“…The potential threats to autonomy, voluntariness and participant welfare illustrated in our analysis have been documented in other empirical inquiries about incentives in health research more generally (Fisher, 2011) and with sex workers specifically (Anderson et al, 2016; Brown et al, 2015; Reed et al, 2014). Discussions of these harms have primarily emphasized a neoliberal, principle-based lens that stresses a focus on the individual and their rights that assumes equality among participants and researchers in the ability to exercise choice (Larkin et al, 2008; Morris & Morris, 2016; Resnik, 2012; Singer, 2011). Our application of relational autonomy as a critical theoretical lens (Mackenzie & Stoljar, 2000; Sherwin, 1992) required us to attend to a justice orientation that exposes inequities in research practices and processes that perpetuated marginalization, overrode opportunities for self-determination, and created the possibility for harm.…”