Literature DB >> 22571708

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

Andrea Krüsi1, Jill Chettiar, Amelia Ridgway, Janice Abbott, Steffanie A Strathdee, Kate Shannon.   

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.

Entities:  

Mesh:

Year:  2012        PMID: 22571708      PMCID: PMC3484819          DOI: 10.2105/AJPH.2011.300638

Source DB:  PubMed          Journal:  Am J Public Health        ISSN: 0090-0036            Impact factor:   9.308


  20 in total

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Authors:  Smarajit Jana; Ishika Basu; Mary Jane Rotheram-Borus; Peter A Newman
Journal:  AIDS Educ Prev       Date:  2004-10

3.  Violence and legalized brothel prostitution in Nevada: examining safety, risk, and prostitution policy.

Authors:  Barbara G Brents; Kathryn Hausbeck
Journal:  J Interpers Violence       Date:  2005-03

4.  Enabling environments and the reduction of drug-related harm: re-framing Australian policy and practice.

Authors:  David Moore; Paul Dietze
Journal:  Drug Alcohol Rev       Date:  2005-05

5.  Protection of sex workers.

Authors:  Michael D E Goodyear; Linda Cusick
Journal:  BMJ       Date:  2007-01-13

6.  Mapping violence and policing as an environmental-structural barrier to health service and syringe availability among substance-using women in street-level sex work.

Authors:  K Shannon; M Rusch; J Shoveller; D Alexson; K Gibson; M W Tyndall
Journal:  Int J Drug Policy       Date:  2008-01-18

7.  Social and structural violence and power relations in mitigating HIV risk of drug-using women in survival sex work.

Authors:  Kate Shannon; Thomas Kerr; Shari Allinott; Jill Chettiar; Jean Shoveller; Mark W Tyndall
Journal:  Soc Sci Med       Date:  2007-12-21       Impact factor: 4.634

Review 8.  Sex-work harm reduction.

Authors:  Michael L Rekart
Journal:  Lancet       Date:  2005-12-17       Impact factor: 79.321

9.  Designing out vulnerability, building in respect: violence, safety and sex work policy.

Authors:  Teela Sanders; Rosie Campbell
Journal:  Br J Sociol       Date:  2007-03

10.  Police violence and sexual risk among female and transvestite sex workers in Serbia: qualitative study.

Authors:  Tim Rhodes; Milena Simic; Sladjana Baros; Lucy Platt; Bojan Zikic
Journal:  BMJ       Date:  2008-07-30
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  55 in total

1.  The Loss of Boystown and Transition to Online Sex Work: Strategies and Barriers to Increase Safety Among Men Sex Workers and Clients of Men.

Authors:  Elena Argento; Matthew Taylor; Jody Jollimore; Chrissy Taylor; James Jennex; Andrea Krusi; Kate Shannon
Journal:  Am J Mens Health       Date:  2016-06-28

2.  Urban gentrification and declining access to HIV/STI, sexual health, and outreach services amongst women sex workers between 2010-2014: Results of a community-based longitudinal cohort.

Authors:  Shira M Goldenberg; Ofer Amram; Melissa Braschel; Sarah Moreheart; Kate Shannon
Journal:  Health Place       Date:  2020-02-01       Impact factor: 4.078

3.  Can't buy my love: a typology of female sex workers' commercial relationships in the Mexico-U.S. Border Region.

Authors:  Angela M Robertson; Jennifer L Syvertsen; Hortensia Amaro; Gustavo Martinez; M Gudelia Rangel; Thomas L Patterson; Steffanie A Strathdee
Journal:  J Sex Res       Date:  2013-05-09

4.  Impacts of im/migration experience on work stress among sex workers in Vancouver, Canada.

Authors:  Julie Sou; Kate Shannon; Jean Shoveller; Putu Duff; Melissa Braschel; Sabina Dobrer; Shira M Goldenberg
Journal:  Can J Public Health       Date:  2018-12-18

5.  Violence, trauma and living with HIV: Longitudinal predictors of initiating crystal methamphetamine injection among sex workers.

Authors:  Elena Argento; Steffanie A Strathdee; Shira Goldenberg; Melissa Braschel; Julio Montaner; Kate Shannon
Journal:  Drug Alcohol Depend       Date:  2017-04-19       Impact factor: 4.492

6.  Piloting a 'spatial isolation' index: the built environment and sexual and drug use risks to sex workers.

Authors:  Kathleen N Deering; Melanie Rusch; Ofer Amram; Jill Chettiar; Paul Nguyen; Cindy X Feng; Kate Shannon
Journal:  Int J Drug Policy       Date:  2013-12-22

Review 7.  HIV infection among female sex workers in concentrated and high prevalence epidemics: why a structural determinants framework is needed.

Authors:  Kate Shannon; Shira M Goldenberg; Kathleen N Deering; Steffaine A Strathdee
Journal:  Curr Opin HIV AIDS       Date:  2014-03       Impact factor: 4.283

8.  Social Cohesion Among Sex Workers and Client Condom Refusal in a Canadian Setting: Implications for Structural and Community-Led Interventions.

Authors:  Elena Argento; Putu Duff; Brittany Bingham; Jules Chapman; Paul Nguyen; Steffanie A Strathdee; Kate Shannon
Journal:  AIDS Behav       Date:  2016-06

9.  Client demands for unsafe sex: the socioeconomic risk environment for HIV among street and off-street sex workers.

Authors:  Kathleen N Deering; Tara Lyons; Cindy X Feng; Bohdan Nosyk; Steffanie A Strathdee; Julio S G Montaner; Kate Shannon
Journal:  J Acquir Immune Defic Syndr       Date:  2013-08-01       Impact factor: 3.731

10.  THE IMPACT OF CONSTRUCTION AND GENTRIFICATION ON AN OUTDOOR TRANS SEX WORK ENVIRONMENT: VIOLENCE, DISPLACEMENT AND POLICING.

Authors:  Tara Lyons; Andrea Krüsi; Leslie Pierre; Will Small; Kate Shannon
Journal:  Sexualities       Date:  2017-01-10
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