Abstract
Introduction
Sex work decriminalisation is widely supported by public health research and sex worker advocates as the best model to protect the health and rights of sex workers. In order to understand the actual implications of sex work decriminalisation on sex workers’ health, this article reviews and summarises existing research from two sites where sex work has been decriminalised for several years: the Australian state of New South Wales and New Zealand.
Methods
In July 2021, the authors conducted database and directed searches for academic and grey literature reporting on research with diverse sex workers in NSW and New Zealand since, respectively, 1995 and 2003. The searches were updated in July 2022. Fifty-two different papers, including 33 peer-reviewed articles, were identified and reviewed using a scoping methodology.
Results
The review describes improvements in the health and well-being, as well as in access to and engagement with health services among diverse sex workers in terms of gender, migration history, cultural backgrounds and type of sex work, in the two jurisdictions. These improvements are linked to the development of peer-based outreach and service provision by and to diverse sex workers in both sites. The review also highlights a number of existing regulatory concerns, including the persisting illegalisation of locational aspects of street-based sex work (NSW) and of non-resident, migrant sex work (New Zealand).
Conclusions
The authors conclude that evidence from the two countries supports full sex work decriminalisation as a necessary first step in order to start addressing health and social inequalities among this highly diverse and stigmatised population.
Policy Implications
The evidence reviewed presents overwhelming support for the full decriminalisation of all forms of sex work, including street-based and migrant sex work. Peer-based service provision by and to diverse sex workers should be promoted and funded.
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Notes
The authors do not report whether the participants spoke of being involved in sex work. The article is therefore referred to only for context.
Four participants had worked in both states.
In NSW, it remains a criminal offence for a sex worker to offer or provide sexual services in massage venues. To the best of our knowledge, such law has never been used since 1995.
There is no special work visa for sex work in Australia. Migrant sex workers can legally work in the NSW’s sex industry if holding a visa that provides them work rights. Migrant workers on student visas are allowed to work a maximum of 20 h per week, regardless of which type of legal work they engage in (thus including sex work in NSW).
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All authors contributed to the study conception and design. Data searches and analysis were performed by P. G. Macioti. The first draft of the manuscript was written by P. G. Macioti and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.
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Macioti, P.G., Power, J. & Bourne, A. The Health and Well-being of Sex Workers in Decriminalised Contexts: A Scoping Review. Sex Res Soc Policy 20, 1013–1031 (2023). https://doi.org/10.1007/s13178-022-00779-8
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DOI: https://doi.org/10.1007/s13178-022-00779-8