Sex Worker Health Outcomes in High-Income Countries of Varied Regulatory Environments: A Systematic Review

Overview

Journal Int J Environ Res Public Health

Publisher MDPI

Specialties Environmental Health
Public Health

Date 2021 Apr 30

PMID 33918688

Citations 4

Authors

Jessica McCann

Gemma Crawford

Jonathan Hallett

Affiliations

Soon will be listed here.

Abstract

There is significant debate regarding the regulation of the sex industry, with a complex range of cultural, political and social factors influencing regulatory models which vary considerably between and within countries. This systematic review examined the available evidence on the relationship between different approaches to sex industry regulation in high-income countries, and associated effects on sex worker health status. Objectives included identification of sex worker health outcomes, including sexual health, substance use and experience of stigma and violence. A search was performed electronically in eight scholarly databases which yielded 95 articles which met the criteria for inclusion. Findings suggested that sex workers in legalised and decriminalized countries demonstrated greater health outcomes, including awareness of health conditions and risk factors.

Citing Articles

An explorative qualitative study of barriers to the use of health and mental health services among migrant female sex workers in Germany and needs for action.

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Cervical cancer screening programs for female sex workers: a scoping review.

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Healthcare interventions for sex workers: protocol for a scoping review.

Hallett N, Christie C, Docherty-Smith J, Welborn H, Wright H, Molloy E BMJ Open. 2023; 13(8):e074983.

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Exposure to job-related violence among young female sex workers in urban slums of Southwest Nigeria.

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References

Wong W, Holroyd E, Gray A, Ling D . Female street sex workers in Hong Kong: moving beyond sexual health. J Womens Health (Larchmt). 2006; 15(4):390-9. DOI: 10.1089/jwh.2006.15.390. View

Uuskula A, Fischer K, Raudne R, Kilgi H, Krylov R, Salminen M . A study on HIV and hepatitis C virus among commercial sex workers in Tallinn. Sex Transm Infect. 2008; 84(3):189-91. DOI: 10.1136/sti.2007.027664. View

Beyrer C, Crago A, Bekker L, Butler J, Shannon K, Kerrigan D . An action agenda for HIV and sex workers. Lancet. 2014; 385(9964):287-301. PMC: 4302059. DOI: 10.1016/S0140-6736(14)60933-8. View

Shannon K, Strathdee S, Shoveller J, Rusch M, Kerr T, Tyndall M . Structural and environmental barriers to condom use negotiation with clients among female sex workers: implications for HIV-prevention strategies and policy. Am J Public Health. 2009; 99(4):659-65. PMC: 2661482. DOI: 10.2105/AJPH.2007.129858. View

Lobo R, McCausland K, Bates J, Hallett J, Donovan B, Selvey L . Sex workers as peer researchers - a qualitative investigation of the benefits and challenges. Cult Health Sex. 2020; 23(10):1435-1450. DOI: 10.1080/13691058.2020.1787520. View

. Estimates of global, regional, and national incidence, prevalence, and mortality of HIV, 1980-2015: the Global Burden of Disease Study 2015. Lancet HIV. 2016; 3(8):e361-e387. PMC: 5056319. DOI: 10.1016/S2352-3018(16)30087-X. View

Chan M, Ho K, Lo K . A behaviour sentinel surveillance for female sex workers in the Social Hygiene Service in Hong Kong (1999-2000). Int J STD AIDS. 2003; 13(12):815-20. DOI: 10.1258/095646202321020071. View

Fennema J, van Ameijden E, Coutinho R, van den Hoek A . HIV, sexually transmitted diseases and gynaecologic disorders in women: increased risk for genital herpes and warts among HIV-infected prostitutes in Amsterdam. AIDS. 1995; 9(9):1071-8. View

Krumrei-Mancuso E . Sex Work and Mental Health: A Study of Women in the Netherlands. Arch Sex Behav. 2016; 46(6):1843-1856. DOI: 10.1007/s10508-016-0785-4. View

10.

Tanaka M, Nakayama H, Sakumoto M, Takahashi K, Nagafuji T, Akazawa K . Reduced chlamydial infection and gonorrhea among commercial sex workers in Fukuoka City, Japan. Int J Urol. 1998; 5(5):471-5. DOI: 10.1111/j.1442-2042.1998.tb00390.x. View

11.

Minichiello V, Marino R, Browne J, Jamieson M, Peterson K, Reuter B . Male sex workers in three Australian cities: socio-demographic and sex work characteristics. J Homosex. 2002; 42(1):29-51. DOI: 10.1300/j082v42n01_02. View

12.

Moher D, Liberati A, Tetzlaff J, Altman D . Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Ann Intern Med. 2009; 151(4):264-9, W64. DOI: 10.7326/0003-4819-151-4-200908180-00135. View

13.

Kjaer S, Svare E, Worm A, Walboomers J, Meijer C, van den Brule A . Human papillomavirus infection in Danish female sex workers. Decreasing prevalence with age despite continuously high sexual activity. Sex Transm Dis. 2000; 27(8):438-45. DOI: 10.1097/00007435-200009000-00003. View

14.

Abel G . Sex workers' utilisation of health services in a decriminalised environment. N Z Med J. 2014; 127(1390):30-7. View

15.

Aggarwal N, Consavage K, Dhanuka I, Clement K, Bouey J . Health and Health Care Access Barriers Among Transgender Women Engaged in Sex Work: A Synthesis of U.S.-Based Studies Published 2005-2019. LGBT Health. 2020; 8(1):11-25. DOI: 10.1089/lgbt.2019.0243. View

16.

Platt L, Grenfell P, Meiksin R, Elmes J, Sherman S, Sanders T . Associations between sex work laws and sex workers' health: A systematic review and meta-analysis of quantitative and qualitative studies. PLoS Med. 2018; 15(12):e1002680. PMC: 6289426. DOI: 10.1371/journal.pmed.1002680. View

17.

Lim R, Cheung O, Tai B, Chen M, Chan R, Wong M . Efficacy of multicomponent culturally tailored HIV/ STI prevention interventions targeting foreign female entertainment workers: a quasi-experimental trial. Sex Transm Infect. 2018; 94(6):449-456. DOI: 10.1136/sextrans-2017-053203. View

18.

Clements-Nolle K, Guzman R, Harris S . Sex trade in a male-to-female transgender population: psychosocial correlates of inconsistent condom use. Sex Health. 2008; 5(1):49-54. DOI: 10.1071/sh07045. View

19.

Ishi K, Suzuku F, Saito A, Yoshimoto S, Kubota T . Prevalence of human immunodeficiency virus, hepatitis B and hepatitis C virus antibodies and hepatitis B antigen among commercial sex workers in Japan. Infect Dis Obstet Gynecol. 2002; 9(4):215-9. PMC: 1784653. DOI: 10.1155/S1064744901000357. View

20.

Li Q, Li X, Stanton B . Alcohol use among female sex workers and male clients: an integrative review of global literature. Alcohol Alcohol. 2010; 45(2):188-99. PMC: 2842106. DOI: 10.1093/alcalc/agp095. View