Abstract

BackgroundThe capacity to advertise via the Internet continues to contribute to the shifting dynamics in adult commercial sex work. eHealth interventions have shown promise to promote Internet-based sex workers’ health and safety internationally, yet minimal attention has been paid in Canada to developing such interventions. Understanding the information communicated in Internet-based sex work advertisements is a critical step in knowledge development to inform such interventions.ObjectiveThe purpose of this content analysis was to increase our understanding of the health and safety information within the Internet advertisements among women, men, and transgender sex workers and to describe how this information may be utilized to inform eHealth service development for this population.MethodsA total of 75 Internet-based sex worker advertisements (45 women, 24 men, and 6 transgender persons) were purposefully selected from 226 advertisements collected as part of a larger study in Western Canada. Content analysis was employed to guide data extraction about demographic characteristics, sexual services provided, service restrictions, health practices and concerns, safety and security, and business practices. Frequencies for each variable were calculated and further classified by gender. Thematic analysis was then undertaken to situate the communications within the social and commercialized contexts of the sex industry.ResultsFour communications themes were identified: (1) demographic characteristics; (2) sexual services; (3) health; and (4) safety and security. White was the most common ethnicity (46/75, 61%) of advertisements. It was found that 20-29 years of age accounted for 32 of the 51 advertisements that provided age. Escort, the only legal business title, was the most common role title used (48/75, 64%). In total, 85% (64/75) of advertisements detailed lists of sexual services provided and 41% (31/75) of advertisements noted never offering uncovered services (ie, no condom). Gender and the type of Web-based platform mattered for information communicated. It was found that 35 of the 45 women’s advertisements were situated in personal websites and hosted details about nonsexual aspects of an appointment. Men and transworkers used Internet classified advertisement platforms with predetermined categories. Communications about sexually transmitted infections (STIs) occurred in only 16% (12/75) of advertisements with men accounting for 7. Women’s advertisements accounted for 26 of the 37 advertisements noting safety restrictions. Zero men or transpersons restricted alcohol or drug use. In total, 75% (56/75) of advertisements offered out-call services and the average minimal hourly rate ranged from Can $140/h to Can $200/h.ConclusionsThe study findings contribute to understandings about the diverse platforms used in commercial sex advertisements, and how sex workers frame information for potential clients. This information affords health care providers and policy makers insights to how they might assist with promoting the health of Internet-based sex workers and their clients.

Highlights

  • BackgroundThe capacity to advertise via the Internet continues to contribute to the shifting dynamics in adult commercial sex work [1,2] creating unprecedented opportunities for sex workers to determine how they will conduct business and allowing for greater control over their work [3]

  • Safety, demographic characteristics, and sexual services were regularly communicated in the 75 advertisements regardless of platform used

  • Content analysis provides some information to help understand health and safety practices, additional research with a larger sample that includes the perspectives and experiences of Internet-based sex workers is warranted. This descriptive study is one of the first to analyze the content of Internet-based sex work advertisements in Canada, and is one of a few to include men, women, and transgender people in a single study

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Summary

Introduction

The capacity to advertise via the Internet continues to contribute to the shifting dynamics in adult commercial sex work [1,2] creating unprecedented opportunities for sex workers to determine how they will conduct business and allowing for greater control over their work [3]. EHealth interventions have shown promise to promote health and safety among Internet-based sex workers [14,15]. The dearth of information about Internet-based sex work and the health practices and experiences of those involved may be contributing to oversights in eHealth intervention development [8,9,16]. The capacity to advertise via the Internet continues to contribute to the shifting dynamics in adult commercial sex work. EHealth interventions have shown promise to promote Internet-based sex workers’ health and safety internationally, yet minimal attention has been paid in Canada to developing such interventions. Understanding the information communicated in Internet-based sex work advertisements is a critical step in knowledge development to inform such interventions

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