Sex-work harm reduction.
Sex work is an extremely dangerous profession. The use of harm-reduction principles can help to safeguard sex workers' lives in the same way that drug users have benefited from drug-use harm reduction. Sex workers are exposed to serious harms: drug use, disease, violence, discrimination, debt, criminalisation, and exploitation (child prostitution, trafficking for sex work, and exploitation of migrants). Successful and promising harm-reduction strategies are available: education, empowerment, prevention, care, occupational health and safety, decriminalisation of sex workers, and human-rights-based approaches. Successful interventions include peer education, training in condom-negotiating skills, safety tips for street-based sex workers, male and female condoms, the prevention-care synergy, occupational health and safety guidelines for brothels, self-help organisations, and community-based child protection networks. Straightforward and achievable steps are available to improve the day-to-day lives of sex workers while they continue to work. Conceptualising and debating sex-work harm reduction as a new paradigm can hasten this process.
Rekart
Michael L
ML
British Columbia Centre for Disease Control, University of British Columbia, Vancouver V5Z 4R4, BC, Canada. michael.rekart@bccdc.ca
D003695:Delivery of Health Care / Q000379:methods / Q000458:organization & administration; D005260:Female; D006801:Humans; D008297:Male; D009784:Occupational Diseases / Q000209:etiology / Q000517:prevention & control* / Q000628:therapy; D011477:Sex Work; D012725:Sexual Behavior; D012749:Sexually Transmitted Diseases / Q000209:etiology / Q000517:prevention & control*