American Journal of Public Health
Volume 109, Issue 5, 2019, Pages 792-798

Third parties (Venue Owners, Managers, Security, etc.) and access to occupational health and safety among sex workers in a canadian setting: 2010-2016 (Review)

McBride B. , Goldenberg S.M. , Murphy A. , Wu S. , Braschel M. , Krüsi A. , Shannon K.*
  • a Centre for Gender and Sexual Health Equity, 1190 Hornby St, Vancouver, BC V6Z2K5, Canada, Interdisciplinary Studies Graduate Program, University of British Columbia, Vancouver, Canada
  • b Centre for Gender and Sexual Health Equity, 1190 Hornby St, Vancouver, BC V6Z2K5, Canada, Faculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada
  • c Centre for Gender and Sexual Health Equity, 1190 Hornby St, Vancouver, BC V6Z2K5, Canada
  • d Centre for Gender and Sexual Health Equity, 1190 Hornby St, Vancouver, BC V6Z2K5, Canada
  • e Centre for Gender and Sexual Health Equity, 1190 Hornby St, Vancouver, BC V6Z2K5, Canada
  • f Centre for Gender and Sexual Health Equity, 1190 Hornby St, Vancouver, BC V6Z2K5, Canada
  • g Centre for Gender and Sexual Health Equity, 1190 Hornby St, Vancouver, BC V6Z2K5, Canada, Faculty of Medicine, University of British Columbia, Vancouver, Canada

Abstract

Objective. To determine the impact of engagement with third parties (i.e., managers, receptionists, or owners of in-call venues; advertisers; security; spotters; and others) on sex workers' occupational health access. Methods. We drew longitudinal data from An Evaluation of Sex Workers' Health Access, a community-based cohort of more than 900 women sex workers. We used multivariable logistic regression and generalized estimating equations to (1) examine factors correlated with accessing third-party administrative or security services and (2) evaluate the impact of third-party services on access to mobile condom distribution and sex worker and community-led services (2010-2016). Finally,we evaluated changes in accessing third-party services pre-post end-demand criminalization (2010-2017). Results. Im/migrant sex workers (persons with any type of legal status who were born in another country; adjusted odds ratio [AOR]=2.32; 95% confidence interval [CI] = 1.35, 3.98) had higher odds of accessing third-party services. In confounder models, third-party services were independently correlated with increased access to mobile condom distribution (AOR = 1.84;95%CI = 1.47,2.31)and sex worker andcommunity-led services(AOR= 1.61;95% CI = 1.15, 2.24). End-demand criminalization was linked to a decrease in access to third-party services (AOR = 0.79; 95% CI = 0.63, 0.99). Conclusions. This research suggests that access to administrative and security services from third parties increases sex workers' occupational health and safety. Policy reforms to ensure sex workers' labor rights, including access to hiring third parties, are recommended. © 2019 American Public Health Association Inc.. All rights reserved.

Author Keywords

[No Keywords available]

Index Keywords

[No Keywords available]
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85064726414&doi=10.2105%2fAJPH.2019.304994&partnerID=40&md5=845fb2f5445890c43f8c76120f341474
DOI: 10.2105/AJPH.2019.304994
ISSN: 00900036
Original Language: English