Gruskin Sofia, Pierce Gretchen Williams, Ferguson Laura
a Program on Global Health and Human Rights, Institute for Global Health, University of Southern California , Los Angeles , CA , USA.
Cult Health Sex. 2014;16(1):14-29. doi: 10.1080/13691058.2013.819124. Epub 2013 Aug 16.
The HIV epidemic has shed light on how government regulation of sex work directly affects the health and well-being of sex workers, their families and communities. A review of the public health evidence highlights the need for supportive legal and policy environments, yet criminalisation of sex work remains standard around the world. Emerging evidence, coupled with evolving political ideologies, is increasingly shaping legal environments that promote the rights and health of sex workers but even as new legislation is created, contradictions often exist with standing problematic legislation. As a region, Asia provides a compelling example in that progressive HIV policies often sit side by side with laws that criminalise sex work. Data from the 21 Asian countries reporting under the UN General Assembly Special Session on HIV in 2010 were analysed to provide evidence of how countries' approach to sex-work regulation might affect HIV-related outcomes. Attention to the links between law and HIV-related outcomes can aid governments to meet their international obligations and ensure appropriate legal environments that cultivate the safe and healthy development and expression of sexuality, ensure access to HIV and other related services and promote and protect human rights.
艾滋病毒的流行揭示了政府对性工作的监管如何直接影响性工作者及其家庭和社区的健康与福祉。对公共卫生证据的审查凸显了支持性法律和政策环境的必要性，但性工作的刑事定罪在世界各地仍然是常态。新出现的证据，加上不断演变的政治意识形态，正日益塑造着促进性工作者权利和健康的法律环境，但即便制定了新的立法，往往也与现存的有问题的立法存在矛盾。作为一个地区，亚洲就是一个引人注目的例子，因为进步的艾滋病毒政策常常与将性工作定为犯罪的法律并存。对2010年在联合国大会关于艾滋病毒问题的特别会议上提交报告的21个亚洲国家的数据进行了分析，以证明各国对性工作监管的方式可能如何影响与艾滋病毒相关的结果。关注法律与艾滋病毒相关结果之间的联系有助于各国政府履行其国际义务，并确保营造适当的法律环境，以促进性取向的安全健康发展和表达，确保获得艾滋病毒及其他相关服务，并促进和保护人权。
