The decriminalisation of prostitution is associated with better coverage of health promotion programs for sex workers
The decriminalisation of prostitution is associated with better coverage of health promotion programs for sex workers
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DOI：
10.1111/j.1753-6405.2010.00594.x
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发表时间：
2010-10-01
影响因子：
3.5
通讯作者：
Donovan, Basil
中科院分区：
文献类型：
--
作者：
Harcourt, Christine;O'Connor, Jody;Donovan, Basil
目的：为了评估法律是否对性工作者的健康促进服务的提供产生影响，我们比较了澳大利亚三个城市的健康促进计划与不同的卖淫法。这些城市是墨尔本（有执照的妓院合法化，无执照的妓院犯罪化），珀斯（将所有形式的性工作定为刑事犯罪）和悉尼（性工作基本上合法化，没有许可证）。方法：我们采访了关键的知情人，并向城市妓院的女性性工作者的代表性样本发放了问卷。尽管有不同的法律，每个城市都有一个繁荣和多样化的性产业和政府资助的性工作者健康促进计划，包括店面，电话，在线和外展设施。悉尼方案是唯一一个由以社区为基础的组织运作的方案，也是唯一一个雇用多语种工作人员的方案，晚上对所有妓院进行外联。墨尔本的方案不为无证行业服务，而珀斯的方案只向少数妓院提供邀请。更多的悉尼工人报告说，性健康中心是安全性行为培训和信息的来源（悉尼52% v墨尔本33%和珀斯35%; p < 0.001）。性工作者在墨尔本的持牌妓院是最有可能获得免费避孕套（墨尔本88%，悉尼39%，珀斯12%; P < 0.001）。结论：法律的背景下出现的行为影响健康促进计划针对性产业。妓院许可证制度和警察控制的非法妓院可能导致无证行业与同伴教育和支助隔绝。
Objective: In order to assess whether the law has an impact on the delivery of health promotion services to sex workers, we compared health promotion programs in three Australian cities with different prostitution laws. The cities were Melbourne (brothels legalised if licensed, unlicensed brothels criminalised), Perth (criminalisation of all forms of sex work) and Sydney (sex work largely decriminalised, without licensing).Methods: We interviewed key informants and gave questionnaires to representative samples of female sex workers in urban brothels.Results: Despite the different laws, each city had a thriving and diverse sex industry and a government-funded sex worker health promotion program with shopfront, phone, online and outreach facilities. The Sydney program was the only one run by a community-based organisation and the only program employing multi-lingual staff with evening outreach to all brothels. The Melbourne program did not service the unlicensed sector, while the Perth program accessed the minority of brothels by invitation only. More Sydney workers reported a sexual health centre as a source of safer sex training and information (Sydney 52% v Melbourne 33% and Perth 35%; p < 0.001). Sex workers in Melbourne's licensed brothels were the most likely to have access to free condoms (Melbourne 88%, Sydney 39%, Perth 12%; p < 0.001).Conclusions: The legal context appeared to affect the conduct of health promotion programs targeting the sex industry. Brothel licensing and police-controlled illegal brothels can result in the unlicensed sector being isolated from peer-education and support.