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Data and materials from this study can be obtained from the corresponding author on reasonable request. In Germany, local public health departments LPHD are required to offer low-threshold access to confidential counselling and testing for sexually transmitted infections STI for sex workers.
We tested whether baseline characteristics of LPHD were associated with the proportion of positive test results. Overall, a median of In total, 22, STI tests were performed. The proportion of positive tests was 3.
The proportion of positive tests varied between 0 and This variation likely reflects different testing strategies. The online version of this article doi According to the Prostitution Act, sex workers have the right to access health insurance and obtain social benefits such as unemployment benefits and pension.
In contrast, sex workers who are self-employed without a previous health insurance in Germany or in their home country if they are EU citizens have difficulties to obtain health insurance and access regular health care in Germany.
Sex workers without a residence permit have no access to health care insurance or to health care, unless they cover the costs themselves.