Enhancing sexual health and empowerment among migrant women sex workers: a community health worker-led intervention in Marseille, France

IntroductionGiven the high infection rate of sexually transmitted infections (STI) among migrant women sex workers (WSWs), it is necessary to understand how to improve prevention, information and care for this vulnerable population. Community health workers (CHWs), by linking community to health services, are positioned to improve health outcomes in migrant communities. This article aims to describe a pilot innovative intervention performed by CHWs to improve sexual health in migrant WSWs.MethodsThis one-year intervention study used a respondent-driven sampling (RDS) to recruit a representative cohort of migrant WSWs in Marseille, France. Four CHWs were recruited from different communities and participated in all stages of the research. They performed individual and group interventions of prevention, support in care and empowerment. Data on participant characteristics, type of intervention and adherence to the intervention were reported via questionnaires given to participants. Simultaneously, semi-structured interviews and informal interviews of migrant WSW, CHWs and care providers were carried out.ResultsA total of 132 migrant WSWs were included in the cohort. Very few of them knew about PrEP (12%) or already used HIV post-exposure treatment (9%). Migrant WSWs were often victims of rape or racism, 15 and 21%, respectively. In two-thirds of cases the level of health literacy was low. Participants suffered from a combination of vulnerability factors: difficulties with access to social rights, food or housing. Only 13% reported having benefited from medical follow-up or assistance by an NGO in the 3 months prior to the program. By 3 months, more than one third of the participants had been tested for HIV (35%) and 63% knew about PrEP. A total retention rate of 70% was reported in the cohort after 6 months.ConclusionCHWs enabled to improve care access for migrant WSWs by improving the collaboration between care and social actors at a local level. Through these “bring-back-to” interventions for this hard-to-reach population, CHWs enabled an optimization of the care pathway. Our results also highlight the importance of a population-based approach for individual and group support of empowerment interventions in order to strengthen their capacity for action. Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Emilie Mosnier [verfasserIn] Maxime Hoyer [verfasserIn] Fernanda Artigas [verfasserIn] Hippolyte Regnault [verfasserIn] Elodie Richard [verfasserIn] David Michels [verfasserIn] Marine Mosnier [verfasserIn] Grâce Inegbeze [verfasserIn] Manuela Salcedo Robledo [verfasserIn] Bruno Spire [verfasserIn] Stéphanie Vandentorren [verfasserIn] Marc Lescaudron [verfasserIn] Carole Eldin [verfasserIn] Perrine Roux [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2024

Schlagwörter:	community health interventions women sex workers migrants cohort community-based participatory research health promotion

Übergeordnetes Werk:	In: Frontiers in Public Health - Frontiers Media S.A., 2013, 12(2024)
Übergeordnetes Werk:	volume:12 ; year:2024

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.3389/fpubh.2024.1359363

Katalog-ID:	DOAJ099799723

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245	1	0	\|a Enhancing sexual health and empowerment among migrant women sex workers: a community health worker-led intervention in Marseille, France
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520			\|a IntroductionGiven the high infection rate of sexually transmitted infections (STI) among migrant women sex workers (WSWs), it is necessary to understand how to improve prevention, information and care for this vulnerable population. Community health workers (CHWs), by linking community to health services, are positioned to improve health outcomes in migrant communities. This article aims to describe a pilot innovative intervention performed by CHWs to improve sexual health in migrant WSWs.MethodsThis one-year intervention study used a respondent-driven sampling (RDS) to recruit a representative cohort of migrant WSWs in Marseille, France. Four CHWs were recruited from different communities and participated in all stages of the research. They performed individual and group interventions of prevention, support in care and empowerment. Data on participant characteristics, type of intervention and adherence to the intervention were reported via questionnaires given to participants. Simultaneously, semi-structured interviews and informal interviews of migrant WSW, CHWs and care providers were carried out.ResultsA total of 132 migrant WSWs were included in the cohort. Very few of them knew about PrEP (12%) or already used HIV post-exposure treatment (9%). Migrant WSWs were often victims of rape or racism, 15 and 21%, respectively. In two-thirds of cases the level of health literacy was low. Participants suffered from a combination of vulnerability factors: difficulties with access to social rights, food or housing. Only 13% reported having benefited from medical follow-up or assistance by an NGO in the 3 months prior to the program. By 3 months, more than one third of the participants had been tested for HIV (35%) and 63% knew about PrEP. A total retention rate of 70% was reported in the cohort after 6 months.ConclusionCHWs enabled to improve care access for migrant WSWs by improving the collaboration between care and social actors at a local level. Through these “bring-back-to” interventions for this hard-to-reach population, CHWs enabled an optimization of the care pathway. Our results also highlight the importance of a population-based approach for individual and group support of empowerment interventions in order to strengthen their capacity for action.
