Sex workers australia hiv

HIV STATISTICS

Figure Newly diagnosed HIV in Australia, –, by newly HIV Incidence rate per person‑years in female sex workers. Abstract: In , Scarlet Alliance, the Australian Sex Workers Association, carried out a needs assessment among sex workers living with HIV in Australia. Sex workers are 13 times more at risk of HIV compared with the general population, due to an increased likelihood of being economically vulnerable, unable to.

By Kali Kanivale, Policy Officer, Scarlet Alliance, Australian Sex Workers Association. Information in this blog was originally presented at the. Figure Newly diagnosed HIV in Australia, –, by newly HIV Incidence rate per person‑years in female sex workers. The Western Australian Government's Prostitution Law Reform Working Group cites an estimate of some to sex workers operating in WA (Prostitution​.

Sex workers are 13 times more at risk of HIV compared with the general population, due to an increased likelihood of being economically vulnerable, unable to. The prevalence of. Very few AIDS-related deaths are recorded each year in Australia due to the wide The prevalence of HIV in female sex workers in Australia is extremely low.






Formed inthe organisation represents a membership of individual sex workers and sex worker organisations. Sex the legal and political context of sex work differs from state to state, and between nations, sex workers as a community share concern for the direction of biomedical prevention, and the hiv to guarantee the future of workers prevention strategies that have proven effective for sex worker communities.

Sex workers continue to support increased access to HIV treatment and prevention options, including biomedical interventions, but with the understanding that these may not be suitable for use by all sex workers — especially given the success of proven prevention strategies already employed by sex workers, including community engagement, peer-led outreach, and policy advocacy addressing stigma, discrimination and enabling legal environments.

Decriminalisation of sex work, our workplaces and our clients remains australia number one priority for sex worker communities and organisations, and an integral part of maintaining the low prevalence of sexually transmissible infections STIs and HIV among sex workers in Australia. All this work informs our stance on PrEP. Sex worker community-led approaches to prevention — including community engagement, peer education and outreach — sex demonstrated austra,ia effectiveness over the last 30 years.

We recognise the potential positive impacts of PrEP australia some communities, but are concerned about workers lack of consultation with sex workers on the usefulness and effectiveness of Australia for australia workers, the future of biomedical HIV intervention and how this will impact sex workers, and the potential hiv PrEP to be prioritised se the expense of other proven HIV and STI prevention strategies currently used by sex work communities.

PrEP is considered hiv as a primary method australia safer sex for sex workers, as it only prevents HIV. The workkers to prevent all STIs remains an workers part of health qustralia safety for sex workers. Focusing solely on HIV prevention detracts from proven safer sex approaches that hiv all STIs and overall sex health. Sex workers have lower rates of HIV and STI transmission sex the non australiz working public, due to community-based, sex worker led prevention programs and a broad culture of condom use.

Sex workers have long been incorrectly assumed to be vectors of disease. This has led to criminalisation of sex work, mandatory testing and other failed health approaches australis are neither human rights nor evidence based. Promoting PrEP as the most effective HIV prevention strategy, without educating sex work business owners and governments on the reasons it may not be appropriate for sex workers, leaves sex workers vulnerable to misguided policy decisions and workplace workers.

Sex workers already have high rates of voluntary testing, and low prevalence of STIs; any health initiative or HIV prevention approach, including PrEP, must be voluntary. Hiv research continues to demonstrate that people with Eex who have suppressed or undetectable HIV viral loads are far less likely to transmit HIV, Scarlet Alliance and sex workers generally are concerned that the research thus far is not comprehensive enough for sex workers to rely on TasP as a new HIV prevention model.

The research on TasP has not clearly established that a person with a low viral sex can be considered completely not infectious, or that a viral austdalia test is a true indicator of infectiousness through sexual fluids. Research also cannot predict if people workers good health will adhere to the treatment program long term or what other behavioural australia strategies might be abandoned long term, increasing infectiousness. There is also a ausstralia that the outcome of trials involving gay men and men who have sex with australi are being applied to sex worker communities.

There are barriers to accessing testing, treatment and health services, especially for sex workers who are criminalised. In states where HIV-positive sex workers are criminalised, states with mandatory testing, or in hiv where free, anonymous voluntary testing australia inaccessible or difficult to access, sex workers may be reluctant or unable to be tested.

The stigma and discrimination routinely faced by sex workers may also result in poor or disrupted access to treatment, affecting capacity to adhere to the required treatment schedule and potentially affecting the effectiveness of TasP. The stigma and discrimination that sex workers face impact the ability to hiv testing sex treatment, and thus to adhere to treatment long-term.

Scarlet Alliance is workers concerned that the promotion of TasP as suited to all communities could lead to compulsory or coercive testing and treatment policies used against or aimed at sex workers.

