Yale University

The Influence of Stigma and Discrimination on Female Sex Workers' Access to HIV Services in St. Petersburg, Russia.

TitleThe Influence of Stigma and Discrimination on Female Sex Workers' Access to HIV Services in St. Petersburg, Russia.
Publication TypeJournal Article
Year of Publication2013
AuthorsKing, Elizabeth J., Suzanne Maman, Michael J. Bowling, Kathryn E. Moracco, and Viktoria Dudina
JournalAIDS and behavior
Date Published2013 Mar 23
ISSN1573-3254
AbstractStigma associated with HIV and risk behaviors is known to be a barrier to health care access for many populations. Less is known about female sex workers (FSW) in Russia, a population that is especially vulnerable to HIV-infection, and yet hard-to-reach for service providers. We administered a questionnaire to 139 FSW to better understand how stigma and discrimination influence HIV service utilization. Logistic regression analysis indicated that HIV-related stigma is negatively associated with uptake of HIV testing, while sex work-related stigma is positively associated with HIV testing. HIV-positive FSW are more likely than HIV-negative FSW to experience discrimination in health care settings. While decreasing societal stigma should be a long-term goal, programs that foster inclusion of marginalized populations in Russian health care settings are urgently needed.
DOI10.1016/j.midw.2013.01.016
Alternate JournalAIDS Behav

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