性工作者在非刑罪化环境中对医疗服务的利用情况。

Sex workers' utilisation of health services in a decriminalised environment.

作者信息

Abel Gillian

机构信息

Department of Population Health, University of Otago, Christchurch, PO Box 4345, Christchurch 8140, New Zealand.

出版信息

N Z Med J. 2014 Mar 7;127(1390):30-7.

PMID:24670587

Abstract

BACKGROUND

In 2003 the Prostitution Reform Act (PRA) was passed in New Zealand which decriminalised all activities associated with sex work.

AIM

To explore sex workers' utilisation of health services in New Zealand following decriminalisation of sex work and disclosure of their occupation to health professionals.

METHOD

A cross-sectional survey was carried out with 772 sex workers and in-depth interviews were carried out with 58 sex workers in New Zealand.

RESULTS

Most sex workers have regular sexual health check-ups and most access their general practitioner (GP) for both general health needs (91.8%) and sexual health needs (41.3%). A quarter of the participants accessed a local sexual health centre for their sexual health needs and just over 15% accessed New Zealand Prostitutes' Collective's (NZPC's) Sexual Health Clinic. Little change was found in disclosure of occupation to health professionals following decriminalisation. Sex workers remain concerned about disclosing their occupation because of perceived stigma attached to their occupation.

CONCLUSION

Most sex workers have regular sexual health check-ups and most access their GP for this service. However, because of on-going perceptions of stigmatisation many do not report their occupation to their GP which may mean that check-ups may not be comprehensive. For this reason, sexual health check-ups performed at NZPC may be preferable to check-ups elsewhere because disclosure of occupation is not an issue.

摘要

背景

2003年，新西兰通过了《卖淫改革法案》（PRA），将与性工作相关的所有活动合法化。

目的

探讨在性工作合法化以及向卫生专业人员披露其职业后，新西兰性工作者对卫生服务的利用情况。

方法

对772名性工作者进行了横断面调查，并对新西兰的58名性工作者进行了深入访谈。

结果

大多数性工作者定期进行性健康检查，大多数人因一般健康需求（91.8%）和性健康需求（41.3%）而就医于全科医生（GP）。四分之一的参与者因性健康需求前往当地性健康中心，略多于15%的人前往新西兰妓女集体组织（NZPC）的性健康诊所。合法化后，向卫生专业人员披露职业的情况变化不大。性工作者仍然担心披露自己的职业，因为他们认为自己的职业带有耻辱感。