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Prostitution - a risky business : Comments
By Lyle Shelton, published 28/9/2005Lyle Shelton argues legalising brothels does not result in a safe working environment for prostitutes.
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I recently did some research on HIV/AIDS and prostitution and came across a frightening fact which I would like to share with readers.
A recent Cochrane database review concludes that condom use can reduce one's risk of HIV by up to 80% (when used consistently). This is not a great statistic considering the nature of the disease.
But when I looked at the studies on which this figure was based, NONE of them included studies of sex workers. All these studies specifically exclude sex workers because it is too hard to determine the personal exposure of an individual sex worker.
Just two other research findings (among many which suggest that prostitution can never be made completely safe for women):
Increased condom use had no effect on rates of gonorrhoea, chlamydia, and genital herpes in London prostitutes (Sex Transm Infections 75:340-343, 1999).
Increased condom use was significantly associated with an increase in genital/anal warts among prostitutes in Sydney (Genitourin Med 67:384-8, 1991).
There is no definitive evidence that condoms can prevent STDs of any type, including HIV. They can certainly reduce the risk of HIV infection; estimates range from 69-85%. But these estimates are based on data which specifically excludes studies of prostitutes. Sex workers have an extremely high frequency of sexual contact, and the risk of disease is influenced by multiple factors. The promotion of ‘safe sex’ practices, mostly involving provision and enforcement of condom use, is complicated and cannot guarantee a safe work environment for commercial sex workers.