Low program access despite high burden of sexual, structural, and reproductive health vulnerabilities among young women who sell sex in Mombasa, Kenya.

Abstract:

BACKGROUND:Across Sub-Saharan Africa, young women who sell sex (YSW) face institutional barriers in accessing sexual health and HIV prevention programs designed for female sex workers. In 2018, Kenya developed a national framework to guide service provision for YSW aged 14-24 years. To help inform the implementation of the framework, we estimated the burden of vulnerabilities related to the Sustainable Development Goals (SDGs related to health and gender equality) and program contact among YSW. METHODS:We used data from Transitions, a 2015 bio-behavioural cross-sectional survey of 408 YSW aged 14-24 years in Mombasa, Kenya. We estimated the prevalence of sexual (inconsistent condom use), structural (financial, violence), and reproductive health vulnerabilities; and characterized engagement with local HIV programs tailored to sex workers. We then compared the prevalence of vulnerabilities by age group (14-18 years, N = 117; 19-24 years, N = 291) and by program contact (ever contacted by local program for sex workers). RESULTS:47.3% reported inconsistent condom use with any partner in the previous week (no difference by age-group, p = 1.00). Structural vulnerabilities were common and did not vary by age: 83.6% did not have a regular source of income; 29.9 and 29.2% had experienced physical and sexual violence, respectively. 26.5% reported at least one pregnancy before age 18, and 18.5% used a non-reliable form of contraception with little variability by age. 25.7% were aware of at least one program, and only 13.7% of YSW had ever been contacted by a program (8.5% of those aged 14-18 years; and 15.8% of those aged 19-24 years, p = 0.06). Sexual, structural, and reproductive health vulnerabilities did not vary by program contact. CONCLUSIONS:SDG-related vulnerabilities begin early in the lives of YSW who are not currently reached by programs designed for female sex workers.

journal_name

BMC Public Health

journal_title

BMC public health

authors

Roberts E,Ma H,Bhattacharjee P,Musyoki HK,Gichangi P,Avery L,Musimbi J,Tsang J,Kaosa S,Kioko J,Becker ML,Mishra S,Transitions Study Team.

doi

10.1186/s12889-020-08872-6

subject

Has Abstract

pub_date

2020-05-29 00:00:00

pages

806

issue

1

issn

1471-2458

pii

10.1186/s12889-020-08872-6

journal_volume

20

pub_type

杂志文章
  • Do low-income neighbourhoods have the least green space? A cross-sectional study of Australia's most populous cities.

    abstract:BACKGROUND:An inequitable distribution of parks and other 'green spaces' could exacerbate health inequalities if people on lower incomes, who are already at greater risk of preventable diseases, have poorer access. METHODS:The availability of green space within 1 kilometre of a Statistical Area 1 (SA1) was linked to d...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/1471-2458-14-292

    authors: Astell-Burt T,Feng X,Mavoa S,Badland HM,Giles-Corti B

    更新日期:2014-03-31 00:00:00

  • The prevalence, risk factors, and screening measure for prediabetes and diabetes among Emirati overweight/obese children and adolescents.

    abstract:BACKGROUND:The aim of the study was to estimate the prevalence of prediabetes and type 2 diabetes (T2D) among overweight/obese children and adolescents using different diagnostic/screening methods in comparison. METHODS:We recruited overweight/obese Emirati students; grade 6-12 (age 11-17 years) from 16 government sch...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/s12889-015-2649-6

    authors: Al Amiri E,Abdullatif M,Abdulle A,Al Bitar N,Afandi EZ,Parish M,Darwiche G

    更新日期:2015-12-24 00:00:00

  • Disparities in obesity among rural and urban residents in a health disparate region.

    abstract:BACKGROUND:The burden of obesity and obesity-related conditions is not borne equally and disparities in prevalence are well documented for low-income, minority and rural adults in the United States. The current literature on rural versus urban disparities is largely derived from national surveillance data which may not...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/1471-2458-14-1051

    authors: Hill JL,You W,Zoellner JM

    更新日期:2014-10-08 00:00:00

  • The effectiveness of multi-component interventions targeting physical activity or sedentary behaviour amongst office workers: a three-arm cluster randomised controlled trial.

