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Sex Industry

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The sex industry is a major industry both in developing countries, where it is a major source of foreign currency, and in industrialized countries. The two main divisions of the sex industry are (1) prostitution, which involves the direct exchange of a sexual service for money or other means of economic compensation and (2) pornography, which involves the performance of sex-related tasks, sometimes involving two or more people, for still photographs, in motion pictures and videotapes, or in a theatre or nightclub, but does not include direct sexual activity with the paying client. The line between prostitution and pornography is not very clear, however, as some prostitutes restrict their work to erotic acting and dance for private clients, and some workers in the pornography industry go beyond display to engaging in direct sexual contact with members of the audience, for example, in strip- and lap-dancing clubs.

The legal status of prostitution and pornography varies from one country to another, ranging from complete prohibition of the sex-money exchange and the businesses in which it takes place, as in the United States; to decriminalization of the exchange itself but prohibition of the businesses, as in many European countries; to toleration of both independent and organized prostitution, for example, in the Netherlands; to regulation of the prostitute under public health law, but prohibition for those who fail to comply, as in a number of Latin American and Asian countries. Even where the industry is legal, governments have remained ambivalent and few, if any, have attempted to use occupational safety and health regulations to protect the health of sex workers. However, since the early 1970s, both prostitutes and erotic performers have been organizing in many countries (Delacoste and Alexander 1987; Pheterson 1989), and have increasingly addressed the issue of occupational safety as they attempt to reform the legal context of their work.

A particularly controversial aspect of sex work is the involvement of young adolescents in the industry. There is not enough space to discuss this at any length here, but it is important that solutions to the problems of adolescent prostitution be developed in the context of responses to child labour and poverty, in general, and not as an isolated phenomenon. A second controversy has to do with the extent to which adult sex work is coerced or the result of individual decision. For the vast majority of sex workers, it is a temporary occupation, and the average worklife, worldwide, is from 4 to 6 years, including some who work only for a few days or intermittently (e.g., between other jobs), and others who work for 35 years or more. The primary factor in the decision to do sex work is economics, and in all countries, work in the sex industry pays much better than other work for which extensive training is not required. Indeed, in some countries, the higher-paid prostitutes earn more than some physicians and attorneys. It is the conclusion of the sex workers’ rights movement that it is difficult to establish issues like consent and coercion when the work itself is illegal and heavily stigmatized. The important thing is to support sex workers’ ability to organize on their own behalf, for example, in trade unions, professional associations, self-help projects and political advocacy organizations.

Hazards and Precautions

Sexually transmitted diseases (STDs). The most obvious occupational hazard for sex workers, and the one which has received the most attention historically, is STDs, including syphilis and gonorrhoea, chlamydia, genital ulcer disease, trichomonas and herpes, and, more recently, the human immunodeficiency virus (HIV) and AIDS.

In all countries, the risk of infection with HIV and other STDs is greatest among the lowest-income sex workers, whether on the street in the industrial countries, in low-income brothels in Asia and Latin America or in residential compounds in impoverished communities in Africa.

In industrialized countries, studies have found HIV infection among female prostitutes to be associated with injecting drug use by either the prostitute or her ongoing personal partner, or with the prostitute’s use of “crack”, a smokeable form of cocaine—not with the number of clients or with prostitution per se. There have been few if any studies of pornography workers, but it is likely to be similar. In developing countries, the primary factors are less clear, but may include a higher prevalence of untreated conventional STDs, which some researchers think facilitate transmission of HIV, and a reliance on informal street vendors or poorly equipped clinics for treatment of STDs, if treatment involves injections with unsterile needles. Injection of recreational drugs is also associated with HIV infection in some developing countries (Estébanez, Fitch and Nájera 1993). Among male prostitutes, HIV infection is more often associated with homosexual activity, but is also associated with injecting drug use and sex in the context of drug dealing.

