보건사회연구-25일수정

30(1), 2010, 220-241 Health and Social Welfare Review...... * :, (slee@kangnam.ac.kr) 220

( ) 5.. (, 2005;, 2006;, 2006;, 2007), (, 2004;, 2005;, 2007;, 2007), (, 2005, 2009;, 2005;, 2005;, 2008)..... 1) (AIDS) (, 1999;, 2009;, 2009; UNAIDS, 1998; WHO, 2007).,,,,,,,, HIV. 1). 221

30(1), 2010, 220-241 Health and Social Welfare Review, 2) 3. 3), (, 2008; WHO, 2007). (, 2009)... (, 2007). ( ) ( ) (Merton, 1957)... 2), (Centers for Disease Control and Prevention: CDC) (Division of STD Prevention), (Centre for Infectious Diseases Prevention and Control) HIV/AIDS (Bureau of HIV/AIDS, STD and TB), (Centre for Infections) HIV (HIV and STI Department), (World Health Organization: WHO) (Department of Reproductive Health and Research). 3) 3 (syphilis), (gonorrhea), (Non-gonococcal urethritis), (chlamydia infection), (chancroid), (genital herpes), (condyloma accurminata) 7, (, 2009). 222

......,,....,,..,. 223

30(1), 2010, 220-241 Health and Social Welfare Review.. (Becker, 1998). 2007 5 6,,, 10,,,... 1946,. 1947 11 3 1948 1. 1961 1995 1999.,, (, 1998;, 2001; 224

, 2006). 4). ( 1 ) ( 2 1 ).., 4 5). 2000. 2001. 2000, 2001, 2002. (, 2008;, 2008). 6) 4) 2000 ( ) (, 1999;, 2002;, 2005). 5) 4 1. 1., 2., 3., 4., 5.,. 6) 2000 9 19 5, 2001 2 14 4, 2002 1 19 14,,,. 225

30(1), 2010, 220-241 Health and Social Welfare Review. 2001 4, 2001 11 2002 9 86. 2004 3, 6 2004 9 23. < 1> 4.,.,,, -, - : - - - - : - - - -,, - - -, 226

., 3...,..,.,,, (, 2009).. 1969,,.. 8,,, 9 ( ) 227

30(1), 2010, 220-241 Health and Social Welfare Review. 8 1 2. 3,,,......... ( ). ( ).. ( ). ( ) ( ). ( A, ) 228

( ) ( )... ( ). ( G, ).... ( )... ( S, ).. ( )... ( L, ).. 229

30(1), 2010, 220-241 Health and Social Welfare Review.. ( ).,,.. ( K, ).. ( ) ( ).... ( B, )....... ( K, )... 230

.. ( P, ) 2003 15 6 2004 12 9, 2006 11 7, 2007 10 1 (, 2007, 2008). ( ) 2003 5,922 2004 2,632, 2006 1,914 2003 70%. 2003 3 6 2004 3 1, 2006 1 5.., 2003 114 2005 116 7 2.37% 19 6 21 9 11.73% (, 2007).... ( )....? ( ).. ( ). 231

30(1), 2010, 220-241 Health and Social Welfare Review.. ( H, ). ( ).. ( ) ( ).. ( ). ( ) ( ). ( G, )... ( )... ( Y, ) 2003.....,,,, 232

.. 2004 1,696 2006 1,097, 2007 995, 2008 935 2004 5,717 2006, 2,663, 2007 2,508, 2008 2,282 (, 2007, 2008). 2002 6 876 2007 4 6 247 2002 32 9 2007 26 9 (, 2007). (direct).,,,,,. 2008 1 6 6 1 2 77 273 (2.3%) 5 392 (44.6%), 2 170 (18.0%), 1 624 (13.4%), 2 891 (21.7%) (, 2008). 2007 89 2008 498 5 (, 2009)...,,,,,, (, 2009).. 2004 1 7 248 2006 3 3 747, 2008 5 1 575 2004 4.0% 2006 1.6%, 2008 7 0.3% (, 2009;, 2009). 233

