Columbia University School of Social Work, New York, NY 10027, USA.
Soc Work Public Health. 2013;28(5):496-508. doi: 10.1080/19371918.2011.592083.
Harm reduction and structural approaches to reduce HIV risk among sex workers face several barriers. One such barrier is based on moral arguments, and it has a rich historical context. This article examines the historical context of interventions with sex workers in New York City during the Progressive Era (1890-1920). Present at the time, though under a different name, the harm reduction approach was largely dismissed. These same moral underpinnings may be active today in driving interventions and policy toward those that are morally focused and away from those that focus on harm reduction and structural change.
减少伤害和结构性方法来降低性工作者中的 HIV 风险面临着一些障碍。其中一个障碍是基于道德论据,并且它具有丰富的历史背景。本文考察了进步时代(1890-1920 年)期间纽约市干预性工作者的历史背景。当时虽然有不同的名称,但减少伤害的方法在很大程度上被忽视了。这些相同的道德基础如今可能仍然存在,推动着干预措施和政策向道德关注的方向发展,而不是向减少伤害和结构性变革的方向发展。