Harcourt C, van Beek I, Heslop J, McMahon M, Donovan B
Sydney Sexual Health Centre, Sydney Hospital, New South Wales.
Aust N Z J Public Health. 2001;25(1):84-9. doi: 10.1111/j.1467-842x.2001.tb00556.x.
To determine the health and welfare status of female and transgender street sex workers and their work-related experiences. Also to estimate population numbers, determine work locations, and identify the most appropriate education, health and welfare services for this group.
Forty-eight street sex workers completed a questionnaire, mainly at their place of work. Demographic and sexual health profiles of sex workers attending the Sydney Sexual Health Centre and the Kirketon Road Centre in 1997 were compared with the street sample.
Up to 120 female and transgender sex workers worked on the streets in Sydney, Newcastle, Wollongong and surrounding areas in any one night: more than 80% of these were female. Of those sampled, fewer street workers than brothel sex workers (6% vs. 41%; p<0.001) were from non-English speaking backgrounds, and more (77% vs. 7%; p<0.0001) were currently injecting drugs. The street workers reported lower rates of condom use at work than local brothel workers (91.7% vs. 98.8%; p<0.016) and high rates of hepatitis B and C infection. Seventy-five per cent had experienced violence at work. Child care, lack of supportive relationships, community intolerance and low self-esteem were important problems for the street workers. While the police were frequently required by the community to move the street workers on, there were no reports of corrupt behaviour by police.
Health services need to specifically target this group with particular attention to the prevention of blood-borne virus infections, contraception, drug dependency and transgender issues. Consideration should be given to developing a network of safe houses to reduce community pressure and violence.
确定女性及跨性别街头性工作者的健康与福利状况及其与工作相关的经历。同时估算该群体的人数，确定其工作地点，并为这一群体确定最适宜的教育、健康和福利服务。
48名街头性工作者主要在其工作场所完成了一份调查问卷。将1997年前往悉尼性健康中心和柯克顿路中心的性工作者的人口统计学和性健康概况与街头样本进行比较。
在悉尼、纽卡斯尔、卧龙岗及周边地区的任何一个夜晚，多达120名女性及跨性别性工作者在街头工作：其中80%以上为女性。在抽样调查的人员中，来自非英语背景的街头工作者比妓院性工作者少（6%对41%；p<0.001），且目前注射毒品的更多（77%对7%；p<0.0001）。街头工作者报告称工作时使用避孕套的比例低于当地妓院工作者（91.7%对98.8%；p<0.016），且乙肝和丙肝感染率较高。75%的人在工作中遭受过暴力。儿童保育、缺乏支持性的人际关系、社区的不宽容以及自卑是街头工作者面临的重要问题。虽然社区经常要求警方赶走街头工作者，但没有关于警察腐败行为的报告。
卫生服务需要专门针对这一群体，尤其要关注血源性病毒感染的预防、避孕、药物依赖及跨性别问题。应考虑建立一个安全屋网络，以减轻社区压力和暴力。