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allfields	10.3389/fpubh.2024.1359363 doi (DE-627)DOAJ099799723 (DE-599)DOAJ98468cf5b6cc431ea6917ec23eee3a4b DE-627 ger DE-627 rakwb eng RA1-1270 Emilie Mosnier verfasserin aut Enhancing sexual health and empowerment among migrant women sex workers: a community health worker-led intervention in Marseille, France 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier IntroductionGiven the high infection rate of sexually transmitted infections (STI) among migrant women sex workers (WSWs), it is necessary to understand how to improve prevention, information and care for this vulnerable population. Community health workers (CHWs), by linking community to health services, are positioned to improve health outcomes in migrant communities. This article aims to describe a pilot innovative intervention performed by CHWs to improve sexual health in migrant WSWs.MethodsThis one-year intervention study used a respondent-driven sampling (RDS) to recruit a representative cohort of migrant WSWs in Marseille, France. Four CHWs were recruited from different communities and participated in all stages of the research. They performed individual and group interventions of prevention, support in care and empowerment. Data on participant characteristics, type of intervention and adherence to the intervention were reported via questionnaires given to participants. Simultaneously, semi-structured interviews and informal interviews of migrant WSW, CHWs and care providers were carried out.ResultsA total of 132 migrant WSWs were included in the cohort. Very few of them knew about PrEP (12%) or already used HIV post-exposure treatment (9%). Migrant WSWs were often victims of rape or racism, 15 and 21%, respectively. In two-thirds of cases the level of health literacy was low. Participants suffered from a combination of vulnerability factors: difficulties with access to social rights, food or housing. Only 13% reported having benefited from medical follow-up or assistance by an NGO in the 3 months prior to the program. By 3 months, more than one third of the participants had been tested for HIV (35%) and 63% knew about PrEP. A total retention rate of 70% was reported in the cohort after 6 months.ConclusionCHWs enabled to improve care access for migrant WSWs by improving the collaboration between care and social actors at a local level. Through these “bring-back-to” interventions for this hard-to-reach population, CHWs enabled an optimization of the care pathway. Our results also highlight the importance of a population-based approach for individual and group support of empowerment interventions in order to strengthen their capacity for action. community health interventions women sex workers migrants cohort community-based participatory research health promotion Public aspects of medicine Emilie Mosnier verfasserin aut Maxime Hoyer verfasserin aut Fernanda Artigas verfasserin aut Hippolyte Regnault verfasserin aut Elodie Richard verfasserin aut David Michels verfasserin aut David Michels verfasserin aut Marine Mosnier verfasserin aut Grâce Inegbeze verfasserin aut Manuela Salcedo Robledo verfasserin aut Bruno Spire verfasserin aut Bruno Spire verfasserin aut Stéphanie Vandentorren verfasserin aut Marc Lescaudron verfasserin aut Carole Eldin verfasserin aut Perrine Roux verfasserin aut In Frontiers in Public Health Frontiers Media S.A., 2013 12(2024) (DE-627)742224589 (DE-600)2711781-9 22962565 nnns volume:12 year:2024 https://doi.org/10.3389/fpubh.2024.1359363 kostenfrei https://doaj.org/article/98468cf5b6cc431ea6917ec23eee3a4b kostenfrei https://www.frontiersin.org/articles/10.3389/fpubh.2024.1359363/full kostenfrei https://doaj.org/toc/2296-2565 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 12 2024
spelling	10.3389/fpubh.2024.1359363 doi (DE-627)DOAJ099799723 (DE-599)DOAJ98468cf5b6cc431ea6917ec23eee3a4b DE-627 ger DE-627 rakwb eng RA1-1270 Emilie Mosnier verfasserin aut Enhancing sexual health and empowerment among migrant women sex workers: a community health worker-led intervention in Marseille, France 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier IntroductionGiven the high infection rate of sexually transmitted infections (STI) among migrant women sex workers (WSWs), it is necessary to understand how to improve prevention, information and care for this vulnerable population. Community health workers (CHWs), by linking community to health services, are positioned to improve health outcomes in migrant communities. This article aims to describe a pilot innovative intervention performed by CHWs to improve sexual health in migrant WSWs.MethodsThis one-year intervention study used