Sex and Silhouette: Unveiling HPV Risks and Protective Measures in the Lives of Sex Workers

Background: Human papillomavirus (HPV) is a prevalent sexually transmitted infection and a leading cause of cervical cancer. Despite vaccines and screening, prevention remains inadequate among high-risk populations such as female sex workers, who face occupational exposure, stigma, and limited access to healthcare in the Philippines. Aim: This study explored the lived experiences of female sex workers regarding HPV awareness, perceived risks, and protective measures, and identified social and structural factors influencing prevention and healthcare access. Research design: Narrative qualitative research Samples and sample size: Fifteen (15) female sex workers aged 18 and above from SOCCSKSARGEN and Davao Regions were purposively selected. Result: Two main categories emerged: HPV Risks and Protective Measures. Participants had limited knowledge, faced condom negotiation challenges, fear of stigma, and poor vaccination access. Despite this, they engaged in protective practices including condom use, personal hygiene, peer support, and periodic health check-ups. Conclusion: Female sex workers remain marginalized in HPV prevention. Inclusive, stigma-free education, accessible vaccination, and community-based interventions are essential to promote health equity and reduce HPV-related morbidity.