    abstract:BACKGROUND:Interventions to increase physical activity or reduce sedentary behaviour within the workplace setting have shown mixed effects. This cluster randomised controlled trial assessed whether multi-component interventions, focusing on changes at the individual, environmental, and organisational levels, either inc...

    journal_title:BMC public health

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/s12889-020-09433-7

    authors: Nooijen CFJ,Blom V,Ekblom Ö,Heiland EG,Larisch LM,Bojsen-Møller E,Ekblom MM,Kallings LV

    更新日期:2020-09-01 00:00:00

  • Employment conditions and use of gastric cancer screening services in Korea: a nationwide survey.

    abstract:BACKGROUND:Although it is well known that employment conditions exert considerable effects on health and health equity, the association between employment conditions and the use of preventative health services has rarely been studied. We explored whether inequities in the use of preventative services were associated wi...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/s12889-019-6841-y

    authors: Shim HY,Jun JK,Shin JY

    更新日期:2019-05-02 00:00:00

  • The association between family and community social capital and health risk behaviours in young people: an integrative review.

    abstract:BACKGROUND:Health risk behaviours known to result in poorer outcomes in adulthood are generally established in late childhood and adolescence. These 'risky' behaviours include smoking, alcohol and illicit drug use and sexual risk taking. While the role of social capital in the establishment of health risk behaviours in...

    journal_title:BMC public health

    pub_type: 杂志文章,评审

    doi:10.1186/1471-2458-13-971

    authors: McPherson KE,Kerr S,Morgan A,McGee E,Cheater FM,McLean J,Egan J

    更新日期:2013-10-19 00:00:00

  • WALK 2.0 - using Web 2.0 applications to promote health-related physical activity: a randomised controlled trial protocol.

    abstract:BACKGROUND:Physical inactivity is one of the leading modifiable causes of death and disease in Australia. National surveys indicate less than half of the Australian adult population are sufficiently active to obtain health benefits. The Internet is a potentially important medium for successfully communicating health me...

    journal_title:BMC public health

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/1471-2458-13-436

    authors: Kolt GS,Rosenkranz RR,Savage TN,Maeder AJ,Vandelanotte C,Duncan MJ,Caperchione CM,Tague R,Hooker C,Mummery WK

    更新日期:2013-05-03 00:00:00

  • Characteristics associated with organic food consumption during pregnancy; data from a large cohort of pregnant women in Norway.

    abstract:BACKGROUND:Little is known about the use of organic food during pregnancy. The aim of this study was to describe characteristics associated with the use of organic food among pregnant women participating in the Norwegian Mother and Child Cohort Study (MoBa). METHODS:The present study includes 63,561 women who during t...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/1471-2458-10-775

    authors: Torjusen H,Brantsæter AL,Haugen M,Lieblein G,Stigum H,Roos G,Holmboe-Ottesen G,Meltzer HM

    更新日期:2010-12-21 00:00:00

  • Low utilization of health care services following screening for hypertension in Dar es Salaam (Tanzania): a prospective population-based study.

    abstract:BACKGROUND:Drug therapy in high-risk individuals has been advocated as an important strategy to reduce cardiovascular disease in low income countries. We determined, in a low-income urban population, the proportion of persons who utilized health services after having been diagnosed as hypertensive and advised to seek h...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/1471-2458-8-407

    authors: Bovet P,Gervasoni JP,Mkamba M,Balampama M,Lengeler C,Paccaud F

    更新日期:2008-12-16 00:00:00

  • Age differences in demographic, social and health-related factors associated with loneliness across the adult life span (19-65 years): a cross-sectional study in the Netherlands.

