Decriminalization Of Sex Work Research Articles

Exposure to Police and Client Violence Among Incarcerated Female Sex Workers in Baltimore City, Maryland.

Objectives. To determine the rate and correlates of incarceration among street-based female sex workers (FSWs).Methods. From April 2016 to January 2017, FSWs (n = 250) in Baltimore City, Maryland, were enrolled in a 12-month prospective cohort study. We analyzed baseline data and used zero-inflated negative binomial regression to model the incarceration rate.Results. Overall, 70% of FSWs had ever been incarcerated (mean = 15 times). In the multivariable analysis, incarceration rate was higher for FSWs exposed to police violence, non-Hispanic White FSWs, and women who used injection drugs daily. Risk for ever being incarcerated was higher for FSWs exposed to police or client violence, non-Hispanic Black FSWs, women who used injection or noninjection drugs daily, and those with longer time in sex work.Conclusions. Incarceration was associated with exposure to violence from both police and clients. Daily drug use and time in sex work appeared to amplify these risks. Although non-Hispanic Black women were at greater risk for ever being incarcerated, non-Hispanic White women were incarcerated more frequently.Public Health Implications. Decriminalization of sex work and drug use should be prioritized to reduce violence against FSWs.

Protecting sex workers in Thailand during the COVID-19 pandemic: opportunities to build back better.

The Government of Thailand was prompt to launch social and economic measures to mitigate the effects on the general population following lockdown measures to counter coronavirus disease 2019 (COVID-19). However, sex workers were one of the vulnerable groups who were unable to access state support. A rapid survey of sex workers in Thailand showed that almost all had become unemployed and lost their income as a consequence of the lockdown, restrictions on international flights into the country and the closure of entertainment venues. Most were unable to cover the costs of food and shelter for themselves and their dependents. COVID-19 had also disrupted testing and treatment for sexually transmitted infections and HIV services for sex workers. As in other countries, community-based organizations were essential to providing an immediate, short-term COVID-19 response for sex workers. Also as in other countries, the pandemic has demonstrated that many people's health and well-being depends on very fragile foundations. This presents a clear opportunity to build back better by committing to a longer-term vision for the overall societal inclusion of sex workers. Thailand should advocate for decriminalization of sex work and ensure sex workers are entitled to equal labour rights and inclusion in the government social protection programme. Progress in innovative government initiatives aimed at ending HIV stigma and discrimination show how structural change can come about through harnessing community-based organizations. In turn, HIV services for sex workers need to expand and incorporate targeted interventions to reduce sex workers' occupational susceptibility to COVID-19.

Community-Based Responses to Negative Health Impacts of Sexual Humanitarian Anti-Trafficking Policies and the Criminalization of Sex Work and Migration in the US

System-involvement resulting from anti-trafficking interventions and the criminalization of sex work and migration results in negative health impacts on sex workers, migrants, and people with trafficking experiences. Due to their stigmatized status, sex workers and people with trafficking experiences often struggle to access affordable, unbiased, and supportive health care. This paper will use thematic analysis of qualitative data from in-depth interviews and ethnographic fieldwork with 50 migrant sex workers and trafficked persons, as well as 20 key informants from legal and social services, in New York and Los Angeles. It will highlight the work of trans-specific and sex worker–led initiatives that are internally addressing gaps in health care and the negative health consequences that result from sexual humanitarian anti-trafficking interventions that include policing, arrest, court-involvement, court-mandated social services, incarceration, and immigration detention. Our analysis focuses on the impact of criminalization on sex workers and their experiences with sexual humanitarian efforts intended to protect and control them. We argue that these grassroots community-based efforts are a survival-oriented reaction to the harms of criminalization and a response to vulnerabilities left unattended by mainstream sexual humanitarian approaches to protection and service provision that frame sex work itself as the problem. Peer-to-peer interventions such as these create solidarity and resiliency within marginalized communities, which act as protective buffers against institutionalized systemic violence and the resulting negative health outcomes. Our results suggest that broader public health support and funding for community-led health initiatives are needed to reduce barriers to health care resulting from stigma, criminalization, and ineffective anti-trafficking and humanitarian efforts. We conclude that the decriminalization of sex work and the reform of institutional practices in the US are urgently needed to reduce the overall negative health outcomes of system-involvement.