Precautions involve the consistent use of latex or polyurethane condoms for fellatio and vaginal or anal intercourse, where possible with lubricants (water-based for latex condoms, water or oil-based for polyurethane condoms), latex or polyurethane barriers for cunnilingus and oral-anal contact and gloves for hand-genital contact. While condom use has been increasing among prostitutes in most countries, it is still the exception in the pornography industry. Women performers sometimes use spermicides to protect themselves. However, while the spermicide nonoxynol-9 has been shown to kill HIV in the laboratory, and reduces the incidence of conventional STD in some populations, its efficacy for HIV prevention in actual use is far less clear. Moreover, the use of nonoxynol-9 more than once a day has been associated with significant rates of vaginal epithelial disruption (which could increase the female sex worker’s vulnerability to HIV infection) and sometimes an increase in vaginal yeast infections. No one has studied its use for anal sex.

Access to sex worker–sensitive health care is also important, including care for other health problems, not just STDs. Traditional public health approaches that involve mandatory licensing or registration, and regular health examinations, have not been effective in reducing the risk of infection for the workers, and are contrary to World Health Organization policies that oppose mandatory testing.

Injuries. Although there have not been any formal studies of other occupational hazards, anecdotal evidence suggests that repetitive stress injuries involving the wrist and shoulder are common among prostitutes who do “hand jobs”, and jaw pain is sometimes associated with performing fellatio. In addition, street prostitutes and erotic dancers may develop foot, knee and back problems related to working in high heels. Some prostitutes have reported chronic bladder and kidney infections, due to working with a full bladder or not knowing how to position oneself to prevent deep penetration during vaginal intercourse. Finally, some groups of prostitutes are very vulnerable to violence, especially in countries where the laws against prostitution are heavily enforced. The violence includes rape and other sexual assault, physical assault and murder, and is committed by police, clients, sex work business managers and domestic partners. The risk of injury is greatest among younger, less experienced prostitutes, especially those who begin working during adolescence.

Precautions include ensuring that sex workers are trained in the least stressful way to perform different sexual acts to prevent repetitive stress injuries and bladder infections, and self-defence training to reduce vulnerability to violence. This is particularly important for young sex workers. In the case of violence, another important remedy is to increase the willingness of police and prosecuting attorneys to enforce the laws against rape and other violence when the victims are sex workers.

Alcohol and drug use. When prostitutes work in bars and nightclubs, they are often required by management to encourage clients to drink, as well as to drink with clients, which can be a serious hazard for individuals who are vulnerable to alcohol addiction. In addition, some begin to use drugs (e.g., heroin, amphetamines and cocaine) to help deal with the stress of their work, while others used drugs prior to beginning sex work, and turned to sex work in order to pay for their drugs. With injecting drug use, vulnerability to HIV infection, hepatitis and a range of bacterial infections increases if drug users share needles.

Precautions include workplace regulations to ensure that prostitutes can drink non-alcoholic beverages when with clients, the provision of sterile injection equipment and, where possible, legal drugs to sex workers who inject drugs, and increasing access to drug and alcohol addiction treatment programmes.

 

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Entertainment and the Arts References

American Academy of Orthopedic Surgeons. 1991. Protective equipment. In Athletic Training and Sports Medicine. Park Ridge, IL: APOS.

Arheim, DD. 1986. Dance Injuries: Their Prevention and Care. St. Louis, MO: CV Mosby Co.

Armstrong, RA, P Neill, and R Mossop. 1988. Asthma induced by ivory dust: A new occupational cause. Thorax 43(9):737-738.

Axelsson, A and F Lindgren. 1981. Hearing in classical musicians. Acta Oto-Larynogologica 92 Suppl. 377:3-74.

Babin, A 1996. Orchestra pit sound level measurements in Broadway shows. Presented at the 26th Annual Meeting of the American Public Health Association. New York, 20 November.

Baker, EL, WA Peterson, JL Holtz, C Coleman, and PJ Landrigan. 1979. Subacute cadmium intoxication in jewellery workers: an evaluation of diagnostic procedures. Arch Environ Health 34:173-177.

Balafrej, A, J Bellakhdar, M El Haitem, and H Khadri. 1984. Paralysis due to glue in young apprentice shoemakers in the medina of Fez. Rev Pediatrie 20(1):43-47.

