Culturally Competent Health Care for Sex Workers: An Examination of Myths That Stigmatize Sex-Work and Hinder Access to Care.

Autor: Sawicki DA; National Center for Posttraumatic Stress Disorder, Veterans Affairs Palo Alto Healthcare System., Meffert BN; National Center for Posttraumatic Stress Disorder, Veterans Affairs Palo Alto Healthcare System., Read K; Black Dot Writing LLC, Veterans Affairs Palo Alto Healthcare System., Heinz AJ; National Center for Posttraumatic Stress Disorder, Veterans Affairs Palo Alto Healthcare System.; Center for Innovation to Implementation, Veterans Affairs Palo Alto Healthcare System.
Jazyk: angličtina
Zdroj: Sexual and relationship therapy : journal of the British Association for Sexual and Relationship Therapy [Sex Relation Ther] 2019; Vol. 34 (3), pp. 355-371. Date of Electronic Publication: 2019 Feb 19.
DOI: 10.1080/14681994.2019.1574970
Abstrakt: Sex workers are individuals who offer sexual services in exchange for compensation (i.e., money, goods, or other services). Within the United States the full-service sex work (FSSW) industry generates 14 billion dollars annually there are estimated to be 1-2 million FSSWers, though experts believe this number to be an underestimate. Many FSSWers face the possibility of violence, legal involvement, and social stigmatization. As a result, this population experiences increased risk for mental health disorders. Given these risks and vulnerabilities, FSSWers stand to benefit from receiving mental health care however a constellation of individual, organizational, and systemic barriers limit care utilization. Destigmatization of FSSW and offering of culturally competent mental health care can help empower this traditionally marginalized population. The objective of the current review is to (1) educate clinicians on sex work and describe the unique struggles faced by FSSW and vulnerability factors clinicians must consider, (2) address 5 common myths about FSSW that perpetuate stigma, and (3) advance a research and culturally competent clinical training agenda that can optimize mental health care engagement and utilization within the sex work community.
Databáze: MEDLINE
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