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August 22, 2026Health Psychology and Behavioral MedicineOpen Access

A survey of Australian sex workers exploring the link between stigma and reduced access to health care

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Authors

ECElena CamaKMKacey MartinLBLoren Brener

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Overview

Survey study demonstrates widespread healthcare stigma reduces medical access among sex workers, highlighting the need for targeted clinician training.

Key Points

  • To examine experiences of stigma and discrimination in healthcare settings and their association with reduced access to health care among sex workers.
  • Cross-sectional online survey of sex workers (N=689) in Australia recruited through community sex worker organizations.
  • Assessed self-reported stigma, discriminatory healthcare practices, and avoidance behaviors, controlling for sociodemographics, community connection, personal wellbeing, and social support.
  • Nearly all respondents reported experiencing stigma in the prior year (97%), with 88% reporting negative treatment by healthcare workers, 70% experiencing inappropriate comments, and 65% receiving unsolicited advice to leave sex work.
  • Most participants reported utilizing stigma-avoidance strategies, including non-disclosure of sex work (93%) and seeking alternative healthcare services (91%).
  • Reductions in healthcare access due to stigma were significantly greater among participants with lower wellbeing, lower social support, older age, direct experiences of negative treatment, and stronger connection to the sex worker community.

Cite This Study

Cama et al. (2026) studied this question.

synapsesocial.com/papers/6a895eeeca7ade938187d331https://doi.org/10.1080/21642850.2026.2719269
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Disclosure as an Unsafe Practice: A Qualitative Exploration of How Stigma and Discrimination Shape Healthcare Engagement and Receipt of Quality Care for Sex Workers in Victoria, Australia2026 · 1 citations
  2. 2Healthcare for sex workers—access, barriers, and needs2024 · 12 citations
  3. 3Association between sex work occupational stigma and inconsistent condom use: findings from a community-based cohort of women sex workers in Vancouver, Canada (2014–2022)2024 · 1 citations
  4. 4The Health Needs of Sex Workers and the Factors that Enable or Hinder Their Access to Services: A Co‐Produced, Multimethod Study in the United Kingdom2026
  5. 5Systematic Review on Public Health Problems and Barriers for Sex Workers2024 · 18 citations