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. 2012 Jun;102(6):1154-9.
doi: 10.2105/AJPH.2011.300638.

Negotiating safety and sexual risk reduction with clients in unsanctioned safer indoor sex work environments: a qualitative study

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Negotiating safety and sexual risk reduction with clients in unsanctioned safer indoor sex work environments: a qualitative study

Andrea Krüsi et al. Am J Public Health. 2012 Jun.

Abstract

Objectives: We examined how unique, low-barrier, supportive housing programs for women who are functioning as unsanctioned indoor sex work environments in a Canadian urban setting influence risk negotiation with clients in sex work transactions.

Methods: We conducted 39 semistructured qualitative interviews and 6 focus groups with women who live in low-barrier, supportive housing for marginalized sex workers with substance use issues. All interviews were transcribed verbatim and thematically analyzed.

Results: Women's accounts indicated that unsanctioned indoor sex work environments promoted increased control over negotiating sex work transactions, including the capacity to refuse unwanted services, negotiate condom use, and avoid violent perpetrators. Despite the lack of formal legal and policy support for indoor sex work venues in Canada, the environmental-structural supports afforded by these unsanctioned indoor sex work environments, including surveillance cameras and support from staff or police in removing violent clients, were linked to improved police relationships and facilitated the institution of informal peer-safety mechanisms.

Conclusions: This study has drawn attention to the potential role of safer indoor sex work environments as venues for public health and violence prevention interventions and has indicated the critical importance of removing the sociolegal barriers preventing the formal implementation of such programs.

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References

    1. Goodyear MD, Cusick L. Protection of sex workers. BMJ. 2007;334(7584):52–53 - PMC - PubMed
    1. Potterat JJ, Brewer DD, Muth SQet al.Mortality in a long-term open cohort of prostitute women. Am J Epidemiol. 2004;159(8):778–785 - PubMed
    1. Spittal PM, Craib KJ, Wood Eet al.Risk factors for elevated HIV incidence rates among female injection drug users in Vancouver. CMAJ. 2002;166(7):894–899 - PMC - PubMed
    1. Crago A-L. Arrest the Violence: Human Rights Abuses Against Sex Workers in Central and Eastern Europe and Central Asia. November 2009. Available at: http://www.soros.org/initiatives/health/focus/sharp/articles_publication.... Accessed March 3, 2011
    1. Shannon K, Kerr T, Strathdee SA, Shoveller J, Montaner JS, Tyndall MW. Prevalence and structural correlates of gender based violence among a prospective cohort of female sex workers. BMJ. 2009;339:b2939 - PMC - PubMed

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