a respondent-driven sampling (RDS) to recruit a representative cohort of migrant WSWs in Marseille, France. Four CHWs were recruited from different communities and participated in all stages of the research. They performed individual and group interventions of prevention, support in care and empowerment. Data on participant characteristics, type of intervention and adherence to the intervention were reported via questionnaires given to participants. Simultaneously, semi-structured interviews and informal interviews of migrant WSW, CHWs and care providers were carried out.ResultsA total of 132 migrant WSWs were included in the cohort. Very few of them knew about PrEP (12%) or already used HIV post-exposure treatment (9%). Migrant WSWs were often victims of rape or racism, 15 and 21%, respectively. In two-thirds of cases the level of health literacy was low. Participants suffered from a combination of vulnerability factors: difficulties with access to social rights, food or housing. Only 13% reported having benefited from medical follow-up or assistance by an NGO in the 3 months prior to the program. By 3 months, more than one third of the participants had been tested for HIV (35%) and 63% knew about PrEP. A total retention rate of 70% was reported in the cohort after 6 months.ConclusionCHWs enabled to improve care access for migrant WSWs by improving the collaboration between care and social actors at a local level. Through these “bring-back-to” interventions for this hard-to-reach population, CHWs enabled an optimization of the care pathway. Our results also highlight the importance of a population-based approach for individual and group support of empowerment interventions in order to strengthen their capacity for action. community health interventions women sex workers migrants cohort community-based participatory research health promotion Public aspects of medicine Emilie Mosnier verfasserin aut Maxime Hoyer verfasserin aut Fernanda Artigas verfasserin aut Hippolyte Regnault verfasserin aut Elodie Richard verfasserin aut David Michels verfasserin aut David Michels verfasserin aut Marine Mosnier verfasserin aut Grâce Inegbeze verfasserin aut Manuela Salcedo Robledo verfasserin aut Bruno Spire verfasserin aut Bruno Spire verfasserin aut Stéphanie Vandentorren verfasserin aut Marc Lescaudron verfasserin aut Carole Eldin verfasserin aut Perrine Roux verfasserin aut In Frontiers in Public Health Frontiers Media S.A., 2013 12(2024) (DE-627)742224589 (DE-600)2711781-9 22962565 nnns volume:12 year:2024 https://doi.org/10.3389/fpubh.2024.1359363 kostenfrei https://doaj.org/article/98468cf5b6cc431ea6917ec23eee3a4b kostenfrei https://www.frontiersin.org/articles/10.3389/fpubh.2024.1359363/full kostenfrei https://doaj.org/toc/2296-2565 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 12 2024
allfields_unstemmed	10.3389/fpubh.2024.1359363 doi (DE-627)DOAJ099799723 (DE-599)DOAJ98468cf5b6cc431ea6917ec23eee3a4b DE-627 ger DE-627 rakwb eng RA1-1270 Emilie Mosnier verfasserin aut Enhancing sexual health and empowerment among migrant women sex workers: a community health worker-led intervention in Marseille, France 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier IntroductionGiven the high infection rate of sexually transmitted infections (STI) among migrant women sex workers (WSWs), it is necessary to understand how to improve prevention, information and care for this vulnerable population. Community health workers (CHWs), by linking community to health services, are positioned to improve health outcomes in migrant communities. This article aims to describe a pilot innovative intervention performed by CHWs to improve sexual health in migrant WSWs.MethodsThis one-year intervention study used a respondent-driven sampling (RDS) to recruit a representative cohort of migrant WSWs in Marseille, France. Four CHWs were recruited from different communities and participated in all stages of the research. They performed individual and group interventions of prevention, support in care and empowerment. Data on participant characteristics, type of intervention and adherence to the intervention were reported via questionnaires given to participants. Simultaneously, semi-structured interviews and informal interviews of migrant WSW, CHWs and care providers were carried out.ResultsA total of 132 migrant WSWs were included in the cohort. Very few of them knew about PrEP (12%) or already used HIV post-exposure treatment (9%). Migrant WSWs were often victims of rape or racism, 15 and 21%, respectively. In two-thirds of cases the level of health literacy was low. Participants suffered from a combination of vulnerability factors: difficulties