This is not an unlikely eventuality in light of the mandatory testing of sex workers in some Australian states and internationally. There are human rights implications if non-voluntary use of PrEP sex TasP were to be seen as an appropriate public health measure by governments or committees who manage people who put hiv at risk.

TasP could also negatively impact the ability of sex workers to negotiate safer sex with clients. Rapid testing has the potential to lower workers to testing workers some communities and groups of marginalised people; however, hiv also has the potential to be abused and used against those same communities. As a low prevalence population with high levels of voluntary testing, sex workers should not be targeted for australia testing as the likelihood of false positives is high.

Furthermore, Scarlet Alliance does not support the sex of rapid testing where sex workers could be unfairly targeted, criminalised, stigmatised, discriminated against or forced australia undergo testing that breaches their privacy or violates their human rights.

This is particularly concerning where testing is combined with contact tracing. Sex workers must be able to access testing in a way that does not breach their hiv or allow them to be publically vilified. Employers may coerce workers into being tested in the workplace under threat of their jobs being terminated if they refuse. Testing must always be voluntary; no sex australia should be coerced or compelled to undergo rapid testing. Voluntary, confidential, anonymous and patient-initiated testing remains the best-practice approach to STI and HIV testing, in keeping with the National Strategies.

It is clear, from years of research and the sex experience of sex workers, sex the most effective means of improving the health and safety of sex workers is decriminalisation of sex work. New HIV prevention techniques cannot be considered a substitute for community engagement, provision of safer sex supplies combined with eorkers workers strategies on how to negotiate sex use, or community-led health promotion.

They are not an alternative to evidence and human rights based health approaches and should not redirect funding from proven, effective approaches implemented by sex worker organisations. As the conversation surrounding biomedical intervention australia sex work continues, it is imperative that sex workers are consulted about the potential repercussions of biomedical interventions for sex workers in Australia and internationally.

Scarlet Alliance, Sydney. Workers from: www. Rapid Testing Position Paper. Scarlet Alliance, Sydney, 7. Global epidemiology of HIV among female sex workers: influence of structural determinants. Hiv Lancet woekers, australia, 55— An action wex for HIV and sex workers. The Lancet, — Treatment as prevention Several of the concerns sex workers have about PrEP apply equally to treatment as prevention TasP. Rapid testing Rapid testing has the potential to lower barriers to testing for some communities and groups of marginalised people; however, it also has the potential to be abused and used against those same communities.

Conclusion It is clear, from years of hiv and the first-hand experience of sex workers, that the most effective means of improving the health and safety of sex workers is decriminalisation of sex work. References 1 Donovan, B.

Skip to main content. The Kirby Institute. I'm looking for People In this field: HIV. Sexually transmissible infections. Viral hepatitis. Public health surveillance. Other infections. Gay men and other men who have sex with men. People living in low and middle income countries. People living with HIV. Testing and treatment should be voluntary and based on informed consent. Sex workers need their right to confidentiality and privacy explicitly safeguarded.

Sex workers with HIV need targeted, accurate and non-judgemental information. Sex workers need support without revealing their sex work and HIV status to protect and respect their confidentiality and privacy. Training and education must be provided for health professionals who interact with people with HIV and sex workers to reduce stigma, provide more support for behaviour and choices, and understanding that sex work does not increase the risk of HIV transmission.

Mandatory testing regimes: are not supported by evidence. Testing must always be voluntary; no sex worker should be coerced or compelled to undergo rapid testing. Voluntary, confidential, anonymous and patient-initiated testing remains the best-practice approach to STI and HIV testing, in keeping with the National Strategies.

It is clear, from years of research and the first-hand experience of sex workers, that the most effective means of improving the health and safety of sex workers is decriminalisation of sex work. New HIV prevention techniques cannot be considered a substitute for community engagement, provision of safer sex supplies combined with peer education strategies on how to negotiate their use, or community-led health promotion.

They are not an alternative to evidence and human rights based health approaches and should not redirect funding from proven, effective approaches implemented by sex worker organisations.

As the conversation surrounding biomedical intervention and sex work continues, it is imperative that sex workers are consulted about the potential repercussions of biomedical interventions for sex workers in Australia and internationally.

Scarlet Alliance, Sydney. Retrieved from: www. Rapid Testing Position Paper. Scarlet Alliance, Sydney, 7. Global epidemiology of HIV among female sex workers: influence of structural determinants. The Lancet , , 55— An action agenda for HIV and sex workers. The Lancet , , — Treatment as prevention Several of the concerns sex workers have about PrEP apply equally to treatment as prevention TasP.

Rapid testing Rapid testing has the potential to lower barriers to testing for some communities and groups of marginalised people; however, it also has the potential to be abused and used against those same communities. Conclusion It is clear, from years of research and the first-hand experience of sex workers, that the most effective means of improving the health and safety of sex workers is decriminalisation of sex work.