title: Recent im/migration to Canada linked to unmet health needs among sex workers in Vancouver, Canada: Findings of a longitudinal study.
abstract: Despite universal health care in Canada, sex workers (SWs) and im/migrants experience suboptimal health care access. In this analysis, we examined the correlates of unmet health needs among SWs in Metro Vancouver over time. Data from a longitudinal cohort of women SWs (An Evaluation of Sex Workers Health Access [AESHA]) were used. Of 742 SWs, 25.5% reported unmet health needs at least once over the 4-year study period. In multivariable logistic regression using generalized estimating equations, recent im/migration had the strongest impact on unmet health needs; long-term im/migration, policing, and trauma were also important determinants. Legal and social supports to promote im/migrant SWs' access to health care are recommended.
authors.affiliation: a Gender and Sexual Health Initiative, British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital , Vancouver, British Columbia , Canada.|b School of Population and Public Health, University of British Columbia , Vancouver, British Columbia , Canada.
authors.forename: Julie
authors.initials: J
authors.lastname: Sou
authors.affiliation: a Gender and Sexual Health Initiative, British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital , Vancouver, British Columbia , Canada.|c Faculty of Health Sciences, Simon Fraser University , Burnaby, British Columbia , Canada.
authors.forename: Shira M
authors.initials: SM
authors.lastname: Goldenberg
authors.affiliation: a Gender and Sexual Health Initiative, British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital , Vancouver, British Columbia , Canada.|d Department of Medicine , University of British Columbia, St. Paul's Hospital , Vancouver, British Columbia , Canada.
authors.forename: Putu
authors.initials: P
authors.lastname: Duff
authors.affiliation: a Gender and Sexual Health Initiative, British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital , Vancouver, British Columbia , Canada.
authors.forename: Paul
authors.initials: P
authors.lastname: Nguyen
authors.affiliation: b School of Population and Public Health, University of British Columbia , Vancouver, British Columbia , Canada.
authors.forename: Jean
authors.initials: J
authors.lastname: Shoveller
authors.affiliation: a Gender and Sexual Health Initiative, British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital , Vancouver, British Columbia , Canada.|b School of Population and Public Health, University of British Columbia , Vancouver, British Columbia , Canada.|d Department of Medicine , University of British Columbia, St. Paul's Hospital , Vancouver, British Columbia , Canada.
authors.forename: Kate
authors.initials: K
authors.lastname: Shannon
mesh_terms: D000328:Adult; D002170:Canada; D054242:Emigrants and Immigrants / Q000523:psychology* / Q000706:statistics & numerical data; D005260:Female; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006301:Health Services Needs and Demand; D054625:Healthcare Disparities; D006801:Humans; D016015:Logistic Models; D008137:Longitudinal Studies; D020380:Needs Assessment; D016272:Occupational Health; D060386:Sex Workers / Q000523:psychology / Q000706:statistics & numerical data*; D012959:Socioeconomic Factors; D014171:Transients and Migrants / Q000523:psychology* / Q000706:statistics & numerical data; D014505:Urban Population