with access to social rights, food or housing. Only 13% reported having benefited from medical follow-up or assistance by an NGO in the 3 months prior to the program. By 3 months, more than one third of the participants had been tested for HIV (35%) and 63% knew about PrEP. A total retention rate of 70% was reported in the cohort after 6 months.ConclusionCHWs enabled to improve care access for migrant WSWs by improving the collaboration between care and social actors at a local level. Through these “bring-back-to” interventions for this hard-to-reach population, CHWs enabled an optimization of the care pathway. Our results also highlight the importance of a population-based approach for individual and group support of empowerment interventions in order to strengthen their capacity for action. community health interventions women sex workers migrants cohort community-based participatory research health promotion Public aspects of medicine Emilie Mosnier verfasserin aut Maxime Hoyer verfasserin aut Fernanda Artigas verfasserin aut Hippolyte Regnault verfasserin aut Elodie Richard verfasserin aut David Michels verfasserin aut David Michels verfasserin aut Marine Mosnier verfasserin aut Grâce Inegbeze verfasserin aut Manuela Salcedo Robledo verfasserin aut Bruno Spire verfasserin aut Bruno Spire verfasserin aut Stéphanie Vandentorren verfasserin aut Marc Lescaudron verfasserin aut Carole Eldin verfasserin aut Perrine Roux verfasserin aut In Frontiers in Public Health Frontiers Media S.A., 2013 12(2024) (DE-627)742224589 (DE-600)2711781-9 22962565 nnns volume:12 year:2024 https://doi.org/10.3389/fpubh.2024.1359363 kostenfrei https://doaj.org/article/98468cf5b6cc431ea6917ec23eee3a4b kostenfrei https://www.frontiersin.org/articles/10.3389/fpubh.2024.1359363/full kostenfrei https://doaj.org/toc/2296-2565 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 12 2024
allfieldsGer	10.3389/fpubh.2024.1359363 doi (DE-627)DOAJ099799723 (DE-599)DOAJ98468cf5b6cc431ea6917ec23eee3a4b DE-627 ger DE-627 rakwb eng RA1-1270 Emilie Mosnier verfasserin aut Enhancing sexual health and empowerment among migrant women sex workers: a community health worker-led intervention in Marseille, France 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier IntroductionGiven the high infection rate of sexually transmitted infections (STI) among migrant women sex workers (WSWs), it is necessary to understand how to improve prevention, information and care for this vulnerable population. Community health workers (CHWs), by linking community to health services, are positioned to improve health outcomes in migrant communities. This article aims to describe a pilot innovative intervention performed by CHWs to improve sexual health in migrant WSWs.MethodsThis one-year intervention study used a respondent-driven sampling (RDS) to recruit a representative cohort of migrant WSWs in Marseille, France. Four CHWs were recruited from different communities and participated in all stages of the research. They performed individual and group interventions of prevention, support in care and empowerment. Data on participant characteristics, type of intervention and adherence to the intervention were reported via questionnaires given to participants. Simultaneously, semi-structured interviews and informal interviews of migrant WSW, CHWs and care providers were carried out.ResultsA total of 132 migrant WSWs were included in the cohort. Very few of them knew about PrEP (12%) or already used HIV post-exposure treatment (9%). Migrant WSWs were often victims of rape or racism, 15 and 21%, respectively. In two-thirds of cases the level of health literacy was low. Participants suffered from a combination of vulnerability factors: difficulties with access to social rights, food or housing. Only 13% reported having benefited from medical follow-up or assistance by an NGO in the 3 months prior to the program. By 3 months, more than one third of the participants had been tested for HIV (35%) and 63% knew about PrEP. A total retention rate of 70% was reported in the cohort after 6 months.ConclusionCHWs enabled to improve care access for migrant WSWs by improving the collaboration between care and social actors at a local level. Through these “bring-back-to” interventions for this hard-to-reach population, CHWs enabled an optimization of the care pathway. Our results also highlight the importance of a population-based approach for individual and group support of empowerment interventions in order to strengthen their capacity for action. community health interventions women sex workers migrants cohort community-based participatory research health promotion Public aspects of medicine Emilie