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

2. 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

3. 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

4. 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

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

6. 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

7. 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

8. 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

9. 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