TY - JOUR PY - 2022// TI - Sexual violence and low rates of HIV post-exposure prophylaxis access among female sex workers in Brazil JO - AIDS and behavior A1 - de Lima, Acácia Mayra Pereira A1 - Magno, Laio A1 - Luppi, Carla Gianna A1 - Szwarcwald, Célia Landmann A1 - Grangeiro, Alexandre A1 - Santana, Elis Passos A1 - Dourado, Inês SP - ePub EP - ePub VL - ePub IS - ePub N2 - Female sex workers (FSW) are disproportionately affected by sexual violence (SV) and HIV. Social and structural barriers limit their access to post-exposure prophylaxis (PEP). Respondent-driven sampling survey in 12 Brazilian cities among 4188 FSW aimed to estimate the rates of SV and factors associated with access to PEP use among FSW who experienced SV. The prevalence of SV was 26.3% (1199). Of the 1199, 7.5% sought out healthcare and used PEP, 19% sought out healthcare, but did not use PEP, and 73.5% did not seek out healthcare after SV. Factors associated with PEP use included PEP awareness, participation in HIV/STI prevention workshops, and disclosure of FSW status in healthcare services. Although Brazil has a PEP program free of charge, it is not readily accessible, even for FSW who seek out healthcare. The development of effective strategies to link FSW to HIV preventive services is urgently needed.
Language: en
LA - en SN - 1090-7165 UR - http://dx.doi.org/10.1007/s10461-022-03734-1 ID - ref1 ER -