HIV Vulnerability Among Survival Sex Workers Through Sexual Violence and Drug Taking in a Qualitative Study From Victoria, Canada, With Additional Implications for Pre-exposure Prophylaxis for Sex Workers

Objective: This qualitative study investigates how social and structural forces mediate vulnerability to HIV infection and transmission among survival sex workers, their clients, and their non-commercial, intimate partners—with especial focus on sexual violence and drug taking.Method: I employed an adapted grounded theory approach to conducting and analyzing (n = 9) open-ended, in-depth interviews with a convenience sample of currently working (and recently exited) survival sex workers from a community setting in Victoria, Canada.Findings: Participants revealed important contexts and conditions under which they were vulnerable to HIV infection. At the behavioural level, participants were aware of how HIV could be transmitted (condomless sex and sharing drug equipment), yet participants voiced strongly how structural and systemic features (for instance, client violence, the need for drugs, and “bad date” referrals) could squeeze and constrain their agency to take up safer practices, mediating their optimal HIV health and safety. Some participants reported strained relationships with police because of previous drug involvement.Conclusion: Survival sex workers constitute a health population vulnerable to HIV infection, and ensuring there could be a supportive (outreach) community replete with HIV resources is paramount. The availability of safer sex and drug equipment play important roles in HIV behavioural prevention efforts. However, uptake of pre-exposure prophylaxis (PrEP) at no cost in the Canadian province of British Columbia could be an important and beneficial structural intervention for non-injection drug taking cis-female sex workers in this study who are presently ineligible for no cost PrEP.

Sexual Health and HIV/STI Risk in Gay Refugee Men in Nairobi, Kenya: A Qualitative Study

Refugees are often without financial support and some resort to survival sex. Some of these men are gay or bisexual who fled their countries because of actual or fear of death and other persecution, exacerbated by the criminalization of consensual same-sex practices by life imprisonment or death in extreme cases. We conducted qualitative interviews with 12 gay and bisexual men within a larger sample in Nairobi, Kenya, who engaged in survival sex. Thematic analysis indicated eight main themes: Physical dangers, sexual assault, lack of rights and recourse to justice; Emotional difficulties of sex work; Seeing treatable STIs as “normal”, but others like Hepatitis B and C as abnormal, and HIV as the most feared; Recognition of penile symptoms but concerns about sexual health including anal symptoms, such as fistulas and bleeding; good knowledge about HIV but confusions over PEP and PrEP, self-testing, health access to NGO clinics and some hospital clinics but concerns about stigma and discrimination in public clinics generally; and as a result of concerns about public healthcare settings, use of pharmacies for treatment. The data indicate that male refugees from gay repression, as found for refugees from other repressions, face many of the same issues with local variations.

Exotic Reptiles in the Pet Trade: Are They a Threat to New Zealand?

