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Lancet. 2015 Jan 10;385(9963):186-99. doi: 10.1016/S0140-6736(14)60800-X. Epub 2014 Jul 22.

Human rights violations against sex workers: burden and effect on HIV.

Author information

1
Department of Population, Family & Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA; Center for Public Health and Human Rights, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. Electronic address: mdecker@jhu.edu.
2
Trudeau Scholar, University of Toronto, Toronto, ON, Canada.
3
Canadian HIV/AIDS Legal Network, Toronto, ON, Canada.
4
Center for Public Health and Human Rights, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA; Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
5
Sampada Grameen Mahila Sanstha (SANGRAM), Sangli, India.
6
Sisonke Sex Workers Movement, Sex Workers Education and Advocacy Taskforce (SWEAT), Cape Town, South Africa.
7
Division of HIV, Health & Development Practice UNDP, New York, NY, USA.

Abstract

We reviewed evidence from more than 800 studies and reports on the burden and HIV implications of human rights violations against sex workers. Published research documents widespread abuses of human rights perpetrated by both state and non-state actors. Such violations directly and indirectly increase HIV susceptibility, and undermine effective HIV-prevention and intervention efforts. Violations include homicide; physical and sexual violence, from law enforcement, clients, and intimate partners; unlawful arrest and detention; discrimination in accessing health services; and forced HIV testing. Abuses occur across all policy regimes, although most profoundly where sex work is criminalised through punitive law. Protection of sex workers is essential to respect, protect, and meet their human rights, and to improve their health and wellbeing. Research findings affirm the value of rights-based HIV responses for sex workers, and underscore the obligation of states to uphold the rights of this marginalised population.

PMID:
25059943
PMCID:
PMC4454473
DOI:
10.1016/S0140-6736(14)60800-X
[Indexed for MEDLINE]
Free PMC Article
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