Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSPLIMA, Acacia Mayra Pereira deMAGNO, LaioLUPPI, Carla GiannaSZWARCWALD, Celia LandmannGRANGEIRO, AlexandreSANTANA, Elis PassosDOURADO, Ines2022-12-212022-12-212022AIDS AND BEHAVIOR, v.26, n.12, p.4082-4092, 20221090-7165https://observatorio.fm.usp.br/handle/OPI/50731Female sex workers (FSW) are disproportionately affected by sexual violence (SV) and HIV. Social and structural barriers limit their access to post-exposure prophylaxis (PEP). Respondent-driven sampling survey in 12 Brazilian cities among 4188 FSW aimed to estimate the rates of SV and factors associated with access to PEP use among FSW who experienced SV. The prevalence of SV was 26.3% (1199). Of the 1199, 7.5% sought out healthcare and used PEP, 19% sought out healthcare, but did not use PEP, and 73.5% did not seek out healthcare after SV. Factors associated with PEP use included PEP awareness, participation in HIV/STI prevention workshops, and disclosure of FSW status in healthcare services. Although Brazil has a PEP program free of charge, it is not readily accessible, even for FSW who seek out healthcare. The development of effective strategies to link FSW to HIV preventive services is urgently needed.engrestrictedAccessFemale sex workersSexual violenceHIVPost-exposure prophylaxisRespondent-driven samplingBrazilperceived discriminationhiv/sti riskhealthprevalenceinterventionsvulnerabilitynegotiationpreventionbarrierspartnerarticleCopyright SPRINGER/PLENUM PUBLISHERS10.1007/s10461-022-03734-1Public, Environmental & Occupational HealthSocial Sciences, Biomedical1573-3254