Mosnier verfasserin aut Maxime Hoyer verfasserin aut Fernanda Artigas verfasserin aut Hippolyte Regnault verfasserin aut Elodie Richard verfasserin aut David Michels verfasserin aut David Michels verfasserin aut Marine Mosnier verfasserin aut Grâce Inegbeze verfasserin aut Manuela Salcedo Robledo verfasserin aut Bruno Spire verfasserin aut Bruno Spire verfasserin aut Stéphanie Vandentorren verfasserin aut Marc Lescaudron verfasserin aut Carole Eldin verfasserin aut Perrine Roux verfasserin aut In Frontiers in Public Health Frontiers Media S.A., 2013 12(2024) (DE-627)742224589 (DE-600)2711781-9 22962565 nnns volume:12 year:2024 https://doi.org/10.3389/fpubh.2024.1359363 kostenfrei https://doaj.org/article/98468cf5b6cc431ea6917ec23eee3a4b kostenfrei https://www.frontiersin.org/articles/10.3389/fpubh.2024.1359363/full kostenfrei https://doaj.org/toc/2296-2565 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 12 2024
allfieldsSound	10.3389/fpubh.2024.1359363 doi (DE-627)DOAJ099799723 (DE-599)DOAJ98468cf5b6cc431ea6917ec23eee3a4b DE-627 ger DE-627 rakwb eng RA1-1270 Emilie Mosnier verfasserin aut Enhancing sexual health and empowerment among migrant women sex workers: a community health worker-led intervention in Marseille, France 2024 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier IntroductionGiven the high infection rate of sexually transmitted infections (STI) among migrant women sex workers (WSWs), it is necessary to understand how to improve prevention, information and care for this vulnerable population. Community health workers (CHWs), by linking community to health services, are positioned to improve health outcomes in migrant communities. This article aims to describe a pilot innovative intervention performed by CHWs to improve sexual health in migrant WSWs.MethodsThis one-year intervention study used a respondent-driven sampling (RDS) to recruit a representative cohort of migrant WSWs in Marseille, France. Four CHWs were recruited from different communities and participated in all stages of the research. They performed individual and group interventions of prevention, support in care and empowerment. Data on participant characteristics, type of intervention and adherence to the intervention were reported via questionnaires given to participants. Simultaneously, semi-structured interviews and informal interviews of migrant WSW, CHWs and care providers were carried out.ResultsA total of 132 migrant WSWs were included in the cohort. Very few of them knew about PrEP (12%) or already used HIV post-exposure treatment (9%). Migrant WSWs were often victims of rape or racism, 15 and 21%, respectively. In two-thirds of cases the level of health literacy was low. Participants suffered from a combination of vulnerability factors: difficulties with access to social rights, food or housing. Only 13% reported having benefited from medical follow-up or assistance by an NGO in the 3 months prior to the program. By 3 months, more than one third of the participants had been tested for HIV (35%) and 63% knew about PrEP. A total retention rate of 70% was reported in the cohort after 6 months.ConclusionCHWs enabled to improve care access for migrant WSWs by improving the collaboration between care and social actors at a local level. Through these “bring-back-to” interventions for this hard-to-reach population, CHWs enabled an optimization of the care pathway. Our results also highlight the importance of a population-based approach for individual and group support of empowerment interventions in order to strengthen their capacity for action. community health interventions women sex workers migrants cohort community-based participatory research health promotion Public aspects of medicine Emilie Mosnier verfasserin aut Maxime Hoyer verfasserin aut Fernanda Artigas verfasserin aut Hippolyte Regnault verfasserin aut Elodie Richard verfasserin aut David Michels verfasserin aut David Michels verfasserin aut Marine Mosnier verfasserin aut Grâce Inegbeze verfasserin aut Manuela Salcedo Robledo verfasserin aut Bruno Spire verfasserin aut Bruno Spire verfasserin aut Stéphanie Vandentorren verfasserin aut Marc Lescaudron verfasserin aut Carole Eldin verfasserin aut Perrine Roux verfasserin aut In Frontiers in Public Health Frontiers Media S.A., 2013 12(2024) (DE-627)742224589 (DE-600)2711781-9 22962565 nnns volume:12 year:2024 https://doi.org/10.3389/fpubh.2024.1359363 kostenfrei https://doaj.org/article/98468cf5b6cc431ea6917ec23eee3a4b kostenfrei https://www.frontiersin.org/articles/10.3389/fpubh.2024.1359363/full kostenfrei https://doaj.org/toc/2296-2565 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 12 2024
language	English
