Maher Lisa, Dixon Thomas, Phlong Pisith, Mooney-Somers Julie, Stein Ellen, Page Kimberly
Professor, Program Head and NHMRC Senior Research Fellow at the Kirby Institute for Infection and Immunity in the Faculty of Medicine at UNSW Australia in Sydney, Australia.
Student in the Faculty of Law at the University of Sydney in Sydney, Australia.
Health Hum Rights. 2015 Jun 11;17(1):E102-13.
While repressive laws and policies in relation to sex work have the potential to undermine HIV prevention efforts, empirical research on their interface has been lacking. In 2008, Cambodia introduced antitrafficking legislation ostensibly designed to suppress human trafficking and sexual exploitation. Based on empirical research with female sex workers, this article examines the impact of the new law on vulnerability to HIV and other adverse health outcomes. Following the introduction of the law, sex workers reported being displaced to streets and guesthouses, impacting their ability to negotiate safe sex and increasing exposure to violence. Disruption of peer networks and associated mobility also reduced access to outreach, condoms, and health care. Our results are consistent with a growing body of research which associates the violation of sex workers' human rights with adverse public health outcomes. Despite the successes of the last decade, Cambodia's AIDS epidemic remains volatile and the current legal environment has the potential to undermine prevention efforts by promoting stigma and discrimination, impeding prevention uptake and coverage, and increasing infections. Legal and policy responses which seek to protect the rights of the sexually exploited should not infringe the right to health of sex workers.
虽然与性工作相关的压制性法律和政策有可能破坏艾滋病预防工作,但关于它们之间相互关系的实证研究一直缺乏。2008年,柬埔寨出台了反人口贩运立法,表面上旨在打击人口贩运和性剥削。基于对女性性工作者的实证研究,本文考察了新法律对感染艾滋病毒的易感性及其他不良健康结果的影响。法律出台后,性工作者报告说他们被迫转移到街头和宾馆,这影响了她们协商安全性行为的能力,并增加了遭受暴力的风险。同伴网络的中断及相关的流动性也减少了获得外展服务、避孕套和医疗保健的机会。我们的结果与越来越多的研究一致,这些研究将侵犯性工作者人权与不良公共卫生结果联系起来。尽管在过去十年取得了成功,但柬埔寨的艾滋病疫情仍然不稳定,当前的法律环境有可能通过助长污名化和歧视、阻碍预防措施的采用和覆盖范围以及增加感染来破坏预防工作。旨在保护性剥削受害者权利的法律和政策应对措施不应侵犯性工作者的健康权。