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. 2024 Jun 10;53(7):2817–2831. doi: 10.1007/s10508-024-02834-4

Table 5.

Structural determinants

Intention to use PrEP Condom use
Intenders (n = 61) Non-intenders (n = 41) p value Consistent (n = 77) Inconsistent (n = 25) p value
Migratory status
 Migrant 35 (57.4%) 31 (75.6%) 0.05 57 (74%) 9 (36%) 0.001
 Legal status in Spain 49 (80.3%) 35 (85.4%) 0.8 60 (80%) 23 (92%) 0.1
Interaction with police in the last year
 Police detention 22 (36.1%) 14 (34.1%) 0.8 21 (27.2%) 15 (60%) 0.003
 Change of workplace due to police presence* 15 (24.5%) 12 (29.2%) 0.6 19 (24.7%) 8 (32%) 0.4
 Rushed negotiations with clients due to police presence* 16 (27.1%) 14 (31.4%) 0.8 17 (35.4%) 13/24 (54.2%) 0.1
Access to housing, health and social services
 Homelessness in the last 3 months 27 (44,3%) 19 (32.2%) 0.8 26 (33.8%) 20 (80%) < 0.001
 Attends primary healthcare center 26 (42.6%) 24 (58.5%) 0.1 43 (57.4%) 7 (28%) 0.01
 Enrolled in harm reduction services 10 (16.4%) 6 (14.6%) 0.9 9 (11.7%) 7 (28%) 0.05
 Receptor of community or NGO services 33 (54.1%) 23 (56.1%) 0.8 35 (45.5%) 21 (84%) 0.001
Barriers to healthcare
 Going to the healthcare center is too expensive 10/58 (17.2%) 2/39 (5.1%) 0.1 8 (10.3%) 4 (16%) 0.5
 Healthcare personnel do not treat me well 9/59 (15.3%) 3 (7.3%) 0.2 10 (13%) 2 (8%) 0.7
 I tell my physician I am a sex worker when it is appropriate 25 (40.7%) 21 (51.2%) 0.3 33 (42.8%) 13 (52%) 0.9
 I would only go to the doctor if ill 34 (55.7%) 24 (58.5%) 0.9 42 (54.5%) 16 (64%) 0.4
 My work schedule interferes with my ability to go to the healthcare center 5/60 (8.4%) 5/40 (12.5%) 0.5 7 (9%) 3 (12%) 0.7
 I would not mind attending medical follow up if I took PrEP 57 (93.4%) 33/39 (84.6%) 0.2 69/75 (92%) 21 (84%) 0.2
 I fear physicians and diagnostic tests 11 (18%) 9 (22%) 0.6 15 (19.4%) 5 (20%) 0.9

p values obtained from chi-squared test, Fisher’s exact test, and Student’s t test

*Only relevant for street-based sex workers

Bold values indicate statistical significance (p value < 0.05)