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May 29, 2026Sage Open Pediatrics0 citations

Multidimensional Vulnerabilities of Children of Female Sex Workers: A Scoping Review

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MMM MukeshimanaJNJean de Dieu NkurikiyimfuraLNLeatitia Nyirazinyoye

Key Points

  • The aim is to explore and map the multidimensional vulnerabilities faced by children of female sex workers.
  • Conducted a scoping review of fifteen studies focusing on various vulnerabilities of children of female sex workers.
  • Clustered findings into three domains: psychosocial, educational, and structural/health.
  • Identified gaps in existing literature and highlighted the need for integrated interventions.
  • Children experienced stigma, bullying, and behavior issues related to psychosocial vulnerabilities.
  • Educational barriers included discrimination and lack of documentation, impacting enrollment and retention.
  • Health vulnerabilities involved food insecurity and limited access to HIV testing and legal protection.

Abstract

Children of female sex workers (FSWs) face multidimensional vulnerabilities that remain underexplored. This scoping review mapped evidence on health, psychosocial, educational, and structural vulnerabilities among children of FSWs, identified gaps, and highlighted policy implications. Fifteen studies met the inclusion criteria. Findings were clustered into three domains. Psychosocial : children experienced stigma, bullying, behavioral problems, and intergenerational trauma. Educational: barriers to enrollment, retention, and attainment arose from discrimination, poverty, mobility, and lack of documentation. Structural/health: children faced food insecurity, unstable housing, low HIV testing, preventable mortality, and limited legal protection. Most existing research originates from a few regions, employs different designs, and primarily describes problems rather than testing solutions. Very few long-term studies or intervention-focused studies exist. Addressing the needs requires integrated, stigma-free, rights-based interventions linking maternal-child health, education, social protection, and legal safeguards.

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Cite This Study

Mukeshimana et al. (2026) studied this question.

synapsesocial.com/papers/6a192e79fab5b468c44178dchttps://doi.org/10.1177/30502225261456571
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