Title |
Access to Health Care Services among Young People Exchanging Sex in Detroit
|
---|---|
Published in |
Journal of Urban Health, April 2018
|
DOI | 10.1007/s11524-018-0239-5 |
Pubmed ID | |
Authors |
Andrea K. Knittel, Louis F. Graham, Jerry Peterson, William Lopez, Rachel C. Snow |
Abstract |
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. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 4 | 80% |
Unknown | 1 | 20% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 4 | 80% |
Scientists | 1 | 20% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 49 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Ph. D. Student | 10 | 20% |
Researcher | 6 | 12% |
Student > Bachelor | 5 | 10% |
Other | 3 | 6% |
Student > Master | 3 | 6% |
Other | 6 | 12% |
Unknown | 16 | 33% |
Readers by discipline | Count | As % |
---|---|---|
Social Sciences | 11 | 22% |
Nursing and Health Professions | 7 | 14% |
Medicine and Dentistry | 5 | 10% |
Psychology | 2 | 4% |
Business, Management and Accounting | 2 | 4% |
Other | 4 | 8% |
Unknown | 18 | 37% |