Evidence map›Paper›PMID 36334613›Full record

SynthesisThe Lancet. Public health2023

Interventions to improve health and the determinants of health among sex workers in high-income countries: a systematic review.

Luke Johnson, Lucy C Potter, Harriet Beeching, Molly Bradbury, Bella Matos, Grace Sumner, Lorna Wills, Kitty Worthing, Robert W Aldridge, Gene Feder and 6 more

Abstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in The Lancet. Public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors.

Luke JohnsonDepartment of Primary Care, Population Sciences and Medical Education, University of Southampton, Southampton, UK; Collaborative Centre for Inclusion Health, Department of Epidemiology and Public Health, University College London, London, UK. Electronic address: l.johnson@soton.ac.uk.
Lucy C PotterCentre for Academic Primary Care, Department of Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Harriet BeechingOxford University Hospitals NHS Foundation Trust, Oxford, UK.
Molly BradburyCollaborative Centre for Inclusion Health, Department of Epidemiology and Public Health, University College London, London, UK.
Bella MatosDepartment of Psychology, The American University of Paris, Paris, France.
Grace SumnerCollaborative Centre for Inclusion Health, Department of Epidemiology and Public Health, University College London, London, UK.
Lorna WillsCollaborative Centre for Inclusion Health, Department of Epidemiology and Public Health, University College London, London, UK.
Kitty WorthingCentre for Primary Care and Public Health, Queen Mary University, London, UK.
Robert W AldridgeCentre for Public Health Data Science, Institute of Health Informatics, University College London, London, UK.
Gene FederCentre for Academic Primary Care, Department of Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Andrew C HaywardCollaborative Centre for Inclusion Health, Department of Epidemiology and Public Health, University College London, London, UK.
Neha PathakCentre for Public Health Data Science, Institute of Health Informatics, University College London, London, UK; Guy's and St Thomas' NHS Foundation Trust, London, UK.
Lucy PlattFaculty of Public Health and Policy, London School of Hygiene & Tropical Medicine, London, UK.
Al StoryCollaborative Centre for Inclusion Health, Department of Epidemiology and Public Health, University College London, London, UK; Find & Treat, University College London Hospital, London, UK.
Binta SultanCollaborative Centre for Inclusion Health, Department of Epidemiology and Public Health, University College London, London, UK; Find & Treat, University College London Hospital, London, UK.
Serena A LuchenskiCollaborative Centre for Inclusion Health, Department of Epidemiology and Public Health, University College London, London, UK.

Funding

Department of HealthMedical Research Council G0601673Wellcome Trust 206602
6 · The paper itself

Abstract

Many sex worker populations face high morbidity and mortality, but data are scarce on interventions to improve their health. We did a systematic review of health and social interventions to improve the health and wider determinants of health among adult sex workers in high-income countries. We searched MEDLINE, Embase, PsycINFO, CINAHL, the Cochrane Library, Web of Science, EthOS, OpenGrey, and Social Care Online, as well as the Global Network of Sex Work Projects and the Sex Work Research Hub for studies published between Jan 1, 2005 and Dec 16, 2021 (PROSPERO CRD42019158674). Quantitative studies reporting disaggregated data for sex workers were included and no comparators were specified. We assessed rigour using the Quality Assessment Tool for Quantitative Studies. We summarised studies using vote counting and a narrative synthesis. 20 studies were included. Most reported findings exclusively for female sex workers (n=17) and street-based sex workers (n=11). Intervention components were divided into education and empowerment (n=14), drug treatment (n=4), sexual and reproductive health care (n=7), other health care (n=5), and welfare (n=5). Interventions affected a range of mental health, physical health, and health behaviour outcomes. Multicomponent interventions and interventions that were focused on education and empowerment were of benefit. Interventions that used peer design and peer delivery were effective. An outreach or drop-in component might be beneficial in some contexts. Sex workers who were new to working in an area faced greater challenges accessing services. Data were scarce for male, transgender, and indoor-based sex workers. Co-designed and co-delivered interventions that are either multicomponent or focus on education and empowerment are likely to be effective. Policy makers and health-care providers should improve access to services for all genders of sex workers and those new to an area. Future research should develop interventions for a greater diversity of sex worker populations and for wider health and social needs.

Indexed as

Sex WorkersAdultDelivery of Health CareDeveloped CountriesFemaleHealth PersonnelHumansIncomeMale

Identifiers

PMID36334613
PMCPMC10564624

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.