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. 2005 Jun;81(3):201–206. doi: 10.1136/sti.2004.012468

The many faces of sex work

C Harcourt 1, B Donovan 1
PMCID: PMC1744977  PMID: 15923285

Abstract

Objective: To compile a global typography of commercial sex work.

Methods: A Medline search and review of 681 "prostitution" articles was conducted. In addition, the investigators pooled their 20 years of collected papers and monographs, and their observations in more than 15 countries. Arbitrary categories were developed to compile a workable typology of sex work.

Results: At least 25 types of sex work were identified according to worksite, principal mode of soliciting clients, or sexual practices. These types of work are often grouped under the headings of "direct" and "indirect" prostitution, with the latter group less likely to be perceived or to perceive themselves as sex workers. In general, policing sex work can change its typology and location but its prevalence is rarely affected. The public health implications of sex work vary widely.

Conclusion: Developing comprehensive sexual health promotion programmes requires a complete understanding of the types of sex work in a particular area. This study provides a checklist for developing appropriate and targeted programmes.

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Selected References

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  1. Aral Sevgi O., St Lawrence Janet S., Tikhonova Lilia, Safarova Emma, Parker Kathleen A., Shakarishvili Anna, Ryan Caroline A. The social organization of commercial sex work in Moscow, Russia. Sex Transm Dis. 2003 Jan;30(1):39–45. doi: 10.1097/00007435-200301000-00009. [DOI] [PubMed] [Google Scholar]
  2. Asamoah-Adu C., Khonde N., Avorkliah M., Bekoe V., Alary M., Mondor M., Frost E., Deceuninck G., Asamoah-Adu A., Pépin J. HIV infection among sex workers in Accra: need to target new recruits entering the trade. J Acquir Immune Defic Syndr. 2001 Dec 1;28(4):358–366. doi: 10.1097/00126334-200112010-00009. [DOI] [PubMed] [Google Scholar]
  3. Bhatt P., Gurubacharya V. L., Vadies G. A unique community of family-oriented prostitutes in Nepal uninfected by HIV-1. Int J STD AIDS. 1993 Sep-Oct;4(5):280–283. doi: 10.1177/095646249300400506. [DOI] [PubMed] [Google Scholar]
  4. Blackmore C. A., Limpakarnjanarat K., Rigau-Pérez J. G., Albritton W. L., Greenwood J. R. An outbreak of chancroid in Orange County, California: descriptive epidemiology and disease-control measures. J Infect Dis. 1985 May;151(5):840–844. doi: 10.1093/infdis/151.5.840. [DOI] [PubMed] [Google Scholar]
  5. Butcher Kate. Confusion between prostitution and sex trafficking. Lancet. 2003 Jun 7;361(9373):1983–1983. doi: 10.1016/S0140-6736(03)13596-9. [DOI] [PubMed] [Google Scholar]
  6. Campbell C. Selling sex in the time of AIDS: the psycho-social context of condom use by sex workers on a Southern African mine. Soc Sci Med. 2000 Feb;50(4):479–494. doi: 10.1016/s0277-9536(99)00317-2. [DOI] [PubMed] [Google Scholar]
  7. Cohen M. S., Henderson G. E., Aiello P., Zheng H. Successful eradication of sexually transmitted diseases in the People's Republic of China: implications for the 21st century. J Infect Dis. 1996 Oct;174 (Suppl 2):S223–S229. doi: 10.1093/infdis/174.supplement_2.s223. [DOI] [PubMed] [Google Scholar]
