Intersectional associations between citizenship, English fluency and racialisation on access to health and sex work community services: findings from a prospective cohort of sex workers in Canada (2014–2022)

Findings show a gradient in the relationship between intersectional experiences of lack of citizenship, limited English fluency and Asian identity on sex workers' access to health services and sex work community-based services. Culturally responsive and language-tailored services that attend to and address these intersecting forms of structural marginalisation, along with the full decriminalisation of all aspects of sex work, and the removal of punitive sex work-related immigration policies, are recommended.