<p>Worldwide, invasive species are associated with severe ecological and economic impacts. As a group, reptiles are very successful invaders and in some areas where they have established they are responsible for the decline of native fauna and economic disruptions, whilst also posing a threat to human health. Due to its biogeographical isolation and unique evolutionary history, New Zealand is highly susceptible to invasive species. Importation of reptiles into New Zealand is illegal, however over a dozen species of exotic reptile are legally present in captivity and their risk of establishment is unknown. This study investigates their establishment potential and possible impacts by considering 1) the amount of trade and propagule pressure of species, 2) the degree of climate match between their native range and New Zealand, 3) areas that may be suitable for establishment based on physiological models of incubation and development, 4) their ability to transfer pathogens to native fauna and humans, and 5) overall establishment risk. The red-eared slider (Trachemys scripta elegans; RES) is the most common and easily obtained exotic reptile pet in New Zealand, with over 800 sales per annum. The RES is also the species most regularly released into the wild. Climate matching models in this study were developed to minimise false-negative predictions, to generate a suitability score irrespective of the prevalence of species records (allowing species to be easily compared to one another), and incorporated a weighted multimodel average prediction based on the relative importance of climatic variables to each species. These correlative models indicated that the blotched blue-tongue skink (Tiliqua nigrolutea) had the highest degree of climate match with parts of New Zealand, while the common blue-tongue skink (T. scincoides) had the highest proportion of land area predicted to be suitable for establishment. The other 10 species generally had both low climate match scores and limited areas within New Zealand predicted to be suitable. Mechanistic models focus upon environmental influences on physiological processes of a species, such as development and growth. Degree-day models, combined with soil measurements in potential reptile nesting sites in New Zealand, were utilised to determine if environmental conditions were suitable for the successful reproduction of oviparous exotic reptiles. These models predicted that the New Zealand environment meets the minimum thermal requirements for the incubation of eggs of RES, snake-neck turtles (Chelodina longicollis), and Reeves turtles (Chinemys reevesii). While prevalence of Salmonella in exotic reptiles is higher than that of native reptiles, it is considerably lower than that of exotic reptiles overseas. All serovars identified in this study had been previously reported both in humans and reptiles in New Zealand. The overall risk assessment for 12 species of exotic reptile kept in captivity in New Zealand indicates that blotched blue-tongue skinks and RES pose the highest establishment risk. Blotched blue-tongue skinks are allegedly only present in zoos. Therefore, based on propagule pressure, RES pose the highest establishment risk and efforts should focus on minimising release events and removing feral individuals from the New Zealand environment. In summary, at least eight species of exotic reptile legally traded within New Zealand are predicted to be capable of surviving in a portion of the New Zealand environment and at least three species have the potential to successfully breed in warmer microclimates. However, further research involving climatic tolerances and breeding potential (i.e., soil moisture content, juvenile survival, sex ratio, and predicted climate change) is recommended. Public education and possible regulations imposed on the New Zealand exotic reptile trade may prevent introductions of these species into the local environment and still allow selected species to be enjoyed by the New Zealand public. The methods developed in this study may be easily applied to other species and other geographic regions, allowing investigation into the establishment risk of alien species. This may help guide control and management efforts and help stem the tide of the growing problem of invasive species.</p>

Exotic Reptiles in the Pet Trade: Are They a Threat to New Zealand?

<p>Worldwide, invasive species are associated with severe ecological and economic impacts. As a group, reptiles are very successful invaders and in some areas where they have established they are responsible for the decline of native fauna and economic disruptions, whilst also posing a threat to human health. Due to its biogeographical isolation and unique evolutionary history, New Zealand is highly susceptible to invasive species. Importation of reptiles into New Zealand is illegal, however over a dozen species of exotic reptile are legally present in captivity and their risk of establishment is unknown. This study investigates their establishment potential and possible impacts by considering 1) the amount of trade and propagule pressure of species, 2) the degree of climate match between their native range and New Zealand, 3) areas that may be suitable for establishment based on physiological models of incubation and development, 4) their ability to transfer pathogens to native fauna and humans, and 5) overall establishment risk. The red-eared slider (Trachemys scripta elegans; RES) is the most common and easily obtained exotic reptile pet in New Zealand, with over 800 sales per annum. The RES is also the species most regularly released into the wild. Climate matching models in this study were developed to minimise false-negative predictions, to generate a suitability score irrespective of the prevalence of species records (allowing species to be easily compared to one another), and incorporated a weighted multimodel average prediction based on the relative importance of climatic variables to each species. These correlative models indicated that the blotched blue-tongue skink (Tiliqua nigrolutea) had the highest degree of climate match with parts of New Zealand, while the common blue-tongue skink (T. scincoides) had the highest proportion of land area predicted to be suitable for establishment. The other 10 species generally had both low climate match scores and limited areas within New Zealand predicted to be suitable. Mechanistic models focus upon environmental influences on physiological processes of a species, such as development and growth. Degree-day models, combined with soil measurements in potential reptile nesting sites in New Zealand, were utilised to determine if environmental conditions were suitable for the successful reproduction of oviparous exotic reptiles. These models predicted that the New Zealand environment meets the minimum thermal requirements for the incubation of eggs of RES, snake-neck turtles (Chelodina longicollis), and Reeves turtles (Chinemys reevesii). While prevalence of Salmonella in exotic reptiles is higher than that of native reptiles, it is considerably lower than that of exotic reptiles overseas. All serovars identified in this study had been previously reported both in humans and reptiles in New Zealand. The overall risk assessment for 12 species of exotic reptile kept in captivity in New Zealand indicates that blotched blue-tongue skinks and RES pose the highest establishment risk. Blotched blue-tongue skinks are allegedly only present in zoos. Therefore, based on propagule pressure, RES pose the highest establishment risk and efforts should focus on minimising release events and removing feral individuals from the New Zealand environment. In summary, at least eight species of exotic reptile legally traded within New Zealand are predicted to be capable of surviving in a portion of the New Zealand environment and at least three species have the potential to successfully breed in warmer microclimates. However, further research involving climatic tolerances and breeding potential (i.e., soil moisture content, juvenile survival, sex ratio, and predicted climate change) is recommended. Public education and possible regulations imposed on the New Zealand exotic reptile trade may prevent introductions of these species into the local environment and still allow selected species to be enjoyed by the New Zealand public. The methods developed in this study may be easily applied to other species and other geographic regions, allowing investigation into the establishment risk of alien species. This may help guide control and management efforts and help stem the tide of the growing problem of invasive species.</p>

