Women employed by sex work (WESW) experience significant gaps in accessing necessary healthcare services, leading to unmet health needs. Yet, there is a dearth of literature on the barriers to medical care access among WESW in Uganda. We used data from the Kyaterekera baseline to examine the correlates of access to medical care among WESW, defined as the ability of individuals to obtain the necessary healthcare services they require in a timely, affordable, and equitable manner. The Kyaterekera study recruited 542 WESW aged 18–58 years from Southern Uganda. We conducted a multilevel linear regression model to determine the intrapersonal (age, education level, marital status, HIV knowledge, and asset ownership), interpersonal (family cohesion and domestic violence attitudes), and community (community satisfaction, sex work stigma and distance to health facility) level correlates of access to medical care among WESW. Intrapersonal and interpersonal factors were associated with access to medical care among WESW. There was no significant association between community level factors and access to medical care. WESW with secondary education (β = 0.928, 95% CI = 0.007, 1.849) were associated with increased access to medical care. WESW with high asset ownership (β = -1.154, 95% CI= -1.903, -0.405), high family cohesion (β = -0.069, 95% CI= -0.106, -0.031), and high domestic violence attitudes (β = -0.253, 95% CI= -0.438, -0.068) were associated with decreased access to medical care. The findings emphasize the critical need for targeted family strengthening interventions to enhance family support for WESW and address domestic violence.

从事性工作 (WESW) 的女性在获得必要的医疗服务方面存在巨大差距，导致健康需求得不到满足。然而，关于乌干达 WESW 获得医疗服务的障碍的文献却很少。我们使用来自 Kyaterekera 基线的数据来研究 WESW 中获得医疗保健的相关性，定义为个人及时、负担得起和公平的方式获得所需的必要医疗保健服务的能力。 Kyaterekera 研究招募了来自乌干达南部的 542 名 18-58 岁的 WESW。我们进行了多级线性回归模型来确定个人内部（年龄、教育水平、婚姻状况、艾滋病毒知识和资产所有权）、人际关系（家庭凝聚力和家庭暴力态度）和社区（社区满意度、性工作耻辱和与性工作的距离）。医疗机构）水平与 WESW 获得医疗保健的机会相关。个人和人际因素与 WESW 获得医疗护理的机会相关。社区层面因素与获得医疗保健之间没有显着关联。接受过中等教育的 WESW（β = 0.928，95% CI = 0.007，1.849）与获得医疗保健的机会增加相关。 WESW 具有高资产拥有量（β = -1.154，95% CI= -1.903，-0.405）、高家庭凝聚力（β = -0.069，95% CI= -0.106，-0.031）和高家庭暴力态度（β = -0.253, 95% CI= -0.438, -0.068) 与获得医疗服务的机会减少有关。研究结果强调，迫切需要有针对性的家庭强化干预措施，以加强家庭对 WESW 的支持并解决家庭暴力问题。