  8. Cwikel J., Ilan K., Chudakov B. Women brothel workers and occupational health risks. J Epidemiol Community Health. 2003 Oct;57(10):809–815. doi: 10.1136/jech.57.10.809. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Dada A. J., Oyewole F., Onofowokan R., Nasidi A., Harris B., Levin A., Diamondstone L., Quinn T. C., Blattner W. A. Demographic characteristics of retroviral infections (HIV-1, HIV-2, and HTLV-I) among female professional sex workers in Lagos, Nigeria. J Acquir Immune Defic Syndr. 1993 Dec;6(12):1358–1363. [PubMed] [Google Scholar]
  10. Day S., Ward H. Sex workers and the control of sexually transmitted disease. Genitourin Med. 1997 Jun;73(3):161–168. doi: 10.1136/sti.73.3.161. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Donovan B. Medico-social aspects of a house of prostitution. Med J Aust. 1984 Mar 3;140(5):272–275. doi: 10.5694/j.1326-5377.1984.tb104035.x. [DOI] [PubMed] [Google Scholar]
  12. Evans C., Lambert H. Health-seeking strategies and sexual health among female sex workers in urban India: implications for research and service provision. Soc Sci Med. 1997 Jun;44(12):1791–1803. doi: 10.1016/s0277-9536(96)00288-2. [DOI] [PubMed] [Google Scholar]
  13. Ford K., Wirawan D. N., Fajans P. AIDS knowledge, risk behaviors, and condom use among four groups of female sex workers in Bali, Indonesia. J Acquir Immune Defic Syndr Hum Retrovirol. 1995 Dec 15;10(5):569–576. [PubMed] [Google Scholar]
  14. Ford K., Wirawan D. N., Fajans P., Thorpe L. AIDS knowledge, risk behaviors, and factors related to condom use among male commercial sex workers and male tourist clients in Bali, Indonesia. AIDS. 1995 Jul;9(7):751–759. doi: 10.1097/00002030-199507000-00013. [DOI] [PubMed] [Google Scholar]
  15. Gysels Marjolein, Pool Robert, Nnalusiba Betty. Women who sell sex in a Ugandan trading town: life histories, survival strategies and risk. Soc Sci Med. 2002 Jan;54(2):179–192. doi: 10.1016/s0277-9536(01)00027-2. [DOI] [PubMed] [Google Scholar]
  16. Hankins Catherine A., Friedman Samuel R., Zafar Tariq, Strathdee Steffanie A. Transmission and prevention of HIV and sexually transmitted infections in war settings: implications for current and future armed conflicts. AIDS. 2002 Nov 22;16(17):2245–2252. doi: 10.1097/00002030-200211220-00003. [DOI] [PubMed] [Google Scholar]
  17. Harcourt C., van Beek I., Heslop J., McMahon M., Donovan B. The health and welfare needs of female and transgender street sex workers in New South Wales. Aust N Z J Public Health. 2001;25(1):84–89. doi: 10.1111/j.1467-842x.2001.tb00556.x. [DOI] [PubMed] [Google Scholar]
  18. Inciardi J. A. Crack, crack house sex, and HIV risk. Arch Sex Behav. 1995 Jun;24(3):249–269. doi: 10.1007/BF01541599. [DOI] [PubMed] [Google Scholar]
  19. Jackson L., Highcrest A., Coates R. A. Varied potential risks of HIV infection among prostitutes. Soc Sci Med. 1992 Aug;35(3):281–286. doi: 10.1016/0277-9536(92)90024-k. [DOI] [PubMed] [Google Scholar]
  20. Jha P., Nagelkerke J. D., Ngugi E. N., Prasada Rao J. V., Willbond B., Moses S., Plummer F. A. Public health. Reducing HIV transmission in developing countries. Science. 2001 Apr 13;292(5515):224–225. doi: 10.1126/science.1058187. [DOI] [PubMed] [Google Scholar]
  21. Joesoef M. R., Linnan M., Barakbah Y., Idajadi A., Kambodji A., Schulz K. Patterns of sexually transmitted diseases in female sex workers in Surabaya, Indonesia. Int J STD AIDS. 1997 Sep;8(9):576–580. doi: 10.1258/0956462971920811. [DOI] [PubMed] [Google Scholar]