The lived experience of violence and health-related risks among street sex workers in Uyo, Nigeria

This study examined the lived experience of violence and health-related risks among street sex workers in Uyo, Nigeria. Data were collected through in-depth, individual interviews with 27 female sex workers recruited through venue-based snowball sampling. Thematic coding and analysis were undertaken on interview transcripts. Findings show that sex workers experienced physical, emotional, sexual and economic violence linked to the criminalisation and stigmatisation of sex work. Violence, perpetrated by clients, police, sexual partners and co-sex workers, was used to coerce unprotected sex and free and unacceptable sexual services; to extort money; to prevent client-snatching; and as moral punishment. Violence harms sex workers’ health, undermines condom negotiation and increases STI/HIV risk. Sex workers displayed agency by adopting safety strategies, including screening clients, collaboration, bribing the police for protection and self-defence. Agency was constrained by criminalisation and lack of legal protection. Within this context, the decriminalisation of sex work, the regulation of sex work premises, community mobilisation, economic empowerment and health services are relevant measures for addressing violence and improving sex workers’ health.

How Sex Worker Activism Influenced the Decriminalisation of Sex Work in NSW, Australia.

In 2015, Amnesty International joined over 200 sex worker organisations in the call for nations to decriminalise sex work. Despite this, only two jurisdictions in the world, New Zealand and New South Wales (NSW; Australia), have adopted this approach. This article examines the role that sex worker activists played in sex work law reform in NSW through their representative organisation, the Australian Prostitutes Collective (APC). The APC produced and submitted groundbreaking research to the Select Committee of the NSW Legislative Assembly on Prostitution (1983–1986) whose recommendations laid the foundation for the decriminalisation of sex work in NSW. This article contributes to a developing history of the contribution of sex worker activism to law reform. It explores why it is so important that sex worker voices are included in the process of reform, and how meaningful consultation with sex workers helped shape and invoke a radical policy and legal transformation.

Sex Work, Migration, and Human Trafficking in South Africa: From polarised arguments to potential partnerships

In South Africa, the conflation of sex work with human trafficking means that migrant/mobile sex workers are often framed as victims of trafficking while arguments for the decriminalisation of sex work are discounted due to claims about the risks of increased trafficking. This is despite the lack of clear evidence that trafficking, including in the sex industry, is a widespread problem. Sex worker organisations have called for an evidence-based approach whereby migration, sex work, and trafficking are distinguished and the debate moves beyond the polarised divisions over sex work. This paper takes up this argument by drawing on research with sex workers and a sex worker organisation in South Africa, as well as reflections shared at two Sex Workers’ Anti-trafficking Research Symposiums. In so doing, the authors propose the further development of a Sex Work, Exploitation, and Migration/Mobility Model that takes into consideration the complexities of the quotidian experiences of migration and selling sex. This, we suggest, could enable a more effective and productive partnership between sex worker organisations and other stakeholder groups, including anti-trafficking and labour rights organisations, trade unions, and others to protect the rights and well-being of all those involved in sex work.

Unacceptable Forms of Work in the Thai Sex and Entertainment Industry

This article examines the working conditions in sex and entertainment work in Thailand using the Unacceptable Forms of Work (UFW) Framework. Criminalisation of sex work and insufficient oversight of labour conditions increase the vulnerability of sex workers to police harassment; prevent sex workers from accessing legal and social protections; and contribute to the decent work deficit in the sector. Protecting the human rights of sex workers and ensuring decent work in the Thai sex and entertainment industry necessarily involves the decriminalisation of sex work; amending labour and social protection laws, policies, and systems to be inclusive of sex workers; and ensuring implementation. Throughout the process of policy change, the involvement of sex workers, their employers, and civil society organisations is crucial.

