Female sex work and international sport events - no major changes in demand or supply of paid sex during the 2010 Soccer World Cup: a cross-sectional study

被引:14
作者
Richter, Marlise [1 ,2 ]
Luchters, Stanley [1 ,4 ]
Ndlovu, Dudu [2 ]
Temmerman, Marleen [1 ]
Chersich, Matthew Francis [3 ]
机构
[1] Univ Ghent, Dept Obstet & Gynaecol, Int Ctr Reprod Hlth, B-9000 Ghent, Belgium
[2] Univ Witwatersrand, African Ctr Migrat & Soc, Johannesburg, South Africa
[3] Univ Witwatersrand, Fac Hlth Sci, Sch Publ Hlth, Ctr Hlth Policy, Johannesburg, South Africa
[4] Burnet Inst, Ctr Int Hlth, Melbourne, Vic, Australia
关键词
HIV; Sex work; Prostitution; Sport; South Africa; SEXUALLY-TRANSMITTED INFECTIONS; SUB-SAHARAN AFRICA; PUBLIC-HEALTH; SOUTH-AFRICA; ALCOHOL-USE; CONDOM USE; HIV; RISK; HIV/AIDS;
D O I
10.1186/1471-2458-12-763
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background: Important unanswered questions remain on the impact of international sporting events on the sex industry. Speculation about increased demand and supply of sex work often generates significant attention, but also additional funding for HIV programmes. This study assessed whether changes occurred in the demand and supply of paid sex during the 2010 Soccer World Cup in South Africa. Methods: Trained sex worker interviewers conducted face-to-face semi-structured interviews among consenting female sex workers during May-September 2010. Using bivariate analyses we compared supply, demand, sexual risk-taking, and police and health services contact pre-World Cup, to levels during the World Cup and after the event. Results: No increases were detected in indicators of sex work supply, including the proportion of sex workers newly arrived in the city (< 2.5% in each phase) or those recently entering the trade (<= 1.5%). Similarly, demand for sex work, indicated by median number of clients (around 12 per week) and amount charged per transaction ($13) remained similar in the three study periods. Only a third of participants reported observing any change in the sex industry ascribed to the World Cup. Self-reported condom-use with clients remained high across all samples (>92.4% in all phases). Health-care utilisation decreased non-significantly from the pre- to during World Cup period (62.4% to 57.0%; P = 0.075). Across all periods, about thirty percent of participants had interacted with police in the preceding month, two thirds of whom had negative interactions. Conclusions: Contrary to public opinion, no major increases were detected in the demand or supply of paid sex during the World Cup. Although the study design employed was unable to select population-based samples, these findings do not support the public concern and media speculation prior to the event, but rather signal a missed opportunity for public health action. Given the media attention on sex work, future sporting events offer strategic opportunities to implement services for sex workers and their clients, especially as health service utilisation might decrease in this period.
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页数:12
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