    abstract:BACKGROUND:Recognition of loneliness as a health concern among adults stresses the need to understand the factors associated with loneliness. Research into factors of influence in the various phases of the adult life span (19-65 years) is scarce. Therefore, the associations between demographic, social and health-relate...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/s12889-020-09208-0

    authors: Franssen T,Stijnen M,Hamers F,Schneider F

    更新日期:2020-08-06 00:00:00

  • Changing the housing environment to reduce obesity in public housing residents: a cluster randomized trial.

    abstract:BACKGROUND:Public housing residents face significant social, economic, and physical barriers to the practice of health behaviors for prevention of chronic disease. Research shows that public housing residents are more likely to report higher rates of obesity, current smoking, disability, and insufficient physical activ...

    journal_title:BMC public health

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/s12889-018-5777-y

    authors: Bowen DJ,Quintiliani LM,Bhosrekar SG,Goodman R,Smith E

    更新日期:2018-07-16 00:00:00

  • Heavy burden of intestinal parasite infections in Kalena Rongo village, a rural area in South West Sumba, eastern part of Indonesia: a cross sectional study.

    abstract:BACKGROUND:Intestinal parasitic infections (IPIs) are one of the major public health problems, especially in the rural area of developing countries with low socio-economic status and poor sanitation. The study was aimed to determine the prevalence of IPIs among the inhabitants of a rural area in South West Sumba, easte...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/s12889-015-2619-z

    authors: Sungkar S,Pohan AP,Ramadani A,Albar N,Azizah F,Nugraha AR,Wiria AE

    更新日期:2015-12-24 00:00:00

  • Rapid point-of-care CD4 testing at mobile units and linkage to HIV care: an evaluation of community-based mobile HIV testing services in South Africa.

    abstract:BACKGROUND:Mobile HIV testing services (HTS) are effective at reaching undiagnosed people living with HIV. However, linkage to HIV care from mobile HTS is often poor, ranging from 10 to 60%. Point-of-care (POC) CD4 testing has shown to increase retention in health facilities, but little evidence exists about their use ...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/s12889-020-08643-3

    authors: Sloot R,Glenshaw MT,van Niekerk M,Meehan SA

    更新日期:2020-04-19 00:00:00

  • Constructing a malaria-related health service readiness index and assessing its association with child malaria mortality: an analysis of the Burkina Faso 2014 SARA data.

    abstract:BACKGROUND:The Service Availability and Readiness Assessment surveys generate data on the readiness of health facility services. We constructed a readiness index related to malaria services and determined the association between health facility malaria readiness and malaria mortality in children under the age of 5 year...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/s12889-020-09994-7

    authors: Millogo O,Doamba JEO,Sié A,Utzinger J,Vounatsou P

    更新日期:2021-01-05 00:00:00

  • Sanitation behavior among schoolchildren in a multi-ethnic area of Northern rural Vietnam.

    abstract:BACKGROUND:In Vietnam, efforts are underway to improve latrine use in rural and remote areas with particular focus on increasing coverage of sanitation in schools. However, there is a lack of information on how the school program affects latrine use by schoolchildren and at community level. This paper analyzes sanitati...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/1471-2458-12-140

    authors: Le TT,Luu NH,Rheinländer T,Dalsgaard A,Konradsen F

    更新日期:2012-02-21 00:00:00

  • Validation of food store environment secondary data source and the role of neighborhood deprivation in Appalachia, Kentucky.

    abstract:BACKGROUND:Based on the need for better measurement of the retail food environment in rural settings and to examine how deprivation may be unique in rural settings, the aims of this study were: 1) to validate one commercially available data source with direct field observations of food retailers; and 2) to examine the ...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/1471-2458-12-688

    authors: Gustafson AA,Lewis S,Wilson C,Jilcott-Pitts S

    更新日期:2012-08-22 00:00:00

  • Relationships between health outcomes in older populations and urban green infrastructure size, quality and proximity.