source	In Frontiers in Public Health 12(2024) volume:12 year:2024
sourceStr	In Frontiers in Public Health 12(2024) volume:12 year:2024
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	community health interventions women sex workers migrants cohort community-based participatory research health promotion Public aspects of medicine
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container_title	Frontiers in Public Health
authorswithroles_txt_mv	Emilie Mosnier @@aut@@ Maxime Hoyer @@aut@@ Fernanda Artigas @@aut@@ Hippolyte Regnault @@aut@@ Elodie Richard @@aut@@ David Michels @@aut@@ Marine Mosnier @@aut@@ Grâce Inegbeze @@aut@@ Manuela Salcedo Robledo @@aut@@ Bruno Spire @@aut@@ Stéphanie Vandentorren @@aut@@ Marc Lescaudron @@aut@@ Carole Eldin @@aut@@ Perrine Roux @@aut@@
publishDateDaySort_date	2024-01-01T00:00:00Z
hierarchy_top_id	742224589
id	DOAJ099799723
language_de	englisch
fullrecord	<?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>01000naa a22002652 4500</leader><controlfield tag="001">DOAJ099799723</controlfield><controlfield tag="003">DE-627</controlfield><controlfield tag="005">20240414054330.0</controlfield><controlfield tag="007">cr uuu---uuuuu</controlfield><controlfield tag="008">240414s2024 xx \|\|\|\|\|o 00\| \|\|eng c</controlfield><datafield tag="024" ind1="7" ind2=" "><subfield code="a">10.3389/fpubh.2024.1359363</subfield><subfield code="2">doi</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-627)DOAJ099799723</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-599)DOAJ98468cf5b6cc431ea6917ec23eee3a4b</subfield></datafield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">DE-627</subfield><subfield code="b">ger</subfield><subfield code="c">DE-627</subfield><subfield code="e">rakwb</subfield></datafield><datafield tag="041" ind1=" " ind2=" "><subfield code="a">eng</subfield></datafield><datafield tag="050" ind1=" " ind2="0"><subfield code="a">RA1-1270</subfield></datafield><datafield tag="100" ind1="0" ind2=" "><subfield code="a">Emilie Mosnier</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Enhancing sexual health and empowerment among migrant women sex workers: a community health worker-led intervention in Marseille, France</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2024</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">IntroductionGiven the high infection rate of sexually transmitted infections (STI) among migrant women sex workers (WSWs), it is necessary to understand how to improve prevention, information and care for this vulnerable population. Community health workers (CHWs), by linking community to health services, are positioned to improve health outcomes in migrant communities. This article aims to describe a pilot innovative intervention performed by CHWs to improve sexual health in migrant WSWs.MethodsThis one-year intervention study used a respondent-driven sampling (RDS) to recruit a representative cohort of migrant WSWs in Marseille, France. Four CHWs were recruited from different communities and participated in all stages of the research. They performed individual and group interventions of prevention, support in care and empowerment. Data on participant characteristics, type of intervention and adherence to the intervention were reported via questionnaires given to participants. Simultaneously, semi-structured interviews and informal interviews of migrant WSW, CHWs and care providers were carried out.ResultsA total of 132 migrant WSWs were included in the cohort. Very few of them knew about PrEP (12%) or already used HIV post-exposure treatment (9%). Migrant WSWs were often victims of rape or racism, 15 and 21%, respectively. In two-thirds of cases the level of health literacy was low. Participants suffered from a combination of vulnerability factors: difficulties with access to social rights, food or housing. Only 13% reported having benefited from medical follow-up or assistance by an NGO in the 3 months prior to the program. By 3 months, more than one third of the participants had been tested for HIV (35%) and 63% knew about PrEP. A total retention rate of 70% was reported in the cohort after 6 months.ConclusionCHWs enabled to improve care access for migrant WSWs by improving the collaboration between care and social actors at a local level. Through these “bring-back-to” interventions for this hard-to-reach population, CHWs enabled an optimization of the care pathway. Our results also highlight the importance of a population-based approach for individual and group support of empowerment interventions in order to strengthen their capacity for action.</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">community health interventions</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">women sex workers</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">migrants</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">cohort</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">community-based participatory research</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">health promotion</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">Public aspects of medicine</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Emilie 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callnumber-first	R - Medicine
