The Global HIV Epidemics among Sex Workers

Kerrigan, Deanna ; Wirtz, Andrea ; Baral, Stefan ; Decker, Michele ; Murray, Laura ; Poteat, Tonia ; Pretorius, Carel ; Sherman, Susan ; Sweat, Mike ; Semini, Iris ; N'Jie, N'Della ; Stanciole, Anderson ; Butler, Jenny ; Osornprasop, Sutayut ; Oelrichs, Robert ; Beyrer, Chris

关键词: ACCESS TO CONDOMS;    ACCESS TO TREATMENT;    ACQUIRED IMMUNE DEFICIENCY SYNDROME;    ADULT POPULATION;    AGED;   

DOI  :  10.1596/978-0-8213-9774-9
RP-ID  :  74053

学科分类：社会科学、人文和艺术（综合）

来源: World Bank Open Knowledge Repository

【 摘 要 】

Since the beginning of the epidemic sexworkers have experienced a heightened burden of HIV acrosssettings, despite their higher levels of HIV protectivebehaviors (UNAIDS, 2009). Unfairly, sex workers have oftenbeen framed as 'vectors of disease' and 'coretransmitters' rather than workers and human beings withrights in terms of HIV prevention and beyond. By gaining adeeper understanding of the epidemiologic and broader policyand social context within which sex work is set one beginsto quickly gain a sense of the complex backdrop forincreased risk to HIV among sex workers. This backdropincludes the critical role of stigma, discrimination andviolence faced by sex workers, as well as, the importance ofcommunity empowerment and mobilization among sex workers toaddress these regressive forces. The eight country casestudies work to highlight the experiences of diversepopulations of and contexts for sex work across settings.Given the limited epidemiologic and intervention evaluationdata available among male and transgender sex workers,however, our collaborative team (Johns Hopkins University,or JHU, World Bank, United Nations Population Fund (UNFPA),and Global Network of Sex Work Projects, or NSWP) determinedthat the systematic review, mathematical modeling andcost-effective analyses would focus on female sex workers.Throughout the process of this analysis as a whole, theparticipation of sex worker perspectives and sex workerorganizations such as NSWP and their regional partners hasbeen critical by providing documents and resources, inputand consultation throughout the analytical process.