Abstract
Introduction: Poverty and social inequalities together with sexually transmitted diseases have a negative impact on women’s health, which is considered to be a public health problem.Objective: To analyze barriers to accessing sexual and reproductive health services in cleaning workers.Materials and methods: A survey was administered to a sample of 37 female cleaning workers at a hospital in Bogotá D.C. A bivariate analysis was performed with chi-square test, as well as a multivariate analysis with binomial logistic regression.Results: Need factors showed greater association with non-use of sexual health services. All married women had accessed the service over the past 12 months, but there were 5.9 less possibilities of using sexual and reproductive health services when there was no awareness about risk behaviors of sexually transmitted diseases.Conclusion: The determining factor for the utilization of sexual health services is the health care need factor. Variables such as perception of risk behaviors and appropriateness of health care significantly influence the use of the service.
Highlights
Poverty and social inequalities together with sexually transmitted diseases have a negative impact on women’s health, which is considered to be a public health problem.Introducción
All married women had accessed the service over the past 12 months, but there were 5.9 less possibilities of using sexual and reproductive health services when there was no awareness about risk behaviors of sexually transmitted diseases
18.9% of the sample had not completed secondary studies, and only 2.7% had completed higher education studies, confirming that most of them have a low educational attainment; no participant was identified within an ethnic group (Table 1). 35.1% of the respondent women were 21 to 40 years old and the bivariate analysis showed that age influenced the utilization of sexual health services before the 12 months; for example, 21 to 30-year old women used the service the most (66.7%), while 41 to 50-year old women used it less (12.5%)
Summary
Poverty and social inequalities together with sexually transmitted diseases have a negative impact on women’s health, which is considered to be a public health problem.Introducción. Poverty and social inequalities together with sexually transmitted diseases have a negative impact on women’s health, which is considered to be a public health problem. It should be noted that barriers to accessing sexual health services are determined by internal factors that depend on each person’s perception and decision while looking for a health service, as well as external factors that can derive from administrative, legal and structural difficulties, lack of awareness about the health system, socio-economic situation, culture, communication and education. The objective of this study was to analyze the barriers to accessing sexual and reproductive health services by female cleaning workers at a hospital center in Bogotá D.C. in 2016; these women are one of the most marginalized human groups given their low educational attainment, low income and lack of knowledge about their health rights UNAIDS estimates show that the incidence of HIV has decreased in recent decades, it is still a public health problem. [6,7] Both women and men living with HIV and receiving treatment have increased significantly [8]; it is a matter of concern that around 1.4 million maternal infections and 520 000 congenital infections caused by syphilis have been reported worldwide, including 304 000 perinatal deaths from 2009 to 2012 among working populations and disadvantaged social classes of Latin America. [9,10] the people most prone to contract these diseases are the most disadvantaged human groups. [10,11]
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