Confidence in the police is fundamental to citizens' willingness to report unlawful behaviour, share intelligence about crime, seek help when victimized, and generally comply with the law. Marginalized groups overwhelmingly report a lack of confidence that police will apply the law fairly. Although sex work research reports a wide range of negative experiences with the police, it is not known how common these experiences are because most research focuses solely on street-based sex workers and does not include quantitative measures. We report on confidence in the police through the analysis of relevant data gathered from in-person interviews with sex workers from six census metropolitan areas of Canada. Under the pre-2014 legal regime, our non-random sample of sex workers had lower confidence in police than estimated for other Canadians by the General Social Survey and were particularly unlikely to see police as treating sex workers fairly. Thematic analysis suggests this is primarily driven by stigma and discrimination. We also found a significant minority who reported the police to be a source of aid, suggesting that appropriate policy and program regimes could be developed to improve sex worker–police relations.

OBJECTIVES: This paper examines unmet health care needs in one of Canada's most hard-to-reach populations, adult sex workers, and investigates whether their reasons for not accessing health care are different from those of other Canadians.METHODS: Data gathered in 2012-2013 from sex workers aged 19 and over (n = 209) in five Canadian census metropolitan areas (CMAs) were analyzed to estimate the perceived health, health care access and level of unmet health care needs of sex workers, and their principal reasons for not accessing health care. These data were collected using questions identical to those of the Canadian Community Health Survey (CCHS) Cycle 2.1, 2003. The results were compared with those of residents aged 19 and over in the same CMAs who had participated in the CCHS.RESULTS: Sex workers reported notably worse perceived mental health, poorer social determinants of health (with the exception of income) and nearly triple the prevalence of unmet health care needs (40.4% vs. 14.9%). Those with the greatest unmet health care needs in both groups were younger, unmarried or single and in poorer health, and reported lower income and a weaker sense of community belonging. Even without these within-group risk factors, sex workers were more likely to report unmet health care needs compared with CCHS respondents. Sex workers were also more likely to identify "didn't get around to it", "too busy", "cost", "transportation problems" and "dislike doctors/afraid" as reasons for eschewing care.CONCLUSION: Equity policies that reduce cost and transportation barriers may go some way in helping sex workers access needed health care. Qualitative research is needed to better understand the realities of sex workers' personal and work lives, including the degree of freedom they have in accessing health care when they need it, but also their experiences when they do manage to engage with the health care system. KEY WORDS: Social determinants of health; access to health care; sex workers; unmet health care needs; barriers La traduction du résumé se trouve à la fin de l'article.

Our results confirm that constraints in marriage markets appear to contribute to a gender gap in the prevalence of repartnering after widowhood. Though the widowed prefer remarriage over cohabitation as a repartnering choice, there are important regional differences in repartnering that reflect cultural norms in the social acceptance of cohabitation. Socioeconomic disincentives to marriage do not appear to push the widowed into cohabitation.

Entry into sex work is not typically considered as an occupational choice comparable to entry into other jobs. In the sex work literature, initiation is often thought to occur through predisposing factors deep in the structure of society, including childhood disadvantage, abuse and neglect. Some studies have also identified need for money as the main reason for entry, while others document entry due to a desire for more disposable income. Few studies have focused on agency-level factors guiding entry, including seeing sex work as a viable career or professional choice. Analysis of data from interviews with a purposive multi-gender sample (N = 218) reveals the multiple reasons for entry into sex work in Canada. Participants identified three overlapping structural and agentic reasons for entry: critical life events; desire or need for money; and personal appeal of the work. These findings are discussed in light of the occupational choice and sex work literatures.