Human rights violations against sex workers: Burden and effect on HIV

Michele R. Decker, Anna Louise Crago, Sandra K.H. Chu, Susan G. Sherman, Meena S. Seshu, Kholi Buthelezi, Mandeep Dhaliwal, Chris Beyrer

Research output: Contribution to journalReview article

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.

Original languageEnglish (US)
Pages (from-to)186-199
Number of pages14
JournalThe Lancet
Volume385
Issue number9963
DOIs
StatePublished - Jan 10 2015

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ASJC Scopus subject areas

  • Medicine(all)

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