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There were no significant differences in health outcomes between women who were still in the sex industry and those who had stopped. Sex work is associated with Prostitutes Saint-Constant mortality and morbidity including the sequelae of STI, mental health problems, and substance Prostitutes Saint-Constant. In addition to the high mortality, there were significant health problems including a high cumulative risk of STI, mental health problems, and addiction.

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What happens to women who sell sex? Report of a unique occupational cohort

Please include the following: Whether this content is spam, contains foul language, or something else. Do you care about this issue? Voting lets your government know. The highest mobility was in women who first worked on the streets. Fifty seven were selling sex, and they had done so for between 4. The second most common was Prostitutes Saint-Constant go straight into the sex industry and remain Prostitutes Saint-Constant.

Women often combined jobs. We have further details for 51 women Prostitutes Saint-Constant working in the sex industry: 21 combined sex work with other jobs, five with education, 25 were only in the sex industry.

Of the women who were no longer working in the sex industry, we only have detailed information for 12 women, 11 of whom had other jobs. Some women combined this with other work see text for details. We have detailed information on nine women who undertook undergraduate education, two of whom subsequently left sex work, a further eight who studied at postgraduate level, four Prostitutes Saint-Constant whom left sex work. Seven of the nine women completing vocational training left Prostitutes Saint-Constant work.

Sex work is associated with excess mortality and morbidity. The mortality documented in this paper is lower than previously found, but is still higher than expected for women in this age group.

Viral infections, associated with sexual exposure or Prostitutes Saint-Constant use, can also lead to chronic problems ranging from problematic genital herpes to liver failure. The most significant problems related to mental ill health and substance misuse. The Prostitutes Saint-Constant between these health problems and sex work Prostitutes Saint-Constant complex, and despite the longitudinal nature of this study, we are not Prostitutes Saint-Constant to determine causation.

Multiple factors predispose Prostitutes Saint-Constant workers in general to chronic ill health, including poverty and poor education. We were unable to control for these because of the relatively small numbers followed up, and limited baseline information on chronic health problems. However, it is clear that prejudice towards the sale of sex and legal penalties marginalised sex workers both during and after their time in the Prostitutes Saint-Constant, and the majority of respondents attributed their symptoms to Prostitutes Saint-Constant burden of disrespect and the difficulties they faced in hiding what they did.

Despite the health problems, many women worked for a long time in the sex industry and remained when other choices presented Prostitutes Saint-Constant, such as those associated with completing vocational training or higher education.

Therefore, these negative factors have to be assessed against the positive benefits to women's health and wellbeing. This study is limited by sampling Prostitutes Saint-Constant follow up bias. The women followed up are not representative of sex workers in general or even the baseline cohort. In addition, data were missing on some variables.

None the less, this Prostitutes Saint-Constant constitutes the only long term prospective study of its kind and challenges prevalent assumptions that sex work is necessarily a transient occupation, which is highly stratified, and intensifies social exclusion. We have shown Prostitutes Saint-Constant in this cohort, many women worked for a long time in the sex industry and were highly mobile within it.

Sex work is conventionally Prostitutes Saint-Constant a highly segmented industry, with vulnerable street workers at the bottom and call girls at the top.

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This hierarchy dissolves when women's lives are looked at over time. Women also combined jobs within the sex industry with Prostitutes Saint-Constant, education, and training outside. Research participants reported that sex work created the opportunities for such initiatives qualitative data not shown.

However, on completing training, many women stayed in the industry. Given the new possibilities offered by higher education and vocational training, sex work must therefore be considered a positive choice, preferable to alternatives. In Prostitutes Saint-Constant words, sex work is not simply a form of social exclusion but a conduit to social mobility and opportunities such Prostitutes Saint-Constant home ownership and a family wage.

Governments may sponsor training schemes for sex workers, but as we have shown women may well train but then combine new skills with sex work in order to retain the economic advantage and flexibility that the occupation can offer.

In this study, Prostitutes Saint-Constant work was a choice for the majority who were followed up, and for many a route out of poverty rather than a vicious circle of social exclusion.

We would like to thank all the participants, and to the many collaborators who have Prostitutes Saint-Constant to this work over Prostitutes Saint-Constant years. In particular we would like to thank Kate Cooper and Anna Green for data collection in the follow up phase of this study, and the staff of the Praed Street Project and the Jefferiss Wing Clinic.

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Both authors contributed to the initial concept and design, data collection and analysis of this study. Both authors drafted, reviewed, and revised the manuscript and have approved the final Prostitutes Saint-Constant.

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The sponsors had no role in the design, collection, analysis or interpretation of the data. National Center for Biotechnology InformationProstitutes Saint-Constant. Journal List Sex Transm Infect v. Sex Transm Infect. Published online Jun H Ward and S Day.

Author information Article notes Copyright and License Prostitutes Saint-Constant Disclaimer. Accepted Jun 5.

This article has been cited by other articles in PMC. Setting Clinic and community settings in London. Prostitutes Saint-Constant outcome measures Vital status, most recent occupation, duration of sex work, sexually transmitted infections STImajor health problems.

Conclusions Sex work is associated Prostitutes Saint-Constant excess mortality and morbidity including the sequelae of STI, mental health problems, and substance misuse.

Prostitutes Saint-constant

Keywords: sex work, occupational mobility, social exclusion. Methods We established a cohort of sex workers in London between and This study had institutional ethics committee approval. Prostitutes Saint-Constant in a separate window. What happened to the women? Health In addition to the high mortality, there Prostitutes Saint-Constant significant health problems including a high cumulative risk of STI, mental health problems, and addiction. Discussion Sex work is associated with excess mortality and morbidity.

Acknowledgements We would like to thank all the participants, and to the many collaborators who have contributed to this work over the years. Prostitutes Saint-Constant Both authors contributed to the initial concept and design, data collection and analysis of this study.

In particular we would like to thank Kate Cooper and Anna Green for data collection in the follow up phase of this study, and the staff of the Praed Street Project and the Jefferiss Wing Clinic.

Sex work, mobility and health in Europe. London: Kegan Paul, — Home Office A coordinated prostitution strategy and a summary of responses to paying the price. London: Prostitutes Saint-Constant Office,www. Boynton P, Cusick L. Sex workers to pay the price. BMJ — AIDS Prostitutes Saint-Constant —