TY - JOUR
T1 - Migration status, work conditions and health utilization of female sex workers in three South African Cities
AU - Richter, Marlise
AU - Chersich, Matthew F.
AU - Vearey, Jo
AU - Sartorius, Benn
AU - Temmerman, Marleen
AU - Luchters, Stanley
N1 - Funding Information:
Acknowledgments We thank the Sex Worker Education and Advocacy Taskforce (SWEAT) and Sisonke Sex Worker Movement for guidance and logistical support, and the research assistants for data collection. Technical and logistical support of the African Centre for Migration & Society and the Centre for Health Policy, Wits University and their students was key to conceptualising and developing the project, together with assistance of the Sex Worker Project, Wits Reproductive Health and HIV Institute in Hillbrow. Authors gratefully acknowledge the contribution to this work of the Victorian Operational Infrastructure Support Program. Special thanks for the contribution of Dudu Ndlovu, Dianne Massawe, Carolin Kueppers, Tom Considine, Fiona Scorgie, Elsa Oliveira, Agnieszka Flak, Marc Lewis, Ingrid Palmary, Richard Steen, Gerrit Maritz, Lucy Allais and Francois Venter. Thank you also Richard Steen for assistance with the conceptual framework and graphic representation thereof, and to Lenore Manderson, Eric Worby and Ziad El-Khatib for comments on earlier drafts of this manuscript Funding for this study was provided by UNFPA and Atlantic Philanthropies, while support of the Humanities Graduate Centre and the SPARC Fund at Wits University facilitated drafting of the manuscript.
PY - 2014/2
Y1 - 2014/2
N2 - Intersections between migration and sex work are underexplored in southern Africa, a region with high internal and cross-border population mobility, and HIV prevalence. Sex work often constitutes an important livelihood activity for migrant women. In 2010, sex workers trained as interviewers conducted cross-sectional surveys with 1,653 female sex workers in Johannesburg (Hillbrow and Sandton), Rustenburg and Cape Town. Most (85.3 %) sex workers were migrants (1396/1636): 39.0 % (638/1636) internal and 46.3 % (758/1636) cross-border. Cross-border migrants had higher education levels, predominately worked part-time, mainly at indoor venues, and earned more per client than other groups. They, however, had 41 % lower health service contact (adjusted odds ratio = 0.59; 95 % confidence interval = 0.40-0.86) and less frequent condom use than non-migrants. Police interaction was similar. Cross-border migrants appear more tenacious in certain aspects of sex work, but require increased health service contact. Migrant-sensitive, sex work-specific health care and health education are needed.
AB - Intersections between migration and sex work are underexplored in southern Africa, a region with high internal and cross-border population mobility, and HIV prevalence. Sex work often constitutes an important livelihood activity for migrant women. In 2010, sex workers trained as interviewers conducted cross-sectional surveys with 1,653 female sex workers in Johannesburg (Hillbrow and Sandton), Rustenburg and Cape Town. Most (85.3 %) sex workers were migrants (1396/1636): 39.0 % (638/1636) internal and 46.3 % (758/1636) cross-border. Cross-border migrants had higher education levels, predominately worked part-time, mainly at indoor venues, and earned more per client than other groups. They, however, had 41 % lower health service contact (adjusted odds ratio = 0.59; 95 % confidence interval = 0.40-0.86) and less frequent condom use than non-migrants. Police interaction was similar. Cross-border migrants appear more tenacious in certain aspects of sex work, but require increased health service contact. Migrant-sensitive, sex work-specific health care and health education are needed.
KW - Condoms
KW - Health care utilization
KW - Migration status
KW - Sex work
KW - South Africa
UR - http://www.scopus.com/inward/record.url?scp=84895049528&partnerID=8YFLogxK
U2 - 10.1007/s10903-012-9758-4
DO - 10.1007/s10903-012-9758-4
M3 - Article
C2 - 23238581
AN - SCOPUS:84895049528
SN - 1557-1912
VL - 16
SP - 7
EP - 17
JO - Journal of Immigrant and Minority Health
JF - Journal of Immigrant and Minority Health
IS - 1
ER -