Ballesteros, M, CMA Zuniga, and OA Cardenas. 1983. Lead concentrations in the blood of children from pottery-making families exposed to lead salts in a Mexican village. B Pan Am Health Organ 17(1):35-41.

Bastian, RW. 1993. Benign mucosal and saccular disorders; benign laryngeal tumors. In Otolaryngology-Head and Neck Surgery, edited by CW Cumming. St. Louis, MO: CV Mosby Co.

—. 1996. Vocal fold microsurgery in singers. Journal of Voice 10(4):389-404

Bastian, R, A Keidar, and K Verdolini-Marston. 1990. Simple vocal tasks for detecting vocal fold swelling. Journal of Voice 4(2):172-183.

Bowling, A. 1989. Injuries to dancers: Prevalence, treatment and perception of causes. British Medical Journal 6675:731-734.

Bruno, PJ, WN Scott, and G Huie. 1995. Basketball. In The Team Physicians’s Handbook, edited by MB Mellion, WM Walsh and GL Shelton. Philadelphia, PA: Mosby Yearbook.

Burr, GA, TJ Van Gilder, DB Trout, TG Wilcox, and R Friscoll. 1994. Health Hazard Evaluation Report: Actors’ Equity Association/The League of American Theaters and Producers, Inc. Doc. HETA 90-355-2449. Cincinnati, OH: US National Institute for Occupational Safety and Health.

Calabrese, LH, DT Kirkendal, and M Floyd. 1983. Menstrual abnormalities, nutritional patterns and body composition in female classical ballet dancers. Phys Sports Med 11:86-98.

Cardullo, AC, AM Ruszkowski, and VA DeLeo. 1989. Allergic contact dermatitis resulting from sensitivity to citrus peel, geriniol, and citral. J Am Acad Dermatol 21(2):395-397.

Carlson, T. 1989. Lights! Camera! Tragedy. TV Guide (26 August):8-11.

Chasin, M and JP Chong. 1992. A clinically efficient hearing protection program for musicians. Med Prob Perform Artists 7(2):40-43.

—. 1995. Four environmental techniques to reduce the effect of music exposure on hearing. Med Prob Perform Artists 10(2):66-69.

Chaterjee, M. 1990. Ready-made garment workers in Ahmedabad. B Occup Health Safety 19:2-5.

Clare, PR. 1990. Football. In The Team Physicians’s Handbook, edited by MB Mellion, WM Walsh, and GL Shelton. St. Louis, MO: CV Mosby Co.

Cornell, C. 1988. Potters, lead and health—Occupational safety in a Mexican village (meeting abstract). Abstr Pap Am Chem S 196:14.

Council on Scientific Affairs of the American Medical Association. 1983. Brain injury in boxing. JAMA 249:254-257.

Das, PK, KP Shukla, and FG Ory. 1992. An occupational health programme for adults and children in the carpet weaving industry, Mirzapur, India: A case study in the informal sector. Soc Sci Med 35(10):1293-1302.

Delacoste, F and P Alexander. 1987. Sex Work: Writings by Women in the Sex Industry. San Francisco, CA: Cleis Press.

Depue, RH and BT Kagey. 1985. A proportionate mortality study of the acting profession. Am J Ind Med 8:57-66.

Dominguez, R, JR DeJuanes Paardo, M Garcia Padros, and F Rodriguez Artalejo. 1987. Antitetanic vaccination in a high-risk population. Med Segur Trab 34:50-56.

Driscoll, RJ, WJ Mulligan, D Schultz, and A Candelaria. 1988. Malignant mesothelioma: a cluster in a Native American population. New Engl J Med 318:1437-1438.

Estébanez, P, K Fitch, and Nájera 1993. HIV and female sex workers. Bull WHO 71(3/4):397-412.

Evans, RW, RI Evans, S Carjaval, and S Perry. 1996. A survey of injuries among Broadway performers. Am J Public Health 86:77-80.

Feder, RJ. 1984. The professional voice and airline flight. Otolaryngology-Head and Neck Surgery, 92(3):251-254.

Feldman, R and T Sedman. 1975. Hobbyists working with lead. New Engl J Med 292:929.

