Evidence map›Paper›PMID 42497880›Full record

ReviewThe Lancet. Public health2026

Health inequities faced by sex workers.

Katherine Rucinski, Mary Anne Roach, Anna Shapiro, Yigit Aydinalp, Kaitlyn Atkins, Joseph G Rosen, Karina Bravo Neira, Niki Lovisa, Trajche Janushev, Stefan Baral and 1 more

Abstract readReview
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

11 authors.

Katherine RucinskiJohns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. Electronic address: rucinski@jhu.edu.
Mary Anne RoachJohns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Anna ShapiroGlobal Network of Sex Work Projects, Edinburgh, UK.
Yigit AydinalpGlobal Network of Sex Work Projects, Edinburgh, UK; University of Sheffield, Sheffield, UK.
Kaitlyn AtkinsJohns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Joseph G RosenDivision of General Internal Medicine, Rhode Island Hospital, Providence, RI, USA; Department of Medicine, Warren Alpert Medical School, Brown University, Providence, RI, USA; Department of Epidemiology, School of Public Health, Brown University, Providence, RI, USA.
Karina Bravo NeiraPlataforma Latinoamericana de Personas que Ejercen el Trabajo Sexual, Machala, Ecuador.
Niki LovisaGuyana Vulnerable Population Alliance, Georgetown, Guyana.
Trajche JanushevSex Workers' Rights Advocacy Network, Budapest, Hungary.
Stefan BaralJohns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Shira GoldenbergSchool of Public Health, San Diego State University, San Diego, CA, USA.

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
The Brown Initiative in HIV and AIDS Clinical Research for Minority CommunitiesR25MH083620 · NIMH · MIRIAM HOSPITAL · PI NUNN, AMY STEWART · 2008 to 2025
$3.7M
Leveraging Big Data Science to Focus the HIV Response in Countries with Generalized HIV EpidemicsR01AI170249 · NIAID · JOHNS HOPKINS UNIVERSITY · PI BARAL, STEFAN DAVID · 2022 to 2025
$2.9M
The Johns Hopkins and Emory University AIDS Research Center – Center for HIV and Mental Health Stigma Elimination Strategies (CHIMES) P30MH136919 · NIMH · JOHNS HOPKINS UNIVERSITY · PI Tiara C. Willie · 2024 to 2026
$2.9M
Implementation Research to Optimize ART Delivery for Adolescents and Young Adults Living with HIVK01MH129226 · NIMH · JOHNS HOPKINS UNIVERSITY · PI Katherine B Rucinski · 2022 to 2026
$792k
The Siyaphambili Substance Use Study: Exploring substance use and its treatment in the context of achieving sustained ART adherence among female sex workersR21DA056304 · NIDA · JOHNS HOPKINS UNIVERSITY · PI KNOX, JUSTIN, SCHWARTZ, SHEREE RENAE · 2023 to 2024
$439k
Implementation science to optimize HIV prevention and substance use services among men who have sex with men in the USK01DA063441 · NIDA · JOHNS HOPKINS UNIVERSITY · PI Kaitlyn M Atkins · 2025 to 2026
$354k
Mobility-Responsive Implementation Strategies to Enhance HIV Care Continuity among Female Sex Workers in South AfricaK01MH140639 · NIMH · RHODE ISLAND HOSPITAL · PI Joseph Gregory Rosen · 2026 to 2026
$181k
NIAID NIH HHS R01 AI170249NIDA NIH HHS K01 DA063441NIDA NIH HHS R01 DA028648NIDA NIH HHS R21 DA056304NIMH NIH HHS K01 MH129226NIMH NIH HHS K01 MH140639NIMH NIH HHS P30 MH136919NIMH NIH HHS R25 MH083620
6 · The paper itself

Abstract

Stark health inequities persist for sex workers globally-particularly in the areas of mental health, sexual and reproductive health, and harm reduction. To inform this Series paper we reviewed epidemiological studies published over the past decade to describe the burden of key health outcomes among sex workers and associated factors contributing to these disparities. Within the mental health literature, we estimate at least one in four and as many as four in five sex workers experience depression. Within sexual and reproductive health literature, at least one in three sex workers are estimated to experience an unmet need for contraception. Using a Health Equity framework, we contextualise evidence gaps related to these health areas across multiple levels of influence (eg, systems of power, relationships and networks, physiological pathways, and individual factors) and offer recommendations to advance an agenda of health equity for sex workers in future research and programmes. Priority programme and policies include upholding the autonomy and dignity of sex worker communities, ensuring the inclusion of gender diverse populations in research, addressing structural determinants of health, and fostering meaningful community engagement and collaboration.

Indexed as

Health InequitiesSex WorkersHumans

Identifiers

PMID42497880
PMCPMC13570786

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.