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Sex work-related stigma: Experiential, symbolic and structural forms in the health systems of Delhi, India

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  • Ryan, Martha S.
  • Nambiar, Devaki
  • Ferguson, Laura

Abstract

Sex work-related stigma is prevalent in urban India. While HIV-stigma is often discussed in urban Indian health contexts, rarely is sex work-related stigma investigated as it shapes sex workers' health experiences. This paper discusses the findings of an ethnographic study with women who practice sex work (WPSW), healthcare providers, and NGO workers in Delhi, India over seven months in 2017. We apply a tri-tiered model of stigma as constituted of experiential, symbolic, and structural forms, to better understand how WPSW experience sex work-related stigma as it relates to their health. Identifying and understanding manifestations and experiences of stigma is crucial to supporting WPSW health. We conclude that in the face of criminalized legal contexts, both non-governmental and governmental interventions to improve WPSW's health must contend with their own tendencies to reinforce prevailing stereotypes and symbols that stigmatize sex work and the people who engage in it.

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  • Ryan, Martha S. & Nambiar, Devaki & Ferguson, Laura, 2019. "Sex work-related stigma: Experiential, symbolic and structural forms in the health systems of Delhi, India," Social Science & Medicine, Elsevier, vol. 228(C), pages 85-92.
  • Handle: RePEc:eee:socmed:v:228:y:2019:i:c:p:85-92
    DOI: 10.1016/j.socscimed.2019.02.052
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    1. Neha Hui, 2017. "Bargaining Power and Indicators of Well-Being among Brothel-Based Sex Workers in India," Feminist Economics, Taylor & Francis Journals, vol. 23(3), pages 49-76, July.
    2. Ghose, Toorjo & Swendeman, Dallas & George, Sheba & Chowdhury, Debasish, 2008. "Mobilizing collective identity to reduce HIV risk among sex workers in Sonagachi, India: The boundaries, consciousness, negotiation framework," Social Science & Medicine, Elsevier, vol. 67(2), pages 311-320, July.
    3. Parker, Richard & Aggleton, Peter, 2003. "HIV and AIDS-related stigma and discrimination: a conceptual framework and implications for action," Social Science & Medicine, Elsevier, vol. 57(1), pages 13-24, July.
    4. Evans, Catrin & Lambert, Helen, 2008. "Implementing community interventions for HIV prevention: Insights from project ethnography," Social Science & Medicine, Elsevier, vol. 66(2), pages 467-478, January.
    5. Paul E Farmer & Bruce Nizeye & Sara Stulac & Salmaan Keshavjee, 2006. "Structural Violence and Clinical Medicine," PLOS Medicine, Public Library of Science, vol. 3(10), pages 1-6, October.
    6. Pescosolido, Bernice A. & Martin, Jack K. & Lang, Annie & Olafsdottir, Sigrun, 2008. "Rethinking theoretical approaches to stigma: A Framework Integrating Normative Influences on Stigma (FINIS)," Social Science & Medicine, Elsevier, vol. 67(3), pages 431-440, August.
    7. Bijoya Roy, 2016. "Corporate Hospitals in India and Representation of Women’s Medical Care," Indian Journal of Gender Studies, Centre for Women's Development Studies, vol. 23(1), pages 157-178, February.
    8. O'Neil, John & Orchard, Treena & Swarankar, R. C. & Blanchard, J.F.James F. & Gurav, Kaveri & Moses, Stephen, 2004. "Dhandha, dharma and disease: traditional sex work and HIV/AIDS in rural India," Social Science & Medicine, Elsevier, vol. 59(4), pages 851-860, August.
    9. Rice, Whitney S. & Logie, Carmen H. & Napoles, Tessa M. & Walcott, Melonie & Batchelder, Abigail W. & Kempf, Mirjam-Colette & Wingood, Gina M. & Konkle-Parker, Deborah J. & Turan, Bulent & Wilson, Tra, 2018. "Perceptions of intersectional stigma among diverse women living with HIV in the United States," Social Science & Medicine, Elsevier, vol. 208(C), pages 9-17.
    10. Swendeman, Dallas & Basu, Ishika & Das, Sankari & Jana, Smarajit & Rotheram-Borus, Mary Jane, 2009. "Empowering sex workers in India to reduce vulnerability to HIV and sexually transmitted diseases," Social Science & Medicine, Elsevier, vol. 69(8), pages 1157-1166, October.
    11. Steward, Wayne T. & Herek, Gregory M. & Ramakrishna, Jayashree & Bharat, Shalini & Chandy, Sara & Wrubel, Judith & Ekstrand, Maria L., 2008. "HIV-related stigma: Adapting a theoretical framework for use in India," Social Science & Medicine, Elsevier, vol. 67(8), pages 1225-1235, October.
    12. Biradavolu, Monica Rao & Burris, Scott & George, Annie & Jena, Asima & Blankenship, Kim M., 2009. "Can sex workers regulate police? Learning from an HIV prevention project for sex workers in southern India," Social Science & Medicine, Elsevier, vol. 68(8), pages 1541-1547, April.
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    1. Bhattacharya, Shamayeta & Ghosh, Debarchana, 2020. "Studying physical and mental health status among hijra, kothi and transgender community in Kolkata, India," Social Science & Medicine, Elsevier, vol. 265(C).

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