Urban gentrification and declining access to HIV/STI, sexual health, and outreach services amongst women sex workers between 2010-2014: Results of a community-based longitudinal cohort

Despite increasing gentrification across North American cities, little is known about impacts on work and living environments and health access for marginalized women. Drawing upon prospective cohort and external spatial data, we examined changes in land use and sex workers’ work/living environments...

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Bibliographic Details
Published in:Health & place 2020-03, Vol.62, p.102288-8, Article 102288
Main Authors: Goldenberg, Shira M., Amram, Ofer, Braschel, Melissa, Moreheart, Sarah, Shannon, Kate
Format: Article
Language:English
Subjects:
Access
Gentrification
Health
Health care
Health services
HIV
HIV testing
Housing
Human immunodeficiency virus
Land use
Landscape
Mapping
Marginality
Occupational exposure
Outreach programs
Services
Sex
Sex industry
Sex work
Sex workers
Sexual health
Sexually transmitted diseases
Spatial data
STD
STI testing
Support services
Urban environments
Women
Work
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Summary:Despite increasing gentrification across North American cities, little is known about impacts on work and living environments and health access for marginalized women. Drawing upon prospective cohort and external spatial data, we examined changes in land use and sex workers’ work/living environments in relation to gentrification exposure in Metro Vancouver (2010–2014), and modeled independent effects of gentrification exposure on reduced utilization of HIV/STI testing, sexual health, and sex worker support services. These decreases occurred despite efforts to scale-up HIV services for marginalized populations. Planning of healthcare, housing, and other support services should be responsive to shifting urban landscapes for marginalized women. •Impact of gentrification on housing and service access for marginalized women is poorly understood.•We used novel spatial-epidemiological methods to study gentrification-related changes.•Gentrification exposure was linked to lower use of HIV/STI testing, sexual health, and support services.•Policies that support access to safe housing, working environments, and services are needed.•Scale-up of sex worker/community-led services in underserved areas is needed.
ISSN:1353-8292
1873-2054
DOI:10.1016/j.healthplace.2020.102288