Preventing sexually transmitted and blood borne infections (STBBIs) among sex workers: a critical review of the evidence on determinants and interventions in high-income countries

BackgroundAcross diverse regions globally, sex workers continue to face a disproportionate burden of HIV and other sexually transmitted and blood borne infections (STBBIs). Evidence suggests that behavioural and biomedical interventions are only moderately successful in reducing STBBIs at the population level, leading to calls for increased structural and community-led interventions. Given that structural approaches to mitigating STBBI risk beyond HIV among sex workers in high-income settings remain poorly understood, this critical review aimed to provide a comprehensive synthesis of the global research and literature on determinants of HIV and other STBBIs and promising intervention practices for sex workers of all genders in high-income countries.MethodsWe searched for publications over the last decade (January 2005–March 2016) among sex workers (cis women, cis men, and trans individuals). Data obtained from quantitative peer-reviewed studies were triangulated with publicly available reports and qualitative/ethnographic research where quantitative evidence was limited.ResultsResearch demonstrates consistent evidence of the direct and indirect impacts of structural factors (e.g., violence, stigma, criminalization, poor working conditions) on increasing risk for STBBIs among sex workers, further compounded by individual and interpersonal factors (e.g., mental health, substance use, unprotected sex). Sub-optimal access to health and STBBI prevention services remains concerning. Full decriminalization of sex work has been shown to have the largest potential to avert new infections in sex work, through reducing workplace violence and increasing access to safer workspaces. Promising practices and strategies that should be scaled-up and evaluated to prevent STBBIs are highlighted.ConclusionsThe high burden of STBBIs among sex workers across high-income settings is of major concern. This review uniquely contributes to our understanding of multilevel factors that potentiate and mitigate STBBI risk for sex workers of all genders. Research suggests that multipronged structural and community-led approaches are paramount to addressing STBBI burden, and are necessary to realizing health and human rights for sex workers. Given the heterogeneity of sex worker populations, and distinct vulnerabilities faced by cis men and trans sex workers, further research utilizing mixed-methods should be implemented to delineate the intersections of risk and ameliorate critical health inequalities.

A snapshot of male sex worker health and wellbeing in Western Australia.

Male sex workers were surveyed using a modified survey instrument that had been used in a study undertaken in 2006. Survey respondents were recruited by word-of-mouth, social media, advertisements in gay press and in person. In-depth interviews with a small number of male sex workers were also conducted. Fifty-eight men responded to the survey. The majority of survey respondents (42/58, 72%) were aged ≤35 years and a high proportion (50/58, 86%) worked privately at least some of the time. Seventy-two per cent (33/46) reported consistently using condoms during anal sex and 22% (11/51) during oral sex with clients. The consistent use of condoms with partners outside of work was associated with consistent use of condoms with clients. Forty per cent (23/58) of respondents reported currently using tobacco and 47% (25/53) reported harmful drinking at least weekly. The majority of respondents reported that sex work enhanced their wellbeing, with negative effects being largely due to stigma and discrimination, and the uncertainty related to not having a steady income. The study findings point to the need for peer outreach and support, interventions to improve the broader health of male sex workers and decriminalisation of sex work in Western Australia.

Impacts of im/migration experience on work stress among sex workers in Vancouver, Canada.