    abstract:BACKGROUND:There is a growing body of literature supporting positive associations between natural environments and better health. The type, quality and quantity of green and blue space ('green-space') in proximity to the home might be particularly important for less mobile populations, such as for some older people. Ho...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/s12889-020-08762-x

    authors: Dennis M,Cook PA,James P,Wheater CP,Lindley SJ

    更新日期:2020-05-06 00:00:00

  • Association between psychological distress and a sense of contribution to society in the workplace.

    abstract:BACKGROUND:Globally, mental health promotion related to psychological distress in the workplace has become a great concern, and a focus of much research attention. However, a sense of contribution to society and sense of bonding with the workplace have not been examined in relation to psychological distress. Thus, the ...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/1471-2458-12-253

    authors: Ozaki K,Motohashi Y,Kaneko Y,Fujita K

    更新日期:2012-04-01 00:00:00

  • Perceived problems with computer gaming and internet use among adolescents: measurement tool for non-clinical survey studies.

    abstract:BACKGROUND:Existing instruments for measuring problematic computer and console gaming and internet use are often lengthy and often based on a pathological perspective. The objective was to develop and present a new and short non-clinical measurement tool for perceived problems related to computer use and gaming among a...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/1471-2458-14-361

    authors: Holstein BE,Pedersen TP,Bendtsen P,Madsen KR,Meilstrup CR,Nielsen L,Rasmussen M

    更新日期:2014-04-15 00:00:00

  • Examining the implementation of the Icelandic model for primary prevention of substance use in a rural Canadian community: a study protocol.

    abstract:BACKGROUND:The Icelandic Prevention Model (IPM) is a collaborative upstream model that was designed to influence risk and protective factors related to substance use within the community, school, peer and family contexts. By engaging whole communities, the IPM has been found to be effective in reducing youth substance ...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/s12889-020-09288-y

    authors: Halsall T,Lachance L,Kristjansson AL

    更新日期:2020-08-14 00:00:00

  • Evidence-based strategy for prevention of hidden hunger among adolescents in a suburb of Nigeria.

    abstract:BACKGROUND:Hidden hunger (micronutrient deficiencies) among adolescents are linked to impaired physical growth, poor cognitive function, low resistance to infection as well as degenerative and chronic diseases at later age. To prevent these deleterious impacts of hidden hunger, effective intervention strategy that impr...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/s12889-020-09729-8

    authors: Ibeanu VN,Edeh CG,Ani PN

    更新日期:2020-11-10 00:00:00

  • Epidemiological characteristics of injury mortality in Guangdong Province, China, 2015.

    abstract:BACKGROUND:As the fourth leading cause of death, injury is an important public health concern in Guangdong Province, China. The epidemiological characteristics of injury mortality is changing along with the social development. This study described the epidemiological characteristics of injury mortality in Guangdong Pro...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/s12889-019-6437-6

    authors: Meng R,Xu X,Xu Y,Luo C,Xu H,Wang Y,Song X,Xia L,Xiao N,Zhou S,Lin L

    更新日期:2019-02-01 00:00:00

  • Simultaneous quantile regression and determinants of under-five severe chronic malnutrition in Ghana.

    abstract:BACKGROUND:Under-five malnutrition is a major public health issue contributing to mortality and morbidity, especially in developing countries like Ghana where the rates remain unacceptably high. Identification of critical risk factors of under-five malnutrition using appropriate and advanced statistical methods can hel...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/s12889-020-08782-7

    authors: Aheto JMK

    更新日期:2020-05-07 00:00:00

  • Association of breakfast intake with obesity, dietary and physical activity behavior among urban school-aged adolescents in Delhi, India: results of a cross-sectional study.

    abstract:BACKGROUND:In developed countries, regular breakfast consumption is inversely associated with excess weight and directly associated with better dietary and improved physical activity behaviors. Our objective was to describe the frequency of breakfast consumption among school-going adolescents in Delhi and evaluate its ...

    journal_title:BMC public health

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/1471-2458-12-881

    authors: Arora M,Nazar GP,Gupta VK,Perry CL,Reddy KS,Stigler MH

    更新日期:2012-10-17 00:00:00

  • Will they lead by example? Assessment of vaccination rates and attitudes to human papilloma virus in millennial medical students.

