Sexual Health and Precarity

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Presentation transcript:

Sexual Health and Precarity Jane Ayres Outreach Manager - The Praed St Project Deborah Clark SRH Matron Outreach – GSTT Foundation Trust.

How do we define sex workers? Broad spectrum Diverse population Career sex workers Ad Hoc sex work Self definition Exchanging sex for food, bed, drugs, Alcohol etc Unknown – Do not define themselves - Groomed

Current themes within the sex industry Saturated market Huge competition Increased services offered Transience Reduced peer networks Migrant sex workers Increased legislation Internet Grooming – Exploitation

Impact Working within different aspects of the industry Reduced income, longer hours, less favourable working environments Potentially Increased sexual health risks Potentially increased emotional impact Consistent care and follow up more challenging for specialist health and support services Isolation and lack of peers Migrants unaware of services, more suspicious, more hidden, language, lack of status, easier target for robbery and violence, different expectations from us Sex work driven underground and safety compromised Pressure to conform - Grooming

Impact Street women work alone in hidden/isolated and places This renders them invisible and more vulnerable

Sexual practice Influenced by: The market Venue Women’s/men’s position and freedom of choices Client’s/ Punters requests Internet Pornography (Young people) Market demand; saturation; pressure to compete; rules of the ‘house’, menu, what is premises known for eg. Domination/ parties/ uniforms/ oral without. Woman’s position- new, established, assertive or not, individual choices; Clients/ Punters requests

Interface between sex work and homeless population Labels and stereotypes Misconceptions about homeless people and sex Survival sex- define? Sex in transit Sexuality Male/ female divide

Increased vulnerabilities for this group- discuss Sex in exchange for…. Invisibility/ visibility Mobility Priorities Violence and sexual assault Shame Where do I belong? Going to a sexual health clinic

Risk factors Who they work for and with Alcohol Premises and House rules Drugs Status in UK Violence Transience Mental Health Peers Relationships Economic pressures including family and debts Dictated to or not;Expectation of bosses/ owners;What other women offer in premises Staus in uk complex risks- belief in own rights, knowledge and entitlement to healthcare- Kam Peng