author	Emilie Mosnier
spellingShingle	Emilie Mosnier misc RA1-1270 misc community health interventions misc women sex workers misc migrants misc cohort misc community-based participatory research misc health promotion misc Public aspects of medicine Enhancing sexual health and empowerment among migrant women sex workers: a community health worker-led intervention in Marseille, France
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topic_title	RA1-1270 Enhancing sexual health and empowerment among migrant women sex workers: a community health worker-led intervention in Marseille, France community health interventions women sex workers migrants cohort community-based participatory research health promotion
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title	Enhancing sexual health and empowerment among migrant women sex workers: a community health worker-led intervention in Marseille, France
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title_full	Enhancing sexual health and empowerment among migrant women sex workers: a community health worker-led intervention in Marseille, France
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author_browse	Emilie Mosnier Maxime Hoyer Fernanda Artigas Hippolyte Regnault Elodie Richard David Michels Marine Mosnier Grâce Inegbeze Manuela Salcedo Robledo Bruno Spire Stéphanie Vandentorren Marc Lescaudron Carole Eldin Perrine Roux
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title_sort	enhancing sexual health and empowerment among migrant women sex workers: a community health worker-led intervention in marseille, france
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title_auth	Enhancing sexual health and empowerment among migrant women sex workers: a community health worker-led intervention in Marseille, France
abstract	IntroductionGiven the high infection rate of sexually transmitted infections (STI) among migrant women sex workers (WSWs), it is necessary to understand how to improve prevention, information and care for this vulnerable population. Community health workers (CHWs), by linking community to health services, are positioned to improve health outcomes in migrant communities. This article aims to describe a pilot innovative intervention performed by CHWs to improve sexual health in migrant WSWs.MethodsThis one-year intervention study used a respondent-driven sampling (RDS) to recruit a representative cohort of migrant WSWs in Marseille, France. Four CHWs were recruited from different communities and participated in all stages of the research. They performed individual and group interventions of prevention, support in care and empowerment. Data on participant characteristics, type of intervention and adherence to the intervention were reported via questionnaires given to participants. Simultaneously, semi-structured interviews and informal interviews of migrant WSW, CHWs and care providers were carried out.ResultsA total of 132 migrant WSWs were included in the cohort. Very few of them knew about PrEP (12%) or already used HIV post-exposure treatment (9%). Migrant WSWs were often victims of rape or racism, 15 and 21%, respectively. In two-thirds of cases the level of health literacy was low. Participants suffered from a combination of vulnerability factors: difficulties with access to social rights, food or housing. Only 13% reported having benefited from medical follow-up or assistance by an NGO in the 3 months prior to the program. By 3 months, more than one third of the participants had been tested for HIV (35%) and 63% knew about PrEP. A total retention rate of 70% was reported in the cohort after 6 months.ConclusionCHWs enabled to improve care access for migrant WSWs by improving the collaboration between care and social actors at a local level. Through these “bring-back-to” interventions for this hard-to-reach population, CHWs enabled an optimization of the care pathway. Our results also highlight the importance of a population-based approach for individual and group support of empowerment interventions in order to strengthen their capacity for action.