Fishbein, M. 1988. Medical problems among ICSOM musicians. Med Prob Perform Artists 3:1-14.

Fisher, AA. 1976. “Blackjack disease” and other chromate puzzles. Cutis 18(1):21-22.

Frye, HJH. 1986. Incidence of overuse syndrome in the symphony orchestra. Med Prob Perform Artists 1:51-55.

Garrick, JM. 1977. The frequency of injury, mechanism of injury and epidemiology of ankle sprains. Am J Sports Med 5:241-242.

Griffin, R, KD Peterson, J Halseth, and B Reynolds. 1989. Radiographic study of elbow injuries in professional rodeo cowboys. Phys Sports Med 17:85-96.

Hamilton, LH and WG Hamilton. 1991. Classical ballet: Balancing the costs of artistry and athleticism. Med Prob Perform Artists 6:39-44.

Hamilton, WG. 1988. Foot and ankle injuries in dancers. In Sports Clinics of North America, edited by L Yokum. Philadelphia, PA: Williams and Wilkins.

Hardaker, WTJ. 1987. Medical considerations in dance training for children. Am Fam Phys 35(5):93-99.

Henao, S. 1994. Health Conditions of Latin American Workers. Washington, DC: American Public Health Association.

Huie, G and EB Hershman. 1994. The team clinician’s bag. Am Acad Phys Asst 7:403-405.

Huie, G and WN Scott. 1995. Assessment of ankle sprains in athletes. Phys Assist J 19(10):23-24.

Kipen, HM and Y Lerman. 1986. Respiratory abnormalities among photographic developers: A report of 3 cases. Am J Ind Med 9:341-347.

Knishkowy, B and EL Baker. 1986. Transmission of occupational disease to family contacts. Am J Ind Med 9:543-550.

Koplan, JP, AV Wells, HJP Diggory, EL Baker, and J Liddle. 1977. Lead absorption in a community of potters in Barbados. Int J Epidemiol 6:225-229.

Malhotra, HL. 1984. Fire safety in assembly buildings. Fire Safety J 7(3):285-291.

Maloy, E. 1978. Projection booth safety: New findings and new dangers. Int Assoc Electr Inspect News 50(4):20-21.

McCann, M. 1989. 5 dead in movie heliocopter crash. Art Hazards News 12:1.

—. 1991. Lights! Camera! Safety! A Health and Safety Manual for Motion Picture and Television Production. New York: Center for Safety in the Arts.

—. 1992a. Artist Beware. New York: Lyons and Burford.

—. 1992b. Art Safety Procedures: A Health and Safety Manual for Art Schools and Art Departments. New York: Center for Safety in the Arts.

—. 1996. Hazards in cottage industries in developing countries. Am J Ind Med 30:125-129.

McCann, M, N Hall, R Klarnet, and PA Peltz. 1986. Reproductive hazards in the arts and crafts. Presented at the Annual Conference of the Society for Occupational and Environmental Health Conference on Reproductive Hazards in the Environment and Workplace, Bethesda, MD, 26 April.

Miller, AB, DT Silverman, and A Blair. 1986. Cancer risk among artistic painters. Am J Ind Med 9:281-287.

MMWR. 1982. Chromium sensitization in an artist’s workshop. Morb Mort Weekly Rep 31:111.

—. 1996. Bull riding-related brain and spinal cord injuries—Louisiana, 1994-1995. Morb and Mort Weekly Rep 45:3-5.

Monk, TH. 1994. Circadian rhythms in subjective activation, mood, and performance efficiency. In Principles and Practice of Sleep Medicine, 2nd edition, edited by M. Kryger and WC. Roth. Philadelphia, PA: WB Saunders.

National Institute for Occupational Safety and Health (NIOSH). 1991. Environmental Tobacco Smoke in the Workplace: NIOSH Current Intelligence Bulletin 54. Cincinnati, OH: NIOSH.

Norris, RN. 1990. Physical disorders of visual artists. Art Hazards News 13(2):1.

Nubé, J. 1995. Beta Blockers and Performing Musicians. Doctoral thesis. Amsterdam: University of Amsterdam.

