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Abstract
The study compared street sex workers' working patterns, sexual behaviour, drug use, and knowledge of HIV and Hepatitis C, in 1999 (114 women) to those in 1989 (63 women) among women who used a Drop-in Centre (DIC) for female sex workers in Glasgow's “red light district”. The vast majority of prostitutes in both cohorts were drug users, although a significantly greater proportion of women in 1999 used drugs (95%) than in 1989 (83%). It appears that while the proportion of drug users who inject has remained constant (1999: 96/107: 90%; 1989: 51/52: 98%), the proportion “ever” sharing injecting equipment has fallen (73% in 1989 to 52% in 1999). Although condom use for commercial sex was the norm (1989: 59/60: 98%; 1999: 100/103: 97%), women were not using condoms for sex with regular partners (1989: 59/60: 98%; 1999: 100/103: 97%). In 1999, almost half of the women had ever been subject to violent assault (49/104: 47%) and almost 40% to sexual assault while working (44/104: 39%). Consideration should be given to the introduction of a methadone service for prostitutes in the city with a view to reducing their demand for illicit drugs. If their demand for illicit drugs were reduced as a result of such a methadone programme, so too might the amount of time they required to work to fund their drug dependence; which would in turn reduce their vulnerability to violence and assault.