Despite the precarious and unsafe working conditions frequently experienced by sex workers (SWs) and im/migrant workers, there remains a paucity of research on work-related stress and links to duration of im/migration residency among SWs. This study analyzes the relationship between duration of residency and two dimensions of work stress among SWs in Metro Vancouver. Data were drawn from a longitudinal cohort of women SWs across Metro Vancouver (2010-2014). Multivariable confounder models with generalized estimating equations were developed to examine the independent effects of duration of residency on decision authority and job demands, after adjusting for confounders. Of 545 SWs, 9.7% were recent im/migrants, 13.9% were long-term im/migrants, and 76.2% were non-migrants. In comparison to non-migrant SWs, recent (β coefficient - 1.02, 95% CI - 1.57 to - 0.47) and long-term im/migrants (β coefficient - 0.87, 95% CI - 1.36 to -0.38) faced decreased work stress related to job demands after adjustment for key confounders. Decision authority did not retain a significant independent association after adjusting for the same factors. Job demands varied significantly by duration of residency. This may be explained by changing working conditions and experiences over the course of arrival and settlement among im/migrant SWs, as well as the role of formal work environments in supporting im/migrant SWs' well-being. Given high rates of work stress related to job demands and low decision authority among all SWs, decriminalization of sex work, improved occupational standards, and culturally sensitive interventions to promote collectivization and improved access to working conditions remain needed.

Stigma, decriminalisation, and violence against street-based sex workers: Changing the narrative

It is well documented that sex workers manage risks in their work – such as the potential for violence and the multiple risks associated with stigma. While sex workers are commonly understood to be a stigmatised population, few studies have considered in depth how stigma operates in different legislative contexts, how it relates to sex-worker safety, and how it may be reduced. Stigma is understood to be exacerbated by the criminalisation of sex work, which defines sex workers as deviant others and consequently renders them more vulnerable to violence. However, as full decriminalisation of sex work is still relatively rare, there has been little in-depth exploration into the relationship between this legislative approach, risks of violence, and stigma. Drawing on the findings of in-depth interviews with street-based sex workers and sex-worker rights advocates, in this article I explore the links between stigma and violence, and discuss the challenges of reducing stigma associated with sex work in New Zealand, post-decriminalisation. I argue that while decriminalisation has undoubtedly benefited sex workers in New Zealand, stigma continues to have a negative impact – particularly for street-based sex workers. Decriminalisation should therefore be considered an essential starting point. However, ongoing work must focus on countering stigmatising narratives, to enable a safer society for all sex workers.

Of Festivals, Rights and Public Life: Sex Workers’ Activism in India as Affirmative Sabotage

In 2012, Durbar Mahila Samanwaya Committee (DMSC), India’s largest sex workers’ collective, organised a major Hindu religious festival of Bengal called the Durga Puja. It was a part of their rights activism for the de-criminalisation of sex work. In this article, I provide an account of this event as an act of re-ordering public life by sex workers and contend that the worldview which informs DMSC’s practice of the festival has points of convergence with Gayatri Chakravorty Spivak’s articulation of the idea of affirmative sabotage. I argue that we are able to see this convergence between DMSC’s celebration of the festival and post-colonial feminist thought by attending to the particular location and the relations that DMSC’s practice of the Durga Puja inhabits. I situate this account of sex workers’ rights activism alongside a rival narrative of the festival put forth by Dalit and adivasi groups. I include this rival account to perform the limitation of my own reading of the political potential of DMSC’s practice of the festival. This rival assertion demands a recognition of the situatedness and limitedness of feminist practices.

Challenges Facing Asian Sex Workers in Western Australia: Implications for Health Promotion and Support Services.

