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Introduction: Sex work decriminalisation is widely supported by public health research and sex worker advocates as the best model to protect the health and rights of sex workers. In order to understand the actual implications of sex work decriminalisation on sex workers' health, this article reviews and summarises existing research from two sites where sex work has been decriminalised for several years: the Australian state of New South Wales and New Zealand. Methods: In July 2021, the authors conducted database and directed searches for academic and grey literature reporting on research with diverse sex workers in NSW and New Zealand since, respectively, 1995 and 2003. The searches were updated in July 2022. Fifty-two different papers, including 33 peer-reviewed articles, were identified and reviewed using a scoping methodology. Results: The review describes improvements in the health and well-being, as well as in access to and engagement with health services among diverse sex workers in terms of gender, migration history, cultural backgrounds and type of sex work, in the two jurisdictions. These improvements are linked to the development of peer-based outreach and service provision by and to diverse sex workers in both sites. The review also highlights a number of existing regulatory concerns, including the persisting illegalisation of locational aspects of street-based sex work (NSW) and of non-resident, migrant sex work (New Zealand). Conclusions: The authors conclude that evidence from the two countries supports full sex work decriminalisation as a necessary first step in order to start addressing health and social inequalities among this highly diverse and stigmatised population. Policy Implications: The evidence reviewed presents overwhelming support for the full decriminalisation of all forms of sex work, including street-based and migrant sex work. Peer-based service provision by and to diverse sex workers should be promoted and funded. [ABSTRACT FROM AUTHOR]

Background: Sex work is commonly understood to be a risky occupation. Sex work law debates coalesce around the issue of harm, with differing perspectives regarding what constitutes harm, how harm is produced and what needs to change to mitigate it. While sex work is often portrayed as inherently harmful, sex workers and researchers have challenged this assumption, calling attention to the relationship between harm and policies in place. Criminalisation, in its many and varied forms, is thought to exacerbate harms that can occur in sex work, while decriminalisation is understood as creating conditions conducive to minimising harm. However, the decriminalisation of sex work remains rare, and more research which examines how decriminalisation works in relation to harms is critical. This paper uses the concept of social harm to unpack the implications of sex work policies and examine the experiences of sex workers in New Zealand, where sex work is decriminalised. Methods: Semi-structured in-depth interviews were conducted with 46 sex workers in New Zealand in 2018 and 2020 across two studies focused on examining experiences and perceptions of stigma and discrimination in this context. The interviews were thematically analysed using NVivo data analysis software. Results: The experiences of participants demonstrate how involvement in sex work had improved their lives in multiple ways. Participants described the importance of sex work in improving their quality of life by ensuring that they could better meet their everyday needs, the autonomy this afforded them and how decriminalisation helped to enable this. The validating impact of decriminalisation in acknowledging sex workers as people with rights is also evident in participant's experiences. Conclusions: Social harm is a framework that can help illuminate socio-economic harms which influence pathways into sex work for some people and the compounding harms of criminalising regimes. The benefits of engaging in sex work are often overlooked in policy debates. Although sex work is not easy work, engaging in sex work can have positive impacts on the lives of people who pursue it. Full decriminalisation of sex work is the only responsible option for societies seeking to reduce harm. [ABSTRACT FROM AUTHOR]

Introduction: This article provides insight into a rare instance of a collaborative governance approach to sex work that led to the decriminalisation, design and implementation of the sex work policy governance framework in New Zealand with the Prostitution Reform Act 2003. Methods: Drawing on a sample of 17 interviews conducted between the years 2012 and 2019 in addition to associated archival material originating from government and non-government sectors including sex worker representative organisations. Results: It finds that non-sex workers' endorsement for the decriminalisation of sex work was motivated by the New Zealand Prostitutes Collective (NZPC) and occurred primarily within a human rights and harm minimisation framework. But that during the lobbying and parliamentary process, amendments to the Bill emerged that contradicted the NZPC's main goal which was for sex work to be recognised as a legitimate labour activity and for all sex workers to benefit from decriminalisation and policy reform. Conclusions: As such, this article broadens the scope of analysis related to the sex worker rights movement by examining how and why sex workers and their allies came to communicate and act on the impetus for sex work law reform and how it affected policy outcomes. Policy Implications: Those involved in collaborative governance sex work law reform projects could consider adopting Östegren's typology of repressive, restrictive or integrative approaches to sex work law reform in negotiations that concern regulation and policies. [ABSTRACT FROM AUTHOR]