Ewen Janine Elizabeth
Aberdeen, UK Email:
Perspect Public Health. 2015 Jul;135(4):197-203. doi: 10.1177/1757913914542306. Epub 2014 Sep 16.
This article considers the public health implications that were predicted by sex workers a year prior to the FIFA World Cup 2014, with considerations towards the Olympic Games in 2016. Primary research conducted in 2013 in Brazil's second largest city, Rio de Janeiro, gave sex workers and civil society organizations the opportunity to voice concerns of the everyday disadvantages faced by those involved in the sex industry, with emphasis on what could cause further detriments from acting as a double draw international sporting host. This research largely took place through invitation at the 2013 Rio State Conference on HIV/AIDS, Equality and Human Rights.
Mixed methods research - pre-arrival questionnaires and interviews led by a semi-structured interview guide - was deemed suitable for the primary research collection. The use of the research software NVivo allowed data to be categorised into key themes to form the basis of this research article. Working with a Portuguese translator, case studies of transsexual sex workers and civil society organizations were developed.
Police violence was the main re-occurring theme expressed as a continued fear, alongside the added increase of security measures that the games would bring, to reduce organized crime, and through the Pacification programme. The majority of sex workers and organizations believed that there was no support from the Brazilian government to continue to provide services of high demand, including social care and legal assistance. Sex workers also felt prejudice in receiving HIV/AIDS treatment from government-led health services. A desirable outcome for the sex worker community would be for the government to consider the following: recommendations devised for further health and well being support; an act or law of non-violence against them; and recommendations to decimalize the sex industry.
The Brazilian government has received global recognition for its response to the HIV/AIDS epidemic, however the treatment based and contraception promotion does not extend itself to consider the social implications that put sex workers at huge public health risks, especially physical violence. This research provides an important case for explicit revisions of policies in Brazil regarding the health and safety of sex workers.
本文探讨了性工作者在2014年国际足联世界杯前一年所预测的公共卫生影响，并兼顾了2016年奥运会。2013年在巴西第二大城市里约热内卢进行的初步研究，让性工作者和民间社会组织有机会表达性产业从业者日常面临的不利处境，重点关注作为双重国际体育赛事主办城市可能带来的进一步危害。这项研究主要是通过受邀参加2013年里约热内卢州艾滋病毒/艾滋病、平等与人权会议展开的。
混合方法研究——抵达前问卷调查以及由半结构化访谈指南主导的访谈——被认为适用于初步研究数据收集。使用研究软件NVivo可将数据归类为关键主题，以此构成本文的研究基础。与一名葡萄牙语翻译合作，编写了变性性工作者和民间社会组织的案例研究。
警方暴力是反复出现的主要问题，人们持续感到恐惧，同时赛事将带来更多安全措施以减少有组织犯罪，并通过平定计划实施。大多数性工作者和组织认为，巴西政府不支持继续提供高需求服务，包括社会关怀和法律援助。性工作者在接受政府主导的医疗服务进行艾滋病毒/艾滋病治疗时也感到受到歧视。性工作者群体期望政府能考虑以下几点：为进一步的健康和福祉支持制定的建议；针对他们的非暴力法案；以及将性产业合法化的建议。
巴西政府在应对艾滋病毒/艾滋病疫情方面获得了全球认可，然而基于治疗和避孕推广并未考虑到将性工作者置于巨大公共卫生风险中的社会影响，尤其是身体暴力。这项研究为巴西明确修订有关性工作者健康和安全的政策提供了一个重要案例。
