Predictors of Violence, Traumatic Stress, and Burnout in Sex Work

This dissertation reports and discusses the findings of an online survey of 339 sex workers in Canada and the United States concerning their experiences of traumatic stress, burnout, and violence by clients, their working conditions and environment, and their perceptions and experiences of their clients. The survey was designed to collect data on the prevalence of harm and distress among sex workers across the various contexts and locations in which sex work is bought, as well as on how harm and distress in sex work relate to client behaviours and characteristics, structural factors such as sex work stigma and racial or ethnic identity, and protective factors such as working conditions and social cohesion. The 339 sex workers surveyed reported very high levels of traumatic stress, with at least half the respondents reporting levels of traumatic stress consistent with a post-traumatic stress disorder (PTSD) diagnosis. Respondents also reported a very high prevalence of violent clients, as nearly half of the clients were reported to be violent. The prevalence of violence by clients was somewhat lower, with half of respondents experiencing violence occasionally and 25% of respondents reporting violence as a rare occurrence. Burnout levels among the surveyed workers were also high; half the sample reported levels of burnout above the accepted threshold for detecting burnt-out workers. A higher prevalence of clients perceived as adhering to hegemonic masculinity norms significantly predicted higher levels of traumatic stress as well as a higher prevalence of violent clients. Also, a higher prevalence of clients motivated by their inability to access non-commercial sex due to a physical or mental disability or lack of social skills significantly predicted higher levels of violence by clients and higher prevalence of violent clients. More control over working conditions significantly predicted lower levels of traumatic stress, and higher levels of social cohesion significantly predicted lower levels of burnout. Sex work stigma significantly predicted variation in the prevalence of violence by clients, prevalence of violent clients, levels of traumatic stress, and levels of burnout in the surveyed sex workers.

Department dc:contributor.department

Social Work

Year dc:date.issued

2019

Author dc:creator

• Alschech, Jonathan

Advisor dc:contributor.advisor

• Regehr, Cheryl

• burnout
• prostitution
• sex work
• stigma
• trauma
• violence

Handle dc:identifier.uri

http://hdl.handle.net/1807/97315

OAI identifier oai:identifier

oai:utoronto.scholaris.ca:1807/97315