Access to Health Care Services among Young People Exchanging Sex in Detroit
| Autor: | Louis F. Graham, Andrea K. Knittel, William D. Lopez, Rachel Snow, Jerry Peterson |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Michigan Health (social science) Adolescent Substance-Related Disorders Sexual Behavior Sample (statistics) Transportation Health informatics Health Services Accessibility Article 03 medical and health sciences Young Adult 0302 clinical medicine Environmental health Health care medicine Humans 030212 general & internal medicine Sex work 030505 public health Sex Workers Poverty Qualitative comparative analysis business.industry Public health Public Health Environmental and Occupational Health Health equity Urban Studies Socioeconomic Factors Housing Female Business 0305 other medical science |
| Zdroj: | J Urban Health |
| ISSN: | 1468-2869 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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