biostudies-literatureRogers BGNational Institute of Allergy and Infectious DiseasesNIAID NIH HHSNIMH NIH HHSSAMHSA HHSNational Institute of Mental HealthSubstance Abuse and Mental Health Services Administration2007-2016https://www.ebi.ac.uk/biostudies/studies/S-EPMC7987117biostudies-literatureUnknown50(5)COVID-19 has disproportionately affected vulnerable populations across the U.S. Street-based sex workers are one vulnerable population whose health and impact of COVID-19 have been understudied to date. The goal of this study was to evaluate findings from a community needs assessment with street-based sex workers on impact of COVID-19 on health behaviors and social circumstances. A brief survey was developed at a community-based harm reduction and recovery services organization. Surveys were administered by peer specialists to street-based sex workers during street outreach in April and May 2020. A total of 46 surveys were analyzed. Many individuals reported continuing to do sex work and use substances during the COVID pandemic. Slightly more than a quarter of individuals (n = 13; 28.3%) iArchives of sexual behaviorSex Workers and Syndemics: A Population Vulnerable to HIV and COVID-19.PMC7987117P30AI042853P30 AI042853T32MH078788H79TI080656T32 MH078788Paradis-Burnett ANagel KYolken ADaley Ndoye CArnold TSchierberl Scherr ARogers BGMaynard MMurphy MSosnowy CPinkston MStrong SHNapoleon SCHolcomb RChan PAfalseSex Workers and Syndemics: A Population Vulnerable to HIV and COVID-19.COVID-19 has disproportionately affected vulnerable populations across the U.S. Street-based sex workers are one vulnerable population whose health and impact of COVID-19 have been understudied to date. The goal of this study was to evaluate findings from a community needs assessment with street-based sex workers on impact of COVID-19 on health behaviors and social circumstances. A brief survey was developed at a community-based harm reduction and recovery services organization. Surveys were administered by peer specialists to street-based sex workers during street outreach in April and May 2020. A total of 46 surveys were analyzed. Many individuals reported continuing to do sex work and use substances during the COVID pandemic. Slightly more than a quarter of individuals (n = 13; 28.3%) i2021-01-01T00:00:00Z2021 Jul2025-04-04T20:35:16.502Z2025-04-04T20:35:16.502ZS-EPMC79871173375905810.1007/s10508-021-01940-x