Trafficking, Client and Police Violence, Sexual Risk and Mental Health Among Women in the Sex Industry at the Thai-Myanmar Border

Author:

Decker Michele R.12ORCID,Meyer Sarah R.3,Branchini Risko Casey4,Abshir Nada5,Mar Aye Aye6,Robinson W. Courtland14

Affiliation:

1. Department of Population, Family & Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA

2. Center for Public Health and Human Rights, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA

3. Program on Forced Migration and Health, Mailman School of Public Health, Columbia University, Baltimore, MD, USA

4. Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA

5. Independent Consultant, Nairobi, Kenya

6. Social Action for Women, Mae Sot, Thailand

Abstract

This study describes sex trafficking and associations with violence and health among female migrants in the sex industry in Mae Sot, Thailand. The mixed-methods study included a qualitative interview phase ( n = 10), followed by a cross-sectional survey phase ( n = 128). Entry via trafficking (force, fraud, or coercion [FFC], or as minors) was prevalent (76.6%), primarily FFC (73.4%). FFC was associated with inconsistent condom use, inability to refuse clients, poor health, and anxiety. Past-year violence was normative including client sexual violence (66.4%), client coercion for condom nonuse (> 95%), and police extortion (56%). Working conditions enabled violence irrespective of mode of entry. Profound unmet needs exist for safety and access to justice irrespective of trafficking history.

Funder

US State Department/ Office to Monitor and Combat Trafficking in Persons

Publisher

SAGE Publications

Subject

Law,Sociology and Political Science,Gender Studies

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