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约翰内斯堡市中心的性工作、改革举措与艾滋病毒/艾滋病

Sex work, reform initiatives and HIV/AIDS in inner-city Johannesburg.

作者信息

Richter Marlise

出版信息

Afr J AIDS Res. 2008 Nov;7(3):323-33. doi: 10.2989/AJAR.2008.7.3.9.656.

DOI:10.2989/AJAR.2008.7.3.9.656
PMID:25875460
Abstract

The on-going criminalisation of sex work in South Africa, concurrent sexual partnerships, socio-economic vulnerability, migrant status and gender-based violence intensify sex workers' risk of contracting HIV. These factors combine to restrict the skills, ability and resources of sex workers to negotiate safer sex and to access HIV prevention, treatment and healthcare services. The paper situates the living and working conditions of sex workers in Hillbrow, an inner-city area of Johannesburg, within the South African legal context, especially in regard to current law reform initiatives regarding sex work, as well as the increasing anxiety about the influx of (sex) tourists during the 2010 FIFA World Cup. In addition, the paper describes an intervention by the Reproductive Health & HIV Research Unit at the University of the Witwatersrand, Johannesburg, an innovator in providing mobile healthcare services and education to hotel-based sex workers in Hillbrow. The paper contends that a legal-rights-approach to HIV risk and vulnerability, together with powerful public health considerations, render decriminalisation an imperative response to sex workers' material conditions.

摘要

在南非,性工作持续被定罪、同时存在的性伴侣关系、社会经济脆弱性、移民身份以及基于性别的暴力行为,加剧了性工作者感染艾滋病毒的风险。这些因素共同限制了性工作者协商安全性行为以及获取艾滋病毒预防、治疗和医疗服务的技能、能力和资源。本文将约翰内斯堡市中心城区希尔布罗性工作者的生活和工作条件置于南非法律背景下进行探讨,特别是关于当前性工作法律改革举措,以及在2010年国际足联世界杯期间对(性)游客涌入日益增加的担忧。此外,本文还描述了约翰内斯堡金山大学生殖健康与艾滋病毒研究单位的一项干预措施,该单位是为希尔布罗酒店性工作者提供流动医疗服务和教育的创新者。本文认为,从法律权利角度应对艾滋病毒风险和脆弱性,再加上强有力的公共卫生考量,使得将性工作非刑罪化成为应对性工作者实际状况的必要举措。

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