Impact of the COVID-19 Health Crisis on Trans Women and Cis Men Sex Workers in Spain

Juan M. Leyva-Moral, Juliana Castro Ávila, Marta Villar-Salgueiro, Beti López, Héctor Adell, Mercè Meroño, Kevin Santander, Laia Ferrer Serret, Jocelyn Mesías-Gazmuri, Rocío Astudillo Alonso, Daniela Rojas Castro, Jordi Casabona, Cinta Folch

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The objective of the study was to describe the impact of the COVID-19 pandemic on sex workers in accessing health and social services. A qualitative study was conducted using semi-structured interviews with 29 participants in Barcelona, Spain. Data were analyzed using thematic analysis. Four themes were identified: (1) impact of COVID-19 on physical/mental health, (2) barriers and facilitators to health/social service access, (3) health decision-making, and (4) suggestions for future pandemic situations. Barriers to accessing health services were structural. Non-governmental organization support was the main facilitating factor. A person-centered, intersectional approach is suggested for future practice, considering co-occurring syndemic factors.

Original languageEnglish
JournalArchives of Sexual Behavior
Early online date6 Sept 2022
Publication statusPublished - 6 Sept 2022


  • COVID-19
  • Determinants of health
  • Qualitative research
  • Sex work
  • Trans women
  • Transgender


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