Introduction: Asian sex workers are a significant part of the Australian sex industry. Criminal laws, racism, isolation, poor English language skills and stigma and discrimination combine to increase the vulnerability of Asian sex workers in Australia. To inform service delivery and potential legislative reform, we undertook a study of sex worker health and safety in Western Australia with a focus on Asian sex workers.Methods: This was a mixed methods study in which peer researchers played an essential role. We undertook a survey (available online and in paper form and translated into three languages other than English), semi-structured interviews with sex workers, and interviews with key advisors.Results: In our study, Asian sex workers were older, had lower levels of education, more likely to have sex work as their main source of income, work longer hours and work exclusively in a shop-front massage parlor compared to their non-Asian counterparts. The vast majority of Asian sex workers in our study said they had poor English language skills and the greatest proportion spoke Chinese languages. Sex work had a positive impact on the well-being of many respondents, and their level of psychological distress was similar to the general Australian population. Stress and “bad clients” were common negative impacts of sex work. Asian study participants were less likely than their non-Asian counterparts to smoke, undertake risky drinking or use illicit drugs. A similar proportion of Asian sex workers reported being assaulted compared to their non-Asian counterparts.Discussion/Conclusion: The major challenges facing Asian sex workers in WA seem to be stigma and discrimination, stress, social isolation, and confusion about their legal standing leading to a fear of authorities, particularly the police. Our findings support the need for enhanced targeted peer-based health promotion outreach services for Asian sex workers, increased Asian language services in sexual health clinics and decriminalization of sex work.

Survivor or Laborer

Regardless of primary population served, human service organizations are likely to come into contact with individuals who have been currently or formerly involved in the sex trade. In the United States, social workers have had a fraught history with this population, either treating them like delinquents or like victims in need of rescue. Sex worker activists in the United States continue to decry the negative treatment provided by individuals in the helping professions, even as harm reduction, the practice of reducing the harm of risky behaviors, has entered the service provision lexicon as an antidote to abstinence-only services. This article uses qualitative interviews with managers of human service organizations in the city of Chicago to determine how they think about their work with sex workers and how they perceive the proposed solutions to “fixing” the sex trade: abolitionism and decriminalization. Findings show that despite the dominant discourse of abolitionism in the United States, most of managers in this project believe full decriminalization of sex work will best assist their sex worker clients. Future research needs to understand how this finding holds in different settings and how this affects current efforts to advocate for decriminalization.

Activism for Sex Workers in the Netherlands: Interview with Jan Visser about Foundation and End of De Rode Draad, 1976 to 2012

By order of the Archive and Centre for the Documentation of Sex Work — Madonna (Bochum), I conduct interviews with sex workers and sex work activists as contemporary witnesses. In this context, I met the sociologist Jan Visser in January 2018 for a first conversation about his political work in connection with the de-criminalisation and de-stigmatisation of sex workers and sex work. For the Journal of Social History and the History of Social Movements , an abbreviated excerpt of this conversation was written to trace a chronical arch from the development to the dissolution of the prostitutes’ rights organisation De Rode Draad. In 1985, a group of female sex workers formed De Rode Draad in Amsterdam, which was subsidised by the Dutch government from the get-go. De Rode Draad was involved in the development of a concept of decriminalisation of prostitution by regulation and integration of the sexwork into labour and employment laws. Their history, work and success is closely related to the Mr. A. de Graaf Foundation. Furthermore, the interview highlights the specific frictions and challenges, which a group is forced to deal with, when stigmatised sex work activists and academic allies who are no sex workers cooperate.

Better Late than Never: Lessons from S v Jordan in Strengthening Women's Participation in Litigation

In 2002 the South African Constitutional Court rejected the decriminalisation of sex work and for many years the judgment has constricted further debate on the topic. In 2013 organisations such as the Commission for Gender Equality have again publicly committed themselves toward lobbying for the decriminalisation of sex work. The renewed debate has necessitated a reconsideration of the Court's decision in S v Jordan and this article focuses on the organisations that participated as amicus curiae in the matter. The discussion highlights the importance of organisational participation in litigation and how this participation could provide the context in which to consider future debates on the topic.
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Perspectives of Brothel Leaders and HIV Prevention Experts on the Role of Gatekeepers on Improving Condom Use by Female Sex Workers in Abuja, Nigeria

