Sexuality, power dynamics and abuse among female, male and transgender sex workers in Pakistan

Abstract

The study objectives were to understand how power dynamics and abuse shape the risk environment of men, women and transgenders who sell sex in Pakistan, and compare the levels of abuse by different actors according to the gender and orientation of the sex workers. Peer methodology was used. This involved training 3 separate groups of 15 female, 15 male and 15 transgender sex workers to interview their own peers on social life, risks and problems and health. The results indicate that women coming into sex work open themselves to abuse from family, neighbours, acquaintances, clients and police. Poverty and drug addiction in the family may add to a woman's vulnerability, impeding her ability to reduce risk of infection and other health risks. Transgenders experienced the highest levels of violence from policemen. Implications for interventions are outlined