Conflicting Rights: How the Prohibition of Human Trafficking and Sexual Exploitation Infringes the Right to Health of Female Sex Workers in Phnom Penh, Cambodia

被引:26
作者
Maher, Lisa [1 ]
Dixon, Thomas Crewe [2 ]
Phlong, Pisith [3 ]
Mooney-Somers, Julie [4 ]
Stein, Ellen S. [5 ]
Page, Kimberly [6 ]
机构
[1] UNSW Australia Sydney, Fac Med, Kirby Inst Infect & Immun, Sydney, NSW, Australia
[2] Univ Sydney, Fac Law, Sydney, NSW 2006, Australia
[3] Royal Univ Fine Arts, Phnom Penh, Cambodia
[4] Univ Sydney, Ctr Values Eth & Law Med, Sydney, NSW 2006, Australia
[5] Univ Calif San Francisco, Global Hlth Sci, San Francisco, CA 94143 USA
[6] Univ New Mexico, Hlth Sci & Ctr, Div Biostat & Prevent Med, Epidemiol, Albuquerque, NM 87131 USA
基金
英国医学研究理事会;
关键词
STIMULANT USE; HIV-PREVENTION; HIV/STI RISK; CONDOM USE; NEGOTIATION; BARRIERS; LEGAL;
D O I
10.2307/healhumarigh.17.1.102
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
While repressive laws and policies in relation to sex work have the potential to undermine HIV prevention efforts, empirical research on their interface has been lacking. In 2008, Cambodia introduced anti-trafficking legislation ostensibly designed to suppress human trafficking and sexual exploitation. Based on empirical research with female sex workers, this article examines the impact of the new law on vulnerability to HIV and other adverse health outcomes. Following the introduction of the law, sex workers reported being displaced to streets and guesthouses, impacting their ability to negotiate safe sex and increasing exposure to violence. Disruption of peer networks and associated mobility also reduced access to outreach, condoms, and health care. Our results are consistent with a growing body of research which associates the violation of sex workers' human rights with adverse public health outcomes. Despite the successes of the last decade, Cambodia's AIDS epidemic remains volatile and the current legal environment has the potential to undermine prevention efforts by promoting stigma and discrimination, impeding prevention uptake and coverage, and increasing infections. Legal and policy responses which seek to protect the rights of the sexually exploited should not infringe the right to health of sex workers.
引用
收藏
页码:102 / 113
页数:12
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