PDF(Pubmed)
Abstract：
OBJECTIVE: Sex workers can be disadvantaged in terms of overall health due to challenging living and working conditions. This research aimed to evaluate the health status and experiences related to sexually transmitted infections (STDs) of unregistered transgender sex workers in Turkey.
METHODS: It employed a phenomenological qualitative research design. SITE: Data were collected in Istanbul between March 2021 and November 2021.
METHODS: Data were collected through in-depth interviews involving 24 people (19 sex workers and 5 physicians).
METHODS: Key statements were listed during data analysis, and clusters of meanings were formed based on these statements. The participants\' statements were used for contextual and structural descriptions.
RESULTS: Sex workers suffer from chronic illnesses such as asthma, chronic obstructive pulmonary disease (COPD), diabetes, allergic diseases, and neurological disorders. Among the health issues affecting them, the most notable ones are STDs, psychological problems, and the risk of suicide. Sex workers also face a dilemma between choosing public hospitals and private hospitals. Majority of sex workers undergo regular testing for STDs, with the frequency varying from person to person. Reasons for not undergoing regular testing include lack of social security coverage, financial constraints, lack of information, and feeling undervalued. Some individuals are being subjected to mandatory testing.
CONCLUSIONS: It is recommended that sex workers who seek and request healthcare services should be provided with detailed information and education, particularly regarding psychological problems and STDs.
METHODS: It employed a phenomenological qualitative research design. SITE: Data were collected in Istanbul between March 2021 and November 2021.
METHODS: Data were collected through in-depth interviews involving 24 people (19 sex workers and 5 physicians).
METHODS: Key statements were listed during data analysis, and clusters of meanings were formed based on these statements. The participants\' statements were used for contextual and structural descriptions.
RESULTS: Sex workers suffer from chronic illnesses such as asthma, chronic obstructive pulmonary disease (COPD), diabetes, allergic diseases, and neurological disorders. Among the health issues affecting them, the most notable ones are STDs, psychological problems, and the risk of suicide. Sex workers also face a dilemma between choosing public hospitals and private hospitals. Majority of sex workers undergo regular testing for STDs, with the frequency varying from person to person. Reasons for not undergoing regular testing include lack of social security coverage, financial constraints, lack of information, and feeling undervalued. Some individuals are being subjected to mandatory testing.
CONCLUSIONS: It is recommended that sex workers who seek and request healthcare services should be provided with detailed information and education, particularly regarding psychological problems and STDs.
摘要：
目标：由于生活和工作条件的挑战性，性工作者在整体健康方面可能处于不利地位。这项研究旨在评估土耳其未注册的跨性别性工作者的健康状况和与性传播感染（STD）相关的经验。
方法：它采用了现象学的定性研究设计。现场：数据是在2021年3月至2021年11月之间在伊斯坦布尔收集的。
方法：通过对24人（19名性工作者和5名医生）的深入访谈收集数据。
方法：在数据分析过程中列出了关键陈述，并根据这些陈述形成了一系列含义。参与者的陈述用于上下文和结构描述。
结果：性工作者患有慢性疾病，如哮喘，慢性阻塞性肺疾病(COPD),糖尿病,过敏性疾病,和神经系统疾病。在影响他们的健康问题中，最值得注意的是性病，心理问题,和自杀的风险。性工作者也面临着选择公立医院和私立医院的两难选择。大多数性工作者定期接受性病检测,频率因人而异。没有接受定期检测的原因包括缺乏社会保障覆盖面，财政限制，缺乏信息,感觉被低估了。有些人正在接受强制性测试。
结论：建议向寻求和要求医疗服务的性工作者提供详细的信息和教育，特别是关于心理问题和性病。
方法：它采用了现象学的定性研究设计。现场：数据是在2021年3月至2021年11月之间在伊斯坦布尔收集的。
方法：通过对24人（19名性工作者和5名医生）的深入访谈收集数据。
方法：在数据分析过程中列出了关键陈述，并根据这些陈述形成了一系列含义。参与者的陈述用于上下文和结构描述。
结果：性工作者患有慢性疾病，如哮喘，慢性阻塞性肺疾病(COPD),糖尿病,过敏性疾病,和神经系统疾病。在影响他们的健康问题中，最值得注意的是性病，心理问题,和自杀的风险。性工作者也面临着选择公立医院和私立医院的两难选择。大多数性工作者定期接受性病检测,频率因人而异。没有接受定期检测的原因包括缺乏社会保障覆盖面，财政限制，缺乏信息,感觉被低估了。有些人正在接受强制性测试。
结论：建议向寻求和要求医疗服务的性工作者提供详细的信息和教育，特别是关于心理问题和性病。
