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

McCausland, Kahlia; Lobo, Roanna; Bates, Julie; Donovan, Basil; Hallett, Jonathan

doi:10.1071/sh18166

Cited by 6 publications

(20 citation statements)

References 19 publications

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“…The proportion of sex workers in Sydney accessing sexual health clinics who were from Asia increased from 20% to over 50% from 1992 to 2009 ( 1 ). This was also reflected in other jurisdictions including Western Australia (WA) ( 2 ). Currently the majority of Asian sex workers are from China, Thailand and Korea ( 1 – 3 ).…”

Section: Introductionmentioning

confidence: 80%

“…Peer researchers undertook all visits to sexual services premises. The process for selecting and visiting premises has been described elsewhere ( 2 ). Regional visits to Kalgoorlie, Rockingham, Bunbury and Mandurah were undertaken by a peer investigator (JB) during which attempts were made to identify and visit sexual services premises.…”

Section: Methodsmentioning

confidence: 99%

“…The survey included the Kessler K10 scale ( 11 , 12 ), and a validated question relating to binge drinking ( 13 ). The survey was self-administered either online or on paper and included a range of questions including about interactions with police and experiences of violence and stigma ( 2 ). The survey was translated into Korean, Thai and Chinese by NAATI (National Accreditation Authority for Translators and Interpreters) accredited personnel and checked by peers for appropriate use of language and context.…”

Section: Methodsmentioning

confidence: 99%

“…Thematic analysis involved reading the interview transcripts and free text responses several times and noting down points of interest. Descriptive codes were assigned to the points of interest and then were grouped into categories to develop the overarching themes ( 2 , 15 ). Data management and coding was conducted using NVivo v11 (QSR International).…”

Section: Methodsmentioning

confidence: 99%

“…Street-based sex work is illegal in WA under the Prostitution Act 2000 and the Criminal Code explicitly disallows keeping or managing a brothel ( 10 ). Regardless, there are a number of highly visible brothels in Perth and at least one regional center, and criminal sanctions tend to focus predominantly on street-based sex work ( 2 , 9 ). In this study we built on the earlier study in order to describe changes in the WA sex industry in the later decade.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

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

Selvey

Lobo

McCausland

et al. 2018

Front. Public Health

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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.

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Section: Introductionmentioning

confidence: 80%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

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

Selvey

Lobo

McCausland

et al. 2018

Front. Public Health

Self Cite

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Condomless Anal Sex Between Male Sex Workers and Clients in the Age of Hookup Apps

Siegel,

Cabán,

Brown-Bradley

et al. 2023

AIDS Behav

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Perceived risk and condomless sex practice with commercial and non-commercial sexual partners of male migrant sex workers in London, UK

Ruiz-Burga

2021

F1000Res

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Background: Since the emergence of HIV and the AIDS pandemic, the majority of risk-reduction interventions have been centred on the use of condoms in sex workers. Methods: This qualitative study recruited 25 male migrant sex workers in London to understand their risk perception and condomless sex experiences within the context of sex work and private life. The data was collected using face-to-face interviews, analysed using thematic analysis, and the findings interpreted through the theory of planned behaviour. Results: The themes explain that condomless sex with clients occurred when participants consciously accepted to perform this service deploying a risk assessment of clients, faulty strategies, and sexual practices to reduce their risk; or when they lost control because of recreational drugs, feeling attraction to clients, in precarious circumstances, or were victims of violence. Conversely, condomless sex with non-commercial partners occurred according to the type of relationship, with formal partners it was rationalised through emotional aspects attached to this kind of relationship, while with casual partners it was connected to sexual arousal and the use of alcohol and drugs. Conclusions: Reinforce educational interventions to deliver STI-HIV information, enhance the use of condoms, and to address specific contextual factors that facilitate condomless practice with commercial and non-commercial sexual partners.

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

Cited by 6 publications

References 19 publications

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

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

Condomless Anal Sex Between Male Sex Workers and Clients in the Age of Hookup Apps

Perceived risk and condomless sex practice with commercial and non-commercial sexual partners of male migrant sex workers in London, UK

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