Can health programmes lead to mistreatment of sex workers?

Loff, Bebe; Overs, Cheryl; Longo, Paulo

doi:10.1016/s0140-6736(03)13595-7

Cited by 20 publications

(13 citation statements)

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“…Some examples of such attempts are available globally, including from India [8,25]. There are also lessons to be learnt if the prevention efforts do not involve sex workers as primary stakeholders in these programmes [32,33] or when legal environment disrupts the prevention efforts [27]. …”

Section: Discussionmentioning

confidence: 99%

High risk of HIV in non-brothel based female sex workers in India

et al. 2005

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Section: Discussionmentioning

confidence: 99%

High risk of HIV in non-brothel based female sex workers in India

et al. 2005

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“…In order to strengthen social cohesion for HIV prevention, aiming for structural intervention in occupational safety and sex workers’ rights for health equality, multiple sources of protection and resilience within sex-work networks should be taken into consideration (Berkman et al . 2000), including recognition of the agency of FSWs as individual social capital (Loff et al . 2003).…”

Section: Discussionmentioning

confidence: 99%

Occupational safety and HIV risk among female sex workers in China: A mixed-methods analysis of sex-work harms and mommies

Zheng

Wan³

et al. 2012

Global Public Health

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Female sex workers (FSWs) in China are exposed to multiple work-related harms that increase HIV vulnerability. Using mixed-methods, we explored the social-ecological aspects of sexual risk among 348 FSWs in Beijing. Sex-work harms were assessed by property stolen, being underpaid or not paid at all, verbal and sexual abuse, forced drinking; and forced sex more than once. The majority (90%) reported at least one type of harm, 38% received harm protection from ‘mommies’ (i.e., managers) and 32% reported unprotected sex with clients. In multivariate models, unprotected sex was significantly associated with longer involvement in sex work, greater exposure to harms, and no protection from mommies. Mommies’ protection moderated the effect of sex-work harms on unprotected sex with clients. Our ethnography indicated that mommies played a core role in sex-work networks. Such networks provide a basis for social capital; they are not only profitable economically, but also protect FSWs from sex-work harms. Effective HIV prevention interventions for FSWs in China must address the occupational safety and health of FSWs by facilitating social capital and protection agency (e.g., mommies) in the sex-work industry.

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“…While 100% CUP was not created with the intention of violating the rights of PPS, those charged with implementation, such as police officers and local government officials, sometimes develop their own policies to ensure compliance. For example, police and military have forcibly escorted PPS to clinics for mandatory STI screenings (Loff et al 2003). In some case, PPS have been jailed for testing positive.…”

Section: The Way Forwardmentioning

confidence: 99%