Understanding the health and social wellbeing needs of sex workers in Victoria
PG Macioti, Ryan DeVea, Miranda J. Millen, Casey McGlasson, Bung Siangyai, Jennifer Power, Adam Bourne
This study sought to understand the health and social wellbeing needs of sex workers in Victoria to identify best practice for policy and service provision. It did so by means of qualitative interviews with 31 diverse sex workers and 17 key stakeholders, including service providers and peer community leaders.
The report highlights how the health and wellbeing needs of sex workers in Victoria can be shaped by the experience of stigma, criminalisation, and a lack of safe, high-quality services. However, the health of our sex worker participants was also shaped by good sexual health knowledge, commitment to safer sex practices, strong peer support networks and resilience in the face of adversity.
The report presents strong evidence that having sex work criminalised and regulated by police (including under a licensing system) is harmful to sex workers’ health and wellbeing. The fear of being prosecuted or stigmatised by disclosing their sex work creates barriers to accessing and engaging with health services. In case of violence and assault, the majority of sex worker participants would not seek help by police.
Sex work decriminalisation was greeted by our study participants as the best way to start addressing the stigma and barriers to health and protection faced by diverse sex workers. To achieve this goal, our recommendations point at the need to fully repeal the criminalisation of street-based sex workers previewed by the Sex Work Decriminalisation Bill 2021. Service provision to sex workers should, on the other hand, be restructured to maximise the influence of peer-only services.
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Understanding the health and social wellbeing needs of sex workers in Victoria received generous support from the Department of Health, Victoria.
Download the report
Understanding the health and social wellbeing needs of sex workers in Victoria - Digital version [PDF, 4.8MB]
Understanding the health and social wellbeing needs of sex workers in Victoria - Print version [PDF, 10.9MB]