Table 3.

Qualitative Themes

Structure of Sex Work

There are a variety of referral sources for clients to obtain sex workers

Controllers were identified as protecting sex workers from drunk and violent clients

Bar-based sex workers “get to know” clients before sex

Sex workers and controllers are fearful of police and immigration

Motivations to Sell Sex

Sex workers perceive limited economic options

Some sex workers need money for drugs

Client Motivations to Hire Sex Workers

Few social options exist in rural communities

Some men are lonely

Some men perceive a need to prove their masculinity

Some men desire sexual experimentation

Sex workers are available and convenient

Sexual Health-Related Themes

Limited understanding reproductive and sexual health

Limited knowledge of available services

Alcohol use during sex may be high among some clients

Clients do not want to use condoms

Drug use does not seem to be common among clients