis. The most significant predictors of low access to health care services were unstable housing and lack of access to reliable transportation. In addition, working on the street was associated with decreased access to services. Coordinated policy and programming changes are needed to increase health care access to this group, including improved access to transportation, housing, and employment, and integration of health care services.
Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Comportamento Sexual
/
Transtornos Relacionados ao Uso de Substâncias
/
Profissionais do Sexo
/
Acessibilidade aos Serviços de Saúde
Idioma:
En
Ano de publicação:
2019
Tipo de documento:
Article