Table 2.
Characteristics of included studies by category
Studies (n=20) | ||
---|---|---|
Country | ||
USA9, 14, 38, 39, 40, 41, 43, 44, 46, 47, 48 | 11 (55%) | |
Canada26, 42, 50 | 3 (15%) | |
UK45, 53 | 2 (10%) | |
Hong Kong37, 52 | 2 (10%) | |
Australia51 | 1 (5%) | |
Netherlands49 | 1 (5%) | |
Sex work legal context in intervention setting at time of study* | ||
Full criminalisation of sex working9, 14, 38, 39, 40, 41, 43, 44, 46, 47, 48 | 11 (55%) | |
Partial criminalisation of sex working26, 37, 42, 45, 50, 52, 53 | 7 (35%) | |
Criminalisation of the purchase of sex | 0 | |
Regulation of sex working49, 51 | 2 (10%) | |
Full decriminalisation | 0 | |
Sex worker's sex, gender, or both† | ||
Female9, 14, 26, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53 | 20 (100%) | |
Male51 | 1 (5%) | |
Transgender women26, 42 | 2 (10%) | |
Location of sex work | ||
Street based26, 38, 41, 42, 43, 45, 46, 47, 50, 52, 53 | 11 (55%) | |
Brothel or indoor based51 | 1 (5%) | |
Street based and indoor based44, 49 | 2 (10%) | |
Unclear where sex work takes place9, 14, 37, 39, 40, 48 | 6 (30%) | |
Study design‡ | ||
Randomised controlled trial37, 38, 40, 41 | 4 (20%) | |
Cohort analytic (two groups, pre-intervention and post-intervention)14, 26, 42 | 3 (15%) | |
Cohort (one group, pre-intervention and post-intervention)9, 39, 43, 44, 45, 46, 47 | 7 (35%) | |
Cross-sectional study48, 49, 50, 51, 52, 53 | 6 (30%) | |
Quality rating | ||
Strong | 0 | |
Moderate37, 38, 39 | 3 (15%) | |
Weak9, 14, 26, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53 | 17 (85%) | |
Intervention setting | ||
Outreach locations40, 42, 43, 44, 49, 50, 51 | 7§ (35%) | |
Static site9, 14, 26, 37, 38, 39, 40, 41, 45, 46, 47, 48, 52, 53 | 14§ (70%) | |
Single component interventions | ||
Overall9, 14, 37, 38, 39, 40, 41, 43, 44, 49, 51, 53 | 12 (60%) | |
Education and empowerment37, 38, 39, 40, 41, 44 | 6 | |
Drug treatment14, 43 | 2 | |
Sexual and reproductive health care51, 53 | 2 | |
Other health care9, 49 | 2 | |
Multicomponent interventions† | ||
Overall26, 42, 45, 46, 47, 48, 50, 52 | 8 (40%) | |
Education and empowerment26, 42, 45, 46, 47, 48, 50, 52 | 7 | |
Drug treatment45, 48 | 2 | |
Sexual and reproductive health care26, 42, 48, 50, 52 | 5 | |
Other health care26, 48, 52 | 3 | |
Welfare26, 42, 46, 47, 50 | 5 | |
Peer involvement | ||
Developed with peer workers44 | 1 (5%) | |
Developed and delivered with peer workers26, 38, 41, 42, 50 | 5 (25%) | |
No peer involvement reported9, 14, 37, 39, 40, 43, 45, 46, 47, 48, 49, 51, 52, 53 | 14 (70%) | |
Outcomes measured† | ||
Drug use and drug harm reduction38, 41, 43, 45, 46, 47, 50 | 7 (35%) | |
Sexual risk behaviours14, 37, 38, 41, 44, 45, 47 | 7 (35%) | |
Sex worker safety38, 44, 50 | 3 (15%) | |
Mental health and wellbeing9, 37, 40, 44, 45 | 5 (25%) | |
Criminal activity39, 46 | 2 (10%) | |
Outcomes related to wider determinants46 | 1 (5%) | |
Awareness of health-care and support services44 | 1 (5%) | |
Use of other health-care and support services37, 41, 43 | 3 (15%) | |
Sexually transmitted infection treatment48, 51, 53 | 3 (15%) | |
Other health-care outcomes26, 38, 41, 42, 48, 49, 50, 51, 52 | 6 (30%) |
Data are presented as n or n (%).
Legal context categorisations from Platt and colleagues (2018).22 Full criminalisation prohibits all aspects of sex work and selling and buying sex; partial criminalisation criminalises only some aspects; in criminalisation of purchase of sex models, the sale of sex is legal but clients are criminalised; and regulatory models allow the sale of sex in some settings or conditions. Full decriminalisation removes all criminality of sex work while still prohibiting violence and coercion of sex workers.
Can be in more than one category.
Study categorisations used are derived from the Effective Public Health Practice Project's Quality Assessment Tool for Quantitative Studies.33
One study evaluated both outreach and static interventions.