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Criminalizing Sex Work Clients and Rushed Negotiations among Sex Workers Who Use Drugs in a Canadian Setting
Adina Landsberg1,2, Kate Shannon1,3, Andrea Krüsi1,3
1British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital, 608-1081 Burrard Street, Vancouver, BC, V6Z 1Y6, Canada.
Summary
Vancouver
Area of Science:
- Public Health
- Criminology
- Sociology
Background:
- Criminalization of sex work is linked to negative outcomes for sex workers.
- Vancouver police altered sex work policies in 2013, ceasing to target sex workers directly but continuing to target clients and third parties.
- This policy shift aimed to enhance sex worker safety, aligning with "end-demand" strategies seen globally.
Purpose of the Study:
- To examine trends and factors associated with rushing client negotiations due to police presence among sex workers who use drugs in Vancouver.
- To compare these trends before and after the 2013 police policy change.
Main Methods:
- Analysis of data from three prospective cohort studies involving 359 sex workers who use drugs in Vancouver (2008-2014).
- Utilized sex-stratified multivariable generalized estimating equation models.
- Assessed changes in the percentage of sex workers reporting rushing negotiations pre- and post-policy change.
Main Results:
- The percentage of women sex workers reporting rushing negotiations increased from 8.9% to 14.8% after the policy change.
- Multivariable analysis revealed a significant increase in rushing negotiations among women (p=0.04) post-policy.
- Experiencing client-perpetrated violence and non-heterosexual orientation (among women) were independently linked to increased odds of rushing negotiations.
Conclusions:
- Despite the policy change, rushed client negotiations due to police presence increased among female sex workers who use drugs.
- Rushed negotiations were associated with client violence and other vulnerabilities, indicating persistent risks.
- Findings suggest that criminalizing the purchase of sex does not adequately protect the health and safety of sex workers.
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