TY - JOUR
T1 - An action agenda for HIV and sex workers
AU - Beyrer, Chris
AU - Crago, Anna Louise
AU - Bekker, Linda Gail
AU - Butler, Jenny
AU - Shannon, Kate
AU - Kerrigan, Deanna
AU - Decker, Michele R.
AU - Baral, Stefan D.
AU - Poteat, Tonia
AU - Wirtz, Andrea L.
AU - Weir, Brian W.
AU - Barré-Sinoussi, Françoise
AU - Kazatchkine, Michel
AU - Sidibé, Michel
AU - Dehne, Karl Lorenz
AU - Boily, Marie Claude
AU - Strathdee, Steffanie A.
N1 - Funding Information:
This review and The Lancet Series on HIV and sex work were supported by: grants to the Center for Public Health and Human Rights at Johns Hopkins Bloomberg School of Public Health from The Bill & Melinda Gates Foundation ; The UN Population Fund ; the Johns Hopkins University Center for AIDS Research , a National Institute of Health (NIH) -funded programme ( 1P30AI094189 ) supported by: National Institutes of Allergy and Infectious Diseases (NIAID) , National Cancer Institute (NCI) , National Institute for Child Health and Development (NICHD) , National Heart, Lung, and Blood Institute (NHLBI) , National Institute of Mental Health (NIMH) , National Institute for Drug Abuse (NIDA) , Fogarty International Center (FIC) , and Office of AIDS Research (OAR) ; and the Johns Hopkins HIV Epidemiology and Prevention Sciences Training Programme ( 1T32AI102623-01AI ). The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH. We thank Aleksandra Mihailovic and Hae-Young Kim, research assistants at the Johns Hopkins School of Public Health, Department of Epidemiology, for their contributions to the search and data abstraction for the analysis of the global prevalence of HIV in sex workers; Mandeep Dhaliwal of UNDP for panel 2 (Global Commission on HIV and the law); and the Conference Coordinating Committee of the 20 th International AIDS Conference for the Melbourne 2014 Declaration ( panel 3 ). We would like to thank Harold van Gelder from the Human Trafficking and Prostitution Unit, Amsterdam Police, and Sally Hendriks from Aids Fonds/Soa Aids Nederland for panel 5 .
Publisher Copyright:
© 2015 Elsevier Ltd.
PY - 2015/1/17
Y1 - 2015/1/17
N2 - The women, men, and transgender people who sell sex globally have disproportionate risks and burdens of HIV in countries of low, middle, and high income, and in concentrated and generalised epidemic contexts. The greatest HIV burdens continue to be in African female sex workers. Worldwide, sex workers still face reduced access to needed HIV prevention, treatment, and care services. Legal environments, policies, police practices, absence of funding for research and HIV programmes, human rights violations, and stigma and discrimination continue to challenge sex workers' abilities to protect themselves, their families, and their sexual partners from HIV. These realities must change to realise the benefits of advances in HIV prevention and treatment and to achieve global control of the HIV pandemic. Effective combination prevention and treatment approaches are feasible, can be tailored for cultural competence, can be cost-saving, and can help to address the unmet needs of sex workers and their communities in ways that uphold their human rights. To address HIV in sex workers will need sustained community engagement and empowerment, continued research, political will, structural and policy reform, and innovative programmes. But such actions can and must be achieved for sex worker communities everywhere.
AB - The women, men, and transgender people who sell sex globally have disproportionate risks and burdens of HIV in countries of low, middle, and high income, and in concentrated and generalised epidemic contexts. The greatest HIV burdens continue to be in African female sex workers. Worldwide, sex workers still face reduced access to needed HIV prevention, treatment, and care services. Legal environments, policies, police practices, absence of funding for research and HIV programmes, human rights violations, and stigma and discrimination continue to challenge sex workers' abilities to protect themselves, their families, and their sexual partners from HIV. These realities must change to realise the benefits of advances in HIV prevention and treatment and to achieve global control of the HIV pandemic. Effective combination prevention and treatment approaches are feasible, can be tailored for cultural competence, can be cost-saving, and can help to address the unmet needs of sex workers and their communities in ways that uphold their human rights. To address HIV in sex workers will need sustained community engagement and empowerment, continued research, political will, structural and policy reform, and innovative programmes. But such actions can and must be achieved for sex worker communities everywhere.
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U2 - 10.1016/S0140-6736(14)60933-8
DO - 10.1016/S0140-6736(14)60933-8
M3 - Review article
C2 - 25059950
AN - SCOPUS:84921417928
SN - 0140-6736
VL - 385
SP - 287
EP - 301
JO - The Lancet
JF - The Lancet
IS - 9964
ER -