Sydney Sexual Health Centre, New South Wales and National Centre in HIV Epidemiology and Clinical Research, University of New South Wales, Sydney, NSW 2052.
Aust N Z J Public Health. 2010 Oct;34(5):482-6. doi: 10.1111/j.1753-6405.2010.00594.x.
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 legalized if licensed, unlicensed brothels criminalized), Perth (criminalization of all forms of sex work) and Sydney (sex work largely decriminalized, without licensing).
We interviewed key informants and gave questionnaires to representative samples of female sex workers in urban brothels.
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).
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.
为了评估法律对向性工作者提供健康促进服务的影响，我们比较了澳大利亚三个城市的健康促进项目，这些城市的卖淫法律有所不同。这三个城市分别是墨尔本（持照则妓院合法化，否则妓院非法化）、珀斯（所有形式的性工作都非法化）和悉尼（性工作基本非刑罪化，无需许可）。
我们采访了关键知情人，并向城市妓院的女性性工作者代表性样本发放了问卷。
尽管法律不同，但每个城市都有繁荣多样的性产业和政府资助的性工作者健康促进项目，设有店面、电话、在线和外展设施。悉尼项目是唯一由社区组织运营的项目，也是唯一雇用多语种工作人员并在晚上向所有妓院提供外展服务的项目。墨尔本项目不服务于无证部门，而珀斯项目仅通过邀请才能进入少数妓院。更多的悉尼性工作者报告称性健康中心是获得安全性行为培训和信息的来源（悉尼 52%，墨尔本 33%，珀斯 35%；p<0.001）。在墨尔本持照妓院工作的性工作者最有可能获得免费避孕套（墨尔本 88%，悉尼 39%，珀斯 12%；p<0.001）。
法律环境似乎影响了针对性产业的健康促进项目的实施。妓院许可和警察控制的非法妓院可能导致无证部门与同伴教育和支持隔离。