abstractGer	IntroductionGiven the high infection rate of sexually transmitted infections (STI) among migrant women sex workers (WSWs), it is necessary to understand how to improve prevention, information and care for this vulnerable population. Community health workers (CHWs), by linking community to health services, are positioned to improve health outcomes in migrant communities. This article aims to describe a pilot innovative intervention performed by CHWs to improve sexual health in migrant WSWs.MethodsThis one-year intervention study used a respondent-driven sampling (RDS) to recruit a representative cohort of migrant WSWs in Marseille, France. Four CHWs were recruited from different communities and participated in all stages of the research. They performed individual and group interventions of prevention, support in care and empowerment. Data on participant characteristics, type of intervention and adherence to the intervention were reported via questionnaires given to participants. Simultaneously, semi-structured interviews and informal interviews of migrant WSW, CHWs and care providers were carried out.ResultsA total of 132 migrant WSWs were included in the cohort. Very few of them knew about PrEP (12%) or already used HIV post-exposure treatment (9%). Migrant WSWs were often victims of rape or racism, 15 and 21%, respectively. In two-thirds of cases the level of health literacy was low. Participants suffered from a combination of vulnerability factors: difficulties with access to social rights, food or housing. Only 13% reported having benefited from medical follow-up or assistance by an NGO in the 3 months prior to the program. By 3 months, more than one third of the participants had been tested for HIV (35%) and 63% knew about PrEP. A total retention rate of 70% was reported in the cohort after 6 months.ConclusionCHWs enabled to improve care access for migrant WSWs by improving the collaboration between care and social actors at a local level. Through these “bring-back-to” interventions for this hard-to-reach population, CHWs enabled an optimization of the care pathway. Our results also highlight the importance of a population-based approach for individual and group support of empowerment interventions in order to strengthen their capacity for action.
abstract_unstemmed	IntroductionGiven the high infection rate of sexually transmitted infections (STI) among migrant women sex workers (WSWs), it is necessary to understand how to improve prevention, information and care for this vulnerable population. Community health workers (CHWs), by linking community to health services, are positioned to improve health outcomes in migrant communities. This article aims to describe a pilot innovative intervention performed by CHWs to improve sexual health in migrant WSWs.MethodsThis one-year intervention study used a respondent-driven sampling (RDS) to recruit a representative cohort of migrant WSWs in Marseille, France. Four CHWs were recruited from different communities and participated in all stages of the research. They performed individual and group interventions of prevention, support in care and empowerment. Data on participant characteristics, type of intervention and adherence to the intervention were reported via questionnaires given to participants. Simultaneously, semi-structured interviews and informal interviews of migrant WSW, CHWs and care providers were carried out.ResultsA total of 132 migrant WSWs were included in the cohort. Very few of them knew about PrEP (12%) or already used HIV post-exposure treatment (9%). Migrant WSWs were often victims of rape or racism, 15 and 21%, respectively. In two-thirds of cases the level of health literacy was low. Participants suffered from a combination of vulnerability factors: difficulties with access to social rights, food or housing. Only 13% reported having benefited from medical follow-up or assistance by an NGO in the 3 months prior to the program. By 3 months, more than one third of the participants had been tested for HIV (35%) and 63% knew about PrEP. A total retention rate of 70% was reported in the cohort after 6 months.ConclusionCHWs enabled to improve care access for migrant WSWs by improving the collaboration between care and social actors at a local level. Through these “bring-back-to” interventions for this hard-to-reach population, CHWs enabled an optimization of the care pathway. Our results also highlight the importance of a population-based approach for individual and group support of empowerment interventions in order to strengthen their capacity for action.
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title_short	Enhancing sexual health and empowerment among migrant women sex workers: a community health worker-led intervention in Marseille, France
url	https://doi.org/10.3389/fpubh.2024.1359363 https://doaj.org/article/98468cf5b6cc431ea6917ec23eee3a4b https://www.frontiersin.org/articles/10.3389/fpubh.2024.1359363/full https://doaj.org/toc/2296-2565
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author2	Emilie Mosnier Maxime Hoyer Fernanda Artigas Hippolyte Regnault Elodie Richard David Michels Marine Mosnier Grâce Inegbeze Manuela Salcedo Robledo Bruno Spire Stéphanie Vandentorren Marc Lescaudron Carole Eldin Perrine Roux
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