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COMMENTARY Violence, Condom Negotiation, and HIV/STI Risk Among Sex Workers rate with little to no control over selection of clients or ne- Kate Shannon, PhD gotiation of types of services. This lack of control may also Joanne Csete, PhD increase the risk of episodes of violence. Where sex work is criminalized, sex workers may have to pay a fee or bribe N MOST PARTS OF THE WORLD, SOME OR ALL ASPECTS OF to police or managers for some measure of protection from sex work are criminalized. Consequently, sex workers violence or arrest. have few legal protections and may easily be exploited Population-based data on incidence of violence against Ior abused by clients, coworkers, and law enforcement sex workers remain scarce. Two studies of countries in Cen- officials. The isolation and disempowerment of sex work- tral and South Asia and Europe and North America have es- ers, enforced by the threat of violence, may create barriers timated a prevalence of physical and sexual violence of be- to negotiating safe sex practices, thereby increasing the risk tween 40% and 70% among sex workers over a 1-year 4,5 for human immunodeficiency virus (HIV) and other sexu- period. Particularly where sex work is
JAMA – American Medical Association
Published: Aug 4, 2010
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