Evidence map›Paper›PMID 42497878›Full record

ReviewThe Lancet. Public health2026

Intersecting stigma as a fundamental barrier to the health and wellbeing of sex workers.

Carmen H Logie, Shira Goldenberg, Julien Brisson, Frannie MacKenzie, Martin Nguyen, Luissa Vahedi, Jennie Pearson, Nataliia Isaieva, Fairy Abdulghani, Agata Dziuban and 3 more

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in The Lancet. Public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Carmen H LogieFactor-Inwentash Faculty of Social Work, University of Toronto, Toronto, ON, Canada; United Nations University Institute for Water, Environment and Health, Hamilton, ON, Canada; Women's College Research Institute, Women's College Hospital, Toronto, ON, Canada. Electronic address: carmen.logie@utoronto.ca.
Shira GoldenbergSchool of Public Health, San Diego State University, San Diego, CA, USA.
Julien BrissonSocial & Behavioural Health Sciences Division, Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.
Frannie MacKenzieFactor-Inwentash Faculty of Social Work, University of Toronto, Toronto, ON, Canada.
Martin NguyenDepartment of Immunology, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
Luissa VahediFactor-Inwentash Faculty of Social Work, University of Toronto, Toronto, ON, Canada.
Jennie PearsonDepartment of Medicine, University of British Colombia, Vancouver, BC, Canada; School of Criminology, Simon Fraser University, Burnaby, BC, Canada.
Nataliia IsaievaLegalife-Ukraine, Kyiv, Ukraine.
Fairy AbdulghaniAsia Pacific Network of Sex Workers, Bangkok, Thailand.
Agata DziubanInstitute of Sociology, Jagiellonian University, Krakow, Poland; European Sex Work Research Network, Amsterdam, Netherlands.
Yigit AydinalpUniversity of Sheffield, Sheffield, UK; European Sex Workers Rights Alliance, Amsterdam, Netherlands.
Stefan BaralJohns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Amaya Perez-BrumerSocial & Behavioural Health Sciences Division, Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.

Funding

Social and structural context of HIV/STI risk among FSWsR01DA028648 · NIDA · UNIVERSITY OF BRITISH COLUMBIA · PI GOLDENBERG, SHIRA MIRIAM, KRUSI, ANDREA · 2010 to 2024
$6.9M
NIDA NIH HHS R01 DA028648
6 · The paper itself

Abstract

Sex workers face compounding social and health inequities driven by multiple stigmas-social processes of devaluation that reduce access to power, resources, and opportunities. In this Series paper, we review the evidence and report that structural, interpersonal, and internalised stigma profoundly shape sex workers' health by undermining access to health and human rights, with well documented impacts on sexual health, mental wellbeing, safety, and access to justice. Furthermore, stigma within communities and health, social, workplace, and legal systems often intersect to drive health inequities, social exclusion, and legal harms experienced by diverse sex workers globally. Despite these challenges, sex workers actively negotiate and resist the effects of stigma through peer support, advocacy, and community building, highlighting their agency and resilience. Decriminalisation, community mobilisation and empowerment, and rights-affirming health care are evidence-based strategies to reduce stigma and promote the health, safety, and rights that are urgently needed to optimise health and wellbeing for sex workers across the globe.

Indexed as

Health Status DisparitiesSex WorkersSocial StigmaHuman RightsHumansPsychological Well-Being

Identifiers

PMID42497878
PMCPMC13742064

What OpenQuestion holds

Textmetadata
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.