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RESEARCH ARTICLE

Improving the health of sex workers in NSW: maintaining success

Basil Donovan A B E , Christine Harcourt A , Sandra Egger C and Christopher K. Fairley D
+ Author Affiliations
- Author Affiliations

A National Centre in HIV Epidemiology and Clinical Research, The University of New South Wales

B The Sydney Sexual Health Centre, Sydney Hospital

C Faculty of Law, The University of New South Wales

D School of Population Health, The University of Melbourne and Melbourne Sexual Health Centre, Alfred Hospital, Melbourne

E Corresponding author. Email: bdonovan@nchecr.unsw.edu.au

NSW Public Health Bulletin 21(4) 74-77 https://doi.org/10.1071/NB10013
Published: 27 May 2010

Abstract

NSW has a diverse sex industry that is limited in its size by modest demand. There is no evidence that decriminalisation in 1995 increased the frequency of commercial sex in NSW. Though the largest sector, female brothels, is now mainly staffed by Asian women, condom use for vaginal and anal sex exceeds 99% and sexually transmissible infection rates are at historic lows. These gains are attributable to the long-term support of the NSW Department of Health in collaboration with the community-based Sex Workers Outreach Project and sexual health services, facilitated by the removal of criminal sanctions without the expense and access barriers of licensing systems.


Acknowledgment

The Law and Sexworker Health (LASH) study was funded by the NHMRC Project Grant no. 352437.


References


[1] Parliament of New South Wales. Report of the Select Committee of the Legislative Assembly upon Prostitution (Chairman: P Rogan). Sydney: Parliament of NSW; 1986.

[2] Donovan B. Gonorrhoea in a Sydney house of prostitution. Med J Aust 1984; 140 268–71.
PubMed |  CAS | (Cited 02 March 2010.)

[11] O’Connor CC,  Berry G,  Rohrsheim R,  Donovan B. Sexual health and condom use among local and international sex workers in Sydney. Genitourin Med 1996; 72 47–51.
PubMed |  CAS |

[12] Donovan B, O’Connor J, Harcourt C, Lu H, McNulty AM. Sex work in a decriminalised and unlicensed environment: a 15-year study in Sydney. Presented at the International Society for STD Research Conference, London, June/July 2009.

[13] Donovan B, O’Connor JL, Harcourt C, Wand H, Egger S, Schneider Ket al. The Law and Sexworker Health (LASH) Project. Presented at the International Society for STD Research Conference, London, June/July 2009.

[14] Pell C,  Pell C,  Dabbhadatta J,  Harcourt C,  Tribe K,  O’Connor CC. Demographic, migration status, and work-related changes in Asian female sex workers surveyed in Sydney, 1993 and 2003. Aust N Z J Public Health 2006; 30 157–62.
Crossref | GoogleScholarGoogle Scholar | PubMed | CAS |

[15] Prestage G,  Mao L,  Jin F,  Grulich AE,  Kaldor JM,  Kippax S. Sex work and risk behaviour among HIV-negative men. AIDS Care 2007; 19 931–4.
Crossref | GoogleScholarGoogle Scholar | PubMed | CAS |

[16] Estcourt CS,  Marks C,  Rohrsheim R,  Johnson AM,  Donovan B,  Mindel A. HIV, sexually transmitted infections, and risk behaviours in male commercial sex workers in Sydney. Sex Transm Infect 2000; 76 294–8.
Crossref | GoogleScholarGoogle Scholar | PubMed | CAS |

[17] Perkins R. Transgender Lifestyles and HIV/AIDS Risk. National Transgender HIV/AIDS Needs Assessment Project. Sydney: School of Sociology, The University of New South Wales; 1994.

[18] Rissel CE,  Richters J,  Grulich AE,  de Visser RO,  Smith AMA. Sex in Australia: experiences of commercial sex in a representative sample of adults. Aust N Z J Public Health 2003; 27 191–7.
Crossref | GoogleScholarGoogle Scholar | PubMed |

[19] Paul C,  Dickson N,  Davis P,  Yee RL,  Chetwynd J,  McMillan N. Heterosexual behaviour and HIV risk in New Zealand: data from a national survey. Aust J Public Health 1995; 19 13–8.
PubMed |  CAS |

[20] Coughlan E,  Mindel A,  Estcourt CS. Male clients of female commercial sex workers: HIV, STDs and risk behaviour. Int J STD AIDS 2001; 12 665–9.
Crossref | GoogleScholarGoogle Scholar | PubMed | CAS |

[21] Wilson DP,  Heymer K-J,  Anderson J,  O’Connor J,  Harcourt C,  Donovan B. Sex workers can be screened too often: a cost-effectiveness analysis in Victoria, Australia. Sex Transm Infect 2010; 86 117–25.
PubMed |

[22] Chen MY,  Donovan B,  Harcourt C,  Morton A,  Moss L,  Wallis S, et al. Estimating the number of unlicensed brothels operating in Melbourne. Aust N Z J Public Health 2010; 34 67–71.
Crossref | GoogleScholarGoogle Scholar | CAS |