    abstract:BACKGROUND:Human papillomavirus (HPV) is the most common sexually transmitted infection in the United States. It is also well established that HPV viruses are responsible for a variety of cancers. Little is known about the prevailing knowledge and attitudes toward the HPV vaccine in our future healthcare providers, a m...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/s12889-016-3969-x

    authors: Afonso NM,Kavanagh MJ,Swanberg SM,Schulte JM,Wunderlich T,Lucia VC

    更新日期:2017-01-06 00:00:00

  • Respiratory illness healthcare-seeking behavior assessment in the Lao People's Democratic Republic (Laos).

    abstract:BACKGROUND:Respiratory illness (RI) remains a public health problem in Laos, but little is known about the overall burden and people's healthcare-seeking behavior for RI. Understanding the burden of RI and community patterns of healthcare-seeking behavior would provide better guidance for Lao public health program and ...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/1471-2458-13-444

    authors: Mayxay M,Hansana V,Sengphilom B,Oulay L,Thammavongsa V,Somphet V,Taykeophithoune C,Nathavong S,Phanthady J,Chareunvong K,Chanthavilay P,Sychareun V

    更新日期:2013-05-04 00:00:00

  • Female unmarried adolescents' knowledge on selected reproductive health issues in two low performing areas of Bangladesh: an evaluation study.

    abstract:BACKGROUND:In Bangladesh, 24 % of the total populations are adolescents. Twelve months intervention was implemented under Demand-Based Reproductive Health Commodity Project (DBRHCP) in two low performing areas: rural Sub-district Nabiganj (population 323,357) and an urban slum in Dhaka city (population 141,912). We eva...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/s12889-015-2597-1

    authors: Kabir H,Saha NC,Gazi R

    更新日期:2015-12-21 00:00:00

  • Compliance with nutrition standards in Mexican schools and their effectiveness: a repeated cross-sectional study.

    abstract:BACKGROUND:Mexico approved mandatory nutrient-based standards for foods sold in schools in 2011. The aim of this study was to analyse the association between compliance with nutrition standards for foods sold in schools and children's school snacks. METHODS:Data came from three surveys representative of Mexican elemen...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/s12889-018-6330-8

    authors: Pérez-Ferrer C,Barrientos-Gutierrez T,Rivera-Dommarco JA,Prado-Galbarro FJ,Jiménez-Aguilar A,Morales-Ruán C,Shamah-Levy T

    更新日期:2018-12-27 00:00:00

  • HIV risk perception and distribution of HIV risk among African, Caribbean and other Black people in a Canadian city: mixed methods results from the BLACCH study.

    abstract:BACKGROUND:African, Caribbean and other Black (ACB) people are a priority group for HIV prevention in Canada, but little is known about the epidemiology of HIV risk in this population. This paper helps fill the knowledge gap by: presenting service providers' and ACB people's perceptions about HIV risk in ACB population...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/1471-2458-13-184

    authors: Baidoobonso S,Bauer GR,Speechley KN,Lawson E,BLACCH Study Team.

    更新日期:2013-03-02 00:00:00

  • Ten years risk assessment of atherosclerotic cardiovascular disease using Astro-CHARM and pooled cohort equation in a south Asian sub-population.

    abstract:BACKGROUND:Atherosclerotic cardiovascular diseases (ASCVD) are on the rise in low and middle-income countries attributed to modern sedentary lifestyle and dietary habits. This has led to the need of assessment of the burden of at-risk population so that prevention measures can be developed. The objective of this study ...

    journal_title:BMC public health

    pub_type: 杂志文章

    doi:10.1186/s12889-020-08472-4

    authors: Ashraf T,Mengal MN,Muhammad AS,Tareen AK,Khan MN,Kazmi KA,Nadeem A,Sarwar S,Bashir Z,Qamar N,Karim M

    更新日期:2020-03-27 00:00:00