  22. Kreiss J. K., Koech D., Plummer F. A., Holmes K. K., Lightfoote M., Piot P., Ronald A. R., Ndinya-Achola J. O., D'Costa L. J., Roberts P. AIDS virus infection in Nairobi prostitutes. Spread of the epidemic to East Africa. N Engl J Med. 1986 Feb 13;314(7):414–418. doi: 10.1056/NEJM198602133140704. [DOI] [PubMed] [Google Scholar]
  23. Larson A. Social context of human immunodeficiency virus transmission in Africa: historical and cultural bases of east and central African sexual relations. Rev Infect Dis. 1989 Sep-Oct;11(5):716–731. doi: 10.1093/clinids/11.5.716. [DOI] [PubMed] [Google Scholar]
  24. McKeganey N. P. Prostitution and HIV: what do we know and where might research be targeted in the future? AIDS. 1994 Sep;8(9):1215–1226. doi: 10.1097/00002030-199409000-00002. [DOI] [PubMed] [Google Scholar]
  25. Minichiello V., Mariño R., Browne J., Jamieson M., Peterson K., Reuter B., Robinson K. A profile of the clients of male sex workers in three Australian cities. Aust N Z J Public Health. 1999 Oct;23(5):511–518. doi: 10.1111/j.1467-842x.1999.tb01308.x. [DOI] [PubMed] [Google Scholar]
  26. O'Connor C. C., Berry G., Rohrsheim R., Donovan B. Sexual health and use of condoms among local and international sex workers in Sydney. Genitourin Med. 1996 Feb;72(1):47–51. doi: 10.1136/sti.72.1.47. [DOI] [PMC free article] [PubMed] [Google Scholar]
  27. Peracca S., Knodel J., Saengtienchai C. Can prostitutes marry? Thai attitudes toward female sex workers. Soc Sci Med. 1998 Jul;47(2):255–267. doi: 10.1016/s0277-9536(98)00089-6. [DOI] [PubMed] [Google Scholar]
  28. Singh Y. N., Malaviya A. N. Long distance truck drivers in India: HIV infection and their possible role in disseminating HIV into rural areas. Int J STD AIDS. 1994 Mar-Apr;5(2):137–138. doi: 10.1177/095646249400500212. [DOI] [PubMed] [Google Scholar]
  29. Stary A., Kopp W., Söltz-Szöts J. Medical health care for Viennese prostitutes. Sex Transm Dis. 1991 Jul-Sep;18(3):159–165. doi: 10.1097/00007435-199107000-00007. [DOI] [PubMed] [Google Scholar]
  30. Thuy N. T., Nhung V. T., Thuc N. V., Lien T. X., Khiem H. B. HIV infection and risk factors among female sex workers in southern Vietnam. AIDS. 1998 Mar 5;12(4):425–432. doi: 10.1097/00002030-199804000-00012. [DOI] [PubMed] [Google Scholar]
  31. Vioque J., Hernández-Aguado I., Fernandez García E., García de la Hera M., Alvarez-Dardet C. Prospective cohort study of female sex workers and the risk of HIV infection in Alicante, Spain (1986-96). Sex Transm Infect. 1998 Aug;74(4):284–288. doi: 10.1136/sti.74.4.284. [DOI] [PMC free article] [PubMed] [Google Scholar]
  32. Ward H., Day S., Green A., Cooper K., Weber J. Declining prevalence of STI in the London sex industry, 1985 to 2002. Sex Transm Infect. 2004 Oct;80(5):374–376. doi: 10.1136/sti.2003.009068. [DOI] [PMC free article] [PubMed] [Google Scholar]
  33. Ward H., Day S., Weber J. Risky business: health and safety in the sex industry over a 9 year period. Sex Transm Infect. 1999 Oct;75(5):340–343. doi: 10.1136/sti.75.5.340. [DOI] [PMC free article] [PubMed] [Google Scholar]
  34. van Haastrecht H. J., Fennema J. S., Coutinho R. A., van der Helm T. C., Kint J. A., van den Hoek J. A. HIV prevalence and risk behaviour among prostitutes and clients in Amsterdam: migrants at increased risk for HIV infection. Genitourin Med. 1993 Aug;69(4):251–256. doi: 10.1136/sti.69.4.251. [DOI] [PMC free article] [PubMed] [Google Scholar]

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