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Healthcare experiences of cisgender male sex workers and transgender female sex workers: a review of the literature

Latady, Michael (2020) Healthcare experiences of cisgender male sex workers and transgender female sex workers: a review of the literature. Master's Thesis, University of Pittsburgh. (Unpublished)

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Best healthcare practices for cisgender men who have sex with cisgender men and engage in sex work (MSMSW) and transgender women who have sex with cisgender men and engage in sex work (TGWSW) have not been thoroughly researched. What is known is that men who have sex with men and transgender women (MSMTGW) and sex work (SW) communities separately experience disproportionate rates of HIV, STIs and mental illness while also facing increased discrimination, violence, suicide and legal challenges as compared to the general population. Medical mistrust as well as providers’ focus on purely biological diagnoses and treatments, as opposed to comprehensive care, have also been shown to discourage marginalized populations from seeking healthcare services. These extrinsic factors create barriers for these individuals to address their own health outcomes. Stigma related to sex work and MSMTGW identity elevates and exacerbates this community's risk of poor mental and physical health; being an exceptionally underserved population, their health promotion is of great public health significance. In order to better understand how this group engages in healthcare services and how to best improve their experiences with medical care, a literature review was conducted through the MEDLINE database using PubMed and Ovid search engines to explore best practices that effectively engage and serve MSMTGWSW who make up a “dually-stigmatized” vulnerable population. Ten studies were identified after screening out articles that were from outside the US, did not address this specific community, did not evaluate healthcare factors, or were reviews, protocols or similar non-original pieces. Results showed that rapid warm hand offs and linkages to care for new HIV diagnoses, MSMTGWSW-competent providers, and integrated healthcare facilitate service engagement while stigma and medical mistrust create barriers for how MSMTGWSW engage in HIV prevention and primary care. Recommendations for further research and practice are discussed.


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Item Type: University of Pittsburgh ETD
Status: Unpublished
CreatorsEmailPitt UsernameORCID
Latady, Michaelmil124@pitt.edumil1240000-0003-4564-6051
ETD Committee:
TitleMemberEmail AddressPitt UsernameORCID
Thesis AdvisorHawk, Mary/Emeh96@pitt.edumeh96
Committee MemberEgan, James/Ejee48@pitt.edujee48
Committee MemberFriedman, Mackey/Rmrf9@pitt.edumrf9
Date: 29 January 2020
Date Type: Publication
Defense Date: 9 December 2019
Approval Date: 29 January 2020
Submission Date: 15 November 2019
Access Restriction: No restriction; Release the ETD for access worldwide immediately.
Number of Pages: 68
Institution: University of Pittsburgh
Schools and Programs: School of Public Health > Behavioral and Community Health Sciences
Degree: MPH - Master of Public Health
Thesis Type: Master's Thesis
Refereed: Yes
Uncontrolled Keywords: LGBTQ, Sexual Health, Sex Work, Sex Worker, Transactional Sex, Sexual and Gender Minorities, Social Determinants of Health, Homophobia, Transphobia, Healthcare Mistrust
Date Deposited: 29 Jan 2020 17:32
Last Modified: 29 Jan 2020 17:32


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