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which is another reason people give for making sex work illegal.[42] There are also arguments for legalizing prostitution/sex work. One major argument for legalizing prostitution is that women should have a right to do what they want with their own bodies. The government should not have a say in what they do for work, and if they want to sell their bodies it is their own decision. Another common argument for legalizing prostitution is that enforcing prostitution laws is a waste of money. This is because prostitution has always, and will continue to persist despite whatever laws and regulations are implemented against it. In arguing for the decriminalization of sex work, the Minister of Justice of the Netherlands expanded upon this argument in court when stating that, "prostitution has existed for a long time and will continue to do so…Prohibition is not the way to proceed…One should allow for voluntary prostitution. The authorities can then regulate prostitution, [and] it can become healthy, safe, transparent, and cleansed from criminal side-effects."[43] People who wish to legalize prostitution do not see enforcing laws against sex work as effective and think the money is better spent elsewhere. Many people also argue that legalization of prostitution will lead to less harm for the sex workers. They argue that the decriminalization of sex work will decrease the exploitation of sex workers by third parties such as pimps and managers. A final argument for the legalization of sex work is that prostitution laws are unconstitutional. Some argue that these laws go against people's rights to free speech, privacy, etc.[44] Risk reduction Risk reduction in sex work is a highly debated topic. "Abolitionism" and "nonabolitionism" or "empowerment" are regarded as opposing ways in which risk reduction is approached.[45] While abolitionism would call for an end to all sex work, empowerment would encourage the formation of networks among sex workers and enable them to prevent STIs and other health risks by communicating with each other.[46] Both approaches aim to reduce rates of disease and other negative effects of sex work. In addition, sex workers themselves have disputed the dichotomous nature of abolitionism and nonabolitionism, advocating instead a focus on sex workers' rights. In 1999, the Network of Sex Worker Projects
claimed that "Historically, anti-trafficking measures have been more concerned with protecting 'innocent' women from becoming prostitutes than with ensuring the human rights of those in the sex industry.[45] Penelope Saunders, a sex workers' rights advocate, claims that the sex workers' rights approach considers more of the historical context of sex work than either abolitionism or empowerment. In addition, Jo Doezema has written that the dichotomy of the voluntary and forced approaches to sex work has served to deny sex workers agency.[47] Health Sex workers are unlikely to disclose their work to healthcare providers. This can be due to embarrassment, fear of disapproval, or a disbelief that sex work can have effects on their health.[48] The criminalization of sex work in many places can also lead to a reluctance to disclose for fear of being turned in for illegal activities. There are very few legal protections for sex workers due to criminalization; thus, in many cases, a sex worker reporting violence to a healthcare provider may not be able to take legal action against their aggressor.[49] Health risks of sex work relate primarily to sexually transmitted infections and to drug use. In one study, nearly 40% of sex workers who visited a health center reported illegal drug use.[48] In general, transgender women sex workers have a higher risk of contracting HIV than male and female sex workers and transgender women who are not sex workers.[50] The reason transgender women



are at higher risk for developing HIV is their combination of risk factors. They face biological, personal, relational, and structural risks that all increase their chances of getting HIV. Biological factors include incorrect condom usage because of erectile dysfunction from hormones taken to become more feminine and receptive anal intercourse without a condom which is a high risk for developing HIV. Personal factors include mental health issues that lead to increased sexual risk, such as anxiety, depression, and substance abuse provoked through lack of support, violence, etc. Structural risks include involvement in sex work being linked to poverty, substance abuse, and other factors that are more prevalent in transgender women based on their tendency to be socially marginalized and not accepted for challenging gender norms. The largest risk for HIV is unprotected sex with male partners, and studies have been emerging that show men who have sex with transgender women are more likely to use drugs than men that do not.[51] Condom use is one way to mitigate the risk of contracting an STI. However, negotiating condom use with one's clients and partners is often an obstacle to practicing safer sex. While there is not much data on rates of violence against sex workers, many sex workers do not use condoms due to the fear of resistance and violence from clients. Some countries also have laws prohibiting condom possession; this reduces the likelihood that sex workers will use condoms.[49] Increased organization and networking among sex workers has been shown to increase condom use by increasing access to and education about STI prevention. Brothels with strong workplace health practices, including the availability of condoms, have also increased condom use among their workers.[49] Health Concerns of Exotic Dancers Mental Health and Stigma In order to protect themselves from the stigma of sex work, many dancers resort to othering themselves. Othering involves constructing oneself as superior to one's peers, and the dancer persona provides an internal boundary that separates the "authentic" from the stripper self. This practice creates a lot of stress for the dancers, in turn leading many to resort to using drugs and alcohol to cope. Since it is so widespread, the use of drugs has become normalized in the exotic dance scene. Despite this normalization, passing as nonusers, or covering as users of less maligned drugs, is necessary. This is because strippers concurrently attribute a strong moral constitution to those that resist the drug atmosphere; it is a testament to personal strength and will power. It is also an occasion for dancers to "other" fellow strippers. Valorizing resistance to the drug space discursively positions "good" strippers against such a drug locale and indicates why dancers are motivated to closet hard drug use. Stigma causes strippers to hide their lifestyles from friends and family alienating themselves from a support system. Further, the stress of trying to hide their lifestyles from others due to fear of scrutiny affects the mental health of dancers. Stigma is a difficult area to address because it is more abstract, but it would be helpful to work toward normalizing sex work as a valid way of making a living. This normalization of sex work would relieve the stress many dancers experience increasing the likelihood that they will be open about their work. Being open will allow them access to a viable support system and reduce the othering and drug use so rampant in the sex industry.[52][53] Forced sex work See also: Sexual slavery and Sex trafficking Forced sex work is when an individual enters into any sex trade due to coercion rather than by choice. Forced sex work increases the likelihood that a sex worker will contract HIV/AIDS or another sexually transmitted infection, particularly when an individual enters sex work before the age of 18.[54] In addition, even when sex workers do consent to certain sex acts, they are often forced or coerced into others (often anal intercourse) by clients. Sex workers may also experience strong resistance to condom use by their clients, which may extend into a lack of consent by the worker to any sexual act performed in the encounter; this risk is magnified when sex workers are trafficked or forced into sex work.[49][55] Forced sex work often involves deception - workers are told that they can make a living and are then not allowed to leave. This deception can cause ill effects on the mental health of many sex workers. In addition, an assessment of studies estimates that between 40% and 70% of sex workers face violence within a year.[49] Currently, there is little support for migrant workers in many countries, including those who have been trafficked to a location for sex.[56] Advocacy Main article: Sex workers' rights A woman activist uses her nude body to demonstrate for sex workers' rights at Folsom Street Fair, California, USA. Sex worker's rights advocates argue that sex workers should have the same basic human and labor rights as other working people.[44] For example, the Canadian Guild for Erotic Labour calls for the legalization of sex work, the elimination of state regulations that are more repressive than those imposed on other workers and businesses, the right to recognition and protection under labour and employment laws, the right to form and join professional associations or unions, and the right to legally cross borders to work. Advocates also want to see changes in legal practices involving sex work, the Red Umbrella Project has pushed for the decriminalization of condoms and changes to New York's sex


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