A qualitative study using in-depth interviews explored the perceptions and views of brothel leaders and HIV program experts on the acceptability and adoptability of using gatekeepers in interventions aimed at improving Female Sex Workers’ (FSWs) condom use in Nigeria. Brothel leaders are an influential group within the FSWs’ social and physical environment and their attitudes, beliefs and actions can influence the immediate brothel environment and the adoption of interventions within the brothel. HIV prevention experts make key decisions on the content and strategies adopted for HIV prevention efforts and also influence the design and implementation of HIV prevention strategies within programs. Four themes illustrating the benefits and barriers of the inclusion of gatekeepers within the immediate environment of the FSW were identified. Results show that brothel leadership inclusion in HIV prevention efforts could exert potential positive influence on the immediate brothel environment. Brothel leaders can support the institution of establishment policies supporting consistent condom use by the FSWs, promotion of HIV awareness, resolution of conflicts and harassments, support to new entrants into sex work and the reinforcement of protective behaviors among the FSWs. The decriminalization of sex work and the inclusion of gatekeepers support into country HIV program guidelines may contribute to mitigating prevalent sociocultural factors limiting FSWs’ rights as well as their access to health services. The present study provides insights into the potential positive roles of brothel leaders in improving condom use and other HIV/AIDs related interventions for brothel based FSWs in Abuja, Nigeria from the perspective of brothel leaders and HIV prevention experts.

Sex Workers in Comics and Graphic Novels

Prostitutes, or sex workers as they are often referred to nowadays, are usually marginalized and generally depicted in a negative light in comics and graphic novels. Most frequently, a stereotypical image of female sex workers as victims of society from a patriarchal viewpoint is perpetuated. Violence against prostitutes is often the central theme for graphic novels, like in From Hell (1989) by Alan Moore and Eddie Campbell. Characters that are, or used to be, prostitutes are almost exclusively victimized or vilified. Even powerful, authoritative, and independent women, like most from the Sin City series (1991-2000) of graphic novels by Frank Miller, are, in the grand scheme of things, at the mercy of more powerful male figures. In 2011 the Canadian cartoonist Chester Brown tried to counter this prevalent misogynist depiction of prostitutes in his graphic novel Paying For It. The autobiographical story centers on him as a “John”, a client of sex workers, for several years, and explains his experiences with escorts. My paper will focus on the depiction of prostitutes in Chester Brown’s Paying For It (2011) and will compare various comics and graphic novels also featuring sex workers with the book. I will show that Paying For It (2011), although partly flawed, is an important work for the portrayal of prostitutes in comics, and a valuable contribution in the debate about the decriminalization of sex work.

New Zealand Prostitutes’ Collective—An Example of a Successful Policy Actor

The New Zealand Prostitutes’ Collective (NZPC) is a unique example of a sex workers’ rights organisation which is an important actor in prostitution policy. The NZPC has had a significant impact on prostitution laws, managing to achieve the decriminalisation of sex work in New Zealand, which distinguishes it from many other studied organisations. Indeed, the literature on sex workers’ rights organisations notes their relative failure in terms of their impact on prostitution law and policy, identifying the following hurdles: the lack of a common identity and solidarity among sex workers, their stigmatisation, problems with organisational leadership and membership, lack of resources and challenging relationships with allies. This article analyses the role of the NZPC in prostitution policy in New Zealand, particularly in the adoption of the decriminalisation model, and examines the key factors for its success in light of the literature on sex workers’ rights organisations.

“Outdated Laws, Outspoken Whores”: Exploring sex work in a criminalised setting

This article explores the experiences of sex workers living and working in South Australia under laws that criminalise their profession. A qualitative research methodology was used to interview sex workers about their work experiences. It was found that working in a criminalised setting raised particular concerns for sex workers including an erosion of workplace protections, outreach services, access to health service and increased policing. This article argues that criminalising sex work leads to human rights violations, therefore sex work should be decriminalised to ensure workers are protected. The themes from the interviews build qualitative evidence supporting the decriminalisation of sex work. This research has been supported by the Sex Industry Network of South Australia (SIN).