Health Needs Assessment of male and trans sex workers (MTSW) in Wiltshire
PHE ePoster Library. Wood A. Sep 12, 2019; 274369; 174
Alasdair Wood
Alasdair Wood
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Abstract
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Abstract Background-A police problem profile in 2017 highlighted that although there are numerous MTSW advertising in Wiltshire, there is little local intelligence. A Health Needs Assessment was conducted to understand MTSW, to identify their health needs, to map how this matches our current services and determine any gaps.
Methods
-A thorough literature review was conducted looking at the backgrounds of MTSW, the prevalence of MTSW in the UK, the risks and vulnerabilities faced by MTSW, and the health needs of MTSW. Feedback was sought from local and national services who work with this group. An online survey was sent to 341 people advertising sexual services in Wiltshire.
Results
-The backgrounds of MTSW are diverse and should not be presumed. Estimating the prevalence of MTSW in Wiltshire will be very unreliable as this is a mobile population and a large proportion of sex sold by men is negotiated through hook-up apps. Although MTSW can face significant risks of STIs, violence, substance misuse and mental health problems there was no local evidence of this. However, these risks are exacerbated by under-reporting of adverse events in this group. MTSW are a difficult group to engage, and there was only one response to the survey.Conclusion-This HNA produced recommendations to improve the identified gaps in the health needs of MTSW. These included: improving how gender variance is recorded by services, increasing the ‘cultural competence' of services to make them gender inclusive, potential strategies to improve surveillance, and to recommend referral of MTSW to a local peer-support network. External funding details
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