O’Donoghue, DH. 1950. Surgical treatment of fresh injuries to major ligaments of the knee. J Bone Joint Surg 32:721-738.

Olkinuora, M. 1984. Alcoholism and occupation. Scand J Work Environ Health 10(6):511-515.

—. 1976. Injuries to the knee. In Treatment of Injuries to Athletes, edited by DH O’Donoghue. Philadelphia, PA: WB Saunders.

Pan American Health Organization, (PAHO). 1994. Health Conditions in the Americas. Vol. 1. Washington, DC: PAHO.

Pheterson, G. 1989. The Vindication of the Rights of Whores. Seattle, WA: Seal Press.

Prockup, L. 1978. Neuropathy in an artist. Hosp Pract (November):89.

Qualley, CA. 1986. Safety in the Artroom. Worcester, MA: Davis Publications.

Ramakrishna, RS, P Muthuthamby, RR Brooks, and DE Ryan. 1982. Blood lead levels in Sri Lankan families recovering gold and silver from jewellers’ waste. Arch Environ Health 37(2):118-120.

Ramazzini, B. 1713. De morbis artificum (Diseases of Workers). Chicago, IL: University of Chicago Press.

Rastogi, SK, BN Gupta, H Chandra, N Mathur, PN Mahendra, and T Husain. 1991. A study of the prevalence of respiratory morbidity among agate workers. Int Arch Occup Environ Health 63(1):21-26.

Rossol, M. 1994. The Artist’s Complete Health and Safety Guide. New York: Allworth Press.

Sachare, A.(ed.). 1994a. Rule #2. Section IIC. In The Official NBA Basketball Encyclopedia. New York: Villard Books.

—. 1994b. Basic Principle P: Guidelines for infection control. In The Official NBA Basketball Encyclopedia. New York: Villard Books.

Sammarco, GJ. 1982. The foot and ankle in classical ballet and modern dance. In Disorders of the Foot, edited by MH Jahss. Philadelphia, PA: WB Saunders.

Sataloff, RT. 1991. Professional Voice: The Science and Art of Clinical Care. New York: Raven Press.

—. 1995. Medications and their effect on the voice. Journal of Singing 52(1):47-52.

—. 1996. Pollution: Consequences for singers. Journal of Singing 52(3):59-64.

Schall, EL, CH Powell, GA Gellin, and MM Key. 1969. Hazards to go-go dancers to exposures to “black” light from fluorescent bulbs. Am Ind Hyg Assoc J 30:413-416.

Schnitt, JM and D Schnitt. 1987. Psychological aspects of dance. In The Science of Dance Training, edited by P Clarkson and M Skrinar. Champaign, IL: Human Kinetics Press.

Seals, J. 1987. Dance surfaces. In Dance Medicine: A Comprehensive Guide, edited by A Ryan and RE Stephens. Chicago, IL: Pluribus Press.

Sofue, I, Y Yamamura, K Ando, M Iida, and T Takayanagi. 1968. N-hexane polyneuropathy. Clin Neurol 8:393-403.

Stewart, R and C Hake. 1976. Paint remover hazard. JAMA 235:398.

Tan, TC, HC Tsang, and LL Wong. 1990. Noise surveys in discotheques in Hong Kong. Ind Health 28(1):37-40.

Teitz, C, RM Harrington, and H Wiley. 1985. Pressure on the foot in point shoes. Foot Ankle 5:216-221.

VanderGriend, RA, FH Savoie, and JL Hughes. 1991. Fracture of the ankle. In Rockwood and Green’s Fractures in Adults, edited by CA Rockwood, DP Green, and RW Bucholz. Philadelphia, PA: JB Lippincott Co.

Warren, M, J Brooks-Gunn, and L Hamilton. 1986. Scoliosis and fracture in young ballet dancers: Relationship to delayed menarcheal age and amenorrhea. New Engl J Med 314:1338-1353.

World Health Organization (WHO). 1976. Meeting on Organization of Health Care in Small Industries. Geneva: WHO.

Zeitels, S. 1995. Premalignant epithelium and microinvasive cancer of the vocal fold: the evolution of phonomicrosurgical management. Laryngoscope 105(3):1-51.