30(1), 2010, 220-241 Health and Social Welfare Review.??,,,,.... ( S, ). 20% (, 2008), (, 2007). 30%. (sex worker) (, 2009)..,,,,,.. 234

,...,.. 2004 (, 2007),. 23%(, 2006). 7).,. (, 2007), 7) 70.8%, 62.5%, 43%, 40%. 235

30(1), 2010, 220-241 Health and Social Welfare Review.... 8),.. 2007 2 ( AIDS)..,. 8) DADT(Don't Ask, Don't Tell).,. 236

...... Rutgers,.,, (E-mail: jungwlee@chol.com)., Wisconsin-Madison.,, (E-mail: slee@kangnam.ac.kr). 237

30(1), 2010, 220-241 Health and Social Welfare Review (2007).. :. (2008).. :. (2005).., pp.10-34. (2009). / /., pp.112-130. (2007). :. (1), pp.221-241. (2009).. http://www. hani.co.kr/arti/society/society_general/367037.html. 2010.1.20. (2005). -., pp.56-73., (2006). :. (4), pp.469-490. (2008).. http://news.chosun.com/site/data/ html_dir/2008/09/12/2008091200631. html. 2010.1.18. (2008).., pp.254-273., (1999).. (1), pp.1-11. (2009).. http://sgt.co.kr/articles/news/ SOCIETY/Article.asp?aid=20090726001968. 2010.1.20,,,,,. 2009.. :., (2006).. (1), pp.237-262. (2007).. (4), pp.373-394.,,,,,, (2007)..., (1998).. :. 238

(2009).. http://www.donga.com/fbin/output?n= 200904210148. 2010.1.15. (2001).. :. (2009).. http://news.chosun.com/site/ data/html_dir/2008/09/30/2008093000259.html 2010.1.21. (2005). -., pp.74-101.,, (2007).,, :. (4), pp.49-86.,, (2005).. :. (2008).. http://www.seoul.co.kr/news/news/newsview. php?id=20080923011010&spage=2. 2010.1.18. (2008). : 1970~2005. (1), pp.9-39. (2007).. (2), pp.123-168.,,,, (2007).. :. (2006).. :. (2008).. (1), pp.83-103. (2005).., pp.11-34. (1999).. :., (2005). :. (1), pp.219-236. (2004).. :. (2008).. http://blog. chosun.com/blog.log.view.screen?blogid=3371060. 2010.1.15. 239

30(1), 2010, 220-241 Health and Social Welfare Review (2006).. :. (2007).. :. (2008).. :. (2009).. :. (2002). :. (2), pp.453-486. (2007).. :. Becker, H. (1998). Tricks of Trades. Chicago: University of Chicago. ( ). 2005.. :. Merton, Robert K. (1957). Social Theory and Social Structure. Glencoe, IL: Free Press. WHO (World Health Organization) (2007). Global Strategy for the Prevention and Control of Sexually Transmitted Infections: 2006-2015. Geneva: WHO. UNAIDS (The Joint United Nations Programme on HIV/AIDS) (1998). The Public Health Approach to STD Control. Geneva: UNAIDS. 240

Impact of Anti-Prostitution Law on Sexually Transmitted Disease Control Program Lee, Jungwhan (Cheongju University) Lee, Sungyong (Kangnam University) The purpose of this study is to analyze the impact of the anti-prostitution law on the sexually transmitted disease (STD) control program, which focuses on sex workers. The results drawn from a review of various forms of literature, secondary data and in-depth interviews with experts on prostitution and STD control reveal that the introduction of the anti-prostitution law seems to have little effect on prevention of STD infection in a positive direction. The numbers for registration of sex workers to public health centers and STD examination of sex workers were reduced dramatically and the STD examination program of public health centers also faced great confusion in the course of implementation. In addition, prostitution spread wide in a variety of forms with little change in the nationwide STD prevalence rate after the enforcement of the anti-prostitution law. Furthermore, social environment for STD infection has not been improved much still showing a very low rate of condom use in casual sex. Considering these conditions, this study proposes suggestions to effectively prevent STD infection among sex workers. Keywords: STD Control Program, STD Examination, Anti-Prostitution Law, Sex Workers 241