# name
'I don't want anyone to know': Experiences of obtaining access
                to HIV testing by Eastern European, non-European Union sex
                workers in Amsterdam, the Netherlands.

# metadata.dc.description.abstract[].value
Historically, the Netherlands has hosted a large number
 of migrant sex workers. Since sex work is considered a legal
profession it might serve as an example of better access to
 health services, including HIV testing, at least for those
                working within the legal framework. However, migrant sex
                workers, especially non-European Union (EU) nationals, might not
                be eligible to register for official employment and thus face
                obstacles in obtaining access to health services, becoming
                essentially invisible. This study examined context-specific
                vulnerabilities of migrant female sex workers (FSWs) from
                Belarus, Moldova, Russia and Ukraine, whether and how they have
                access to HIV testing compared to other EE, non-EU migrant FSWs
                in Amsterdam in the Netherlands. We conducted a
                multi-stakeholder perspective study from November 2015 to
                September 2017 in Amsterdam. The study comprised 1)
                semi-structured interviews with key stakeholders (N = 19); 2)
                in-depth interviews with Eastern European, non-EU migrant FSWs
                (N = 5) and field observations of the escort agency working with
                them; and 3) in-depth interviews with key stakeholders (N = 12).
                We found six key barriers to HIV testing: 1) migration and
                sex-work policies; 2) stigma, including self-stigmatization; 3)
                lack of trust in healthcare providers or social workers; 4) low
                levels of Dutch or English languages; 5) negative experience in
                accessing healthcare services in the home country; and 6) low
                perceived risk and HIV-related knowledge. Having a family and
                children, social support and working at the licensed sex-work
                venues might facilitate HIV testing. However, Internet-based sex
                workers remain invisible in the sex-work industry. Our findings
                indicate the importance of addressing women's diverse
                experiences, shaped by intrapersonal, interpersonal, community,
 network and policy-level factors, with stigma being at the core.
We call for the scaling up of outreach interventions focusing on
                FSWs and, in particular, migrant FSWs working online

# metadata.dc.source[].value
Articles publicats en revistes (ISGlobal)

# metadata.dc.title[].value
'I don't want anyone to know': Experiences of obtaining access
                to HIV testing by Eastern European, non-European Union sex
                workers in Amsterdam, the Netherlands.