Erotic Labor within and without Work

In this interview, femi babylon elaborates a proheaux womanist theory of erotic labor as at once work and antiwork. “Sex work is work” speaks to the realities of erotic labor as a survival strategy and illuminates the connections among erotic labor and other forms of gig work. At the same time, it can operate as a bid for respectability, and one that occludes erotic labor as a strategy for refusing the work ethic. Thinking through the politics of the survival sex/sex work binary, the (dis)connections among wives and whores, and the intersections of whorephobia and misogynoir in conversations about sex worker motherhood, babylon engages key points of debate in sex worker theory today.

Access experiences and attitudes toward abortion among youth experiencing homelessness in the United States: A systematic review

Objectives We sought to review the literature on the access experiences and attitudes toward abortion among youth experiencing homelessness in the United States. Methods We conducted a systematic review of peer‐reviewed literature published from 2001 to 2019. We included qualitative studies involving US participants that focused on access experiences, views, or accounts of unintended pregnancy and/or abortion among youth experiencing homelessness. We excluded studies published before 2001 as that was the year mifepristone medication abortion was made available in the US and we aimed to investigate experiences of access to both medical and surgical abortion options. Results Our thematic analysis of the data resulted in five key themes that characterize the abortion attitudes and access experiences of youth experiencing homelessness: (1) engaging in survival sex and forced sex, (2) balancing relationships and autonomy, (3) availability does not equal access, (4) attempting self-induced abortions using harmful methods, and (5) feeling resilient despite traumatic unplanned pregnancy experiences. Conclusions Youth experiencing homelessness experience barriers to abortion access across the US, including in states with a supportive policy context and publicly funded abortion services. In the absence of accessible services, youth may consider harmful methods of self-induced abortion. Improved services should be designed to offer low-barrier abortion care with the qualities that youth identified as important to them, including privacy and autonomy.

Discontented and Jack of all trades: Revisiting male survival sex workers through modern sex work lenses

Researchers have been moving toward understanding sex workers as agentic and career-based social actors for some time. However, while these modern sex work lenses are readily applied to a variety of high-end and emerging forms of sex work, the field has often been reluctant to frame impoverished and potentially exploitative sex work in the same manner. Here, I ask whether and how the frameworks of “agency” and “career” can be applied to a population of poor male-identified survival sex workers. I use data from an innovative mixed-methods community-based approach that yields a broad sample of majority African American male survival sex workers from a large US city. I argue that by privileging respondents’ own interpretation of their lives, it is possible to construct a nuanced understanding of sex work as a “career” and to conceive of their work as both a profession and a source of disadvantage. I conclude that we should continue to focus on the voices of sex workers themselves in defining what sex work means and how it affects their lives.