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Risky health environments: Women sex workers’ struggles to find safe, secure and non-exploitative housing in Canada’s poorest postal code

Author

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  • Lazarus, L.
  • Chettiar, J.
  • Deering, K.
  • Nabess, R.
  • Shannon, K.

Abstract

This study explored low-income and transitional housing environments of women sex workers and their role in shaping agency and power in negotiating safety and sexual risk reduction in Vancouver, Canada. A series of 12 focus group discussions were conducted with 73 women currently involved in street-based sex work. These women were purposively sampled for a range of experiences living in low-income housing environments, including homeless shelters, transitional housing, and co-ed and women-only single-room occupancy (SRO) hotels. Drawing on the risk environment framework and theoretical constructs of gender, agency and power, analyses demonstrate that women continue to be vulnerable to violence and sexual and economic exploitation and have reduced ability to negotiate risk reduction resulting from the physical, structural and social environments of current dominant male-centred housing models. Within the physical environment, women described inhabitable housing conditions in SROs with infestations of bedbugs and rats, leading women to even more transitional housing options such as shelters and couch-surfing. In many cases, this resulted in their economic exploitation and increased sexual risk. Within the structural environment, enforcement of curfews and guest policies forced women to accept risky clients to meet curfew, or work outdoors where their ability to negotiate safety and condom use were limited. Certain policies promoted women’s agency and mitigated their ability to reduce risks when selling sex. These included flexible curfews and being able to bring clients home. The social environments of co-ed single-room occupancy hotels resulted in repeated violence by male residents and discrimination by male building staff. Women-only shelters and SROs facilitated ‘enabling environments’ where women developed support systems with other working women that resulted in safer work practices. The narratives expressed in this study reveal the critical need for public health interventions and safer supportive housing to account for the daily lived experiences of women sex workers.

Suggested Citation

  • Lazarus, L. & Chettiar, J. & Deering, K. & Nabess, R. & Shannon, K., 2011. "Risky health environments: Women sex workers’ struggles to find safe, secure and non-exploitative housing in Canada’s poorest postal code," Social Science & Medicine, Elsevier, vol. 73(11), pages 1600-1607.
    • Handle: RePEc:eee:socmed:v:73:y:2011:i:11:p:1600-1607
    DOI: 10.1016/j.socscimed.2011.09.015
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    References listed on IDEAS

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    1. Moore, David, 2004. "Governing street-based injecting drug users: a critique of heroin overdose prevention in Australia," Social Science & Medicine, Elsevier, vol. 59(7), pages 1547-1557, October.
    2. Krieger, J. & Higgins, D.L., 2002. "Housing and health: Time again for public health action," American Journal of Public Health, American Public Health Association, vol. 92(5), pages 758-768.
    3. Shannon, Kate & Kerr, Thomas & Allinott, Shari & Chettiar, Jill & Shoveller, Jean & Tyndall, Mark W., 2008. "Social and structural violence and power relations in mitigating HIV risk of drug-using women in survival sex work," Social Science & Medicine, Elsevier, vol. 66(4), pages 911-921, February.
    4. Rhodes, Tim & Singer, Merrill & Bourgois, Philippe & Friedman, Samuel R. & Strathdee, Steffanie A., 2005. "The social structural production of HIV risk among injecting drug users," Social Science & Medicine, Elsevier, vol. 61(5), pages 1026-1044, September.
    5. Moore, David, 2009. "'Workers', 'clients' and the struggle over needs: Understanding encounters between service providers and injecting drug users in an Australian city," Social Science & Medicine, Elsevier, vol. 68(6), pages 1161-1168, March.
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    Cited by:

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    2. Jiao, Sunny & Slemon, Allie & Guta, Adrian & Bungay, Vicky, 2022. "Exploring the conceptualization, operationalization, implementation, and measurement of outreach in community settings with hard-to-reach and hidden populations: A scoping review," Social Science & Medicine, Elsevier, vol. 309(C).
    3. Elena Argento & Katherine A Muldoon & Putu Duff & Annick Simo & Kathleen N Deering & Kate Shannon, 2014. "High Prevalence and Partner Correlates of Physical and Sexual Violence by Intimate Partners among Street and Off-Street Sex Workers," PLOS ONE, Public Library of Science, vol. 9(7), pages 1-7, July.
    4. Lee, Christopher Thomas & Guzman, David & Ponath, Claudia & Tieu, Lina & Riley, Elise & Kushel, Margot, 2016. "Residential patterns in older homeless adults: Results of a cluster analysis," Social Science & Medicine, Elsevier, vol. 153(C), pages 131-140.

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