Violence, Policing, and Systemic Racism as Structural Barriers To Substance Use Treatment Amongst Women Sex Workers Who Use Drugs: Findings Of A Community-Based Cohort In Vancouver, Canada (2010-2019)

In interaction analysis, Indigenous SWs who experienced police harassment faced the highest odds of unsuccessful attempts to access substance use treatment. Findings suggest a need to scale-up culturally-safe, trauma-informed addictions, gender-based violence, and sex worker services, alongside dismantling of systemic racism across and beyond health and addictions services.