Migration Status, Work Conditions and Health Utilization of Female Sex Workers in Three South African Cities
Identifieur interne : 000911 ( Pmc/Corpus ); précédent : 000910; suivant : 000912Migration Status, Work Conditions and Health Utilization of Female Sex Workers in Three South African Cities
Auteurs : Marlise Richter ; Matthew F. Chersich ; Jo Vearey ; Benn Sartorius ; Marleen Temmerman ; Stanley LuchtersSource :
- Journal of Immigrant and Minority Health [ 1557-1912 ] ; 2012.
Abstract
Intersections between migration and sex work are underexplored in southern Africa, a region with high internal and cross-border population mobility, and HIV prevalence. Sex work often constitutes an important livelihood activity for migrant women. In 2010, sex workers trained as interviewers conducted cross-sectional surveys with 1,653 female sex workers in Johannesburg (Hillbrow and Sandton), Rustenburg and Cape Town. Most (85.3 %) sex workers were migrants (1396/1636): 39.0 % (638/1636) internal and 46.3 % (758/1636) cross-border. Cross-border migrants had higher education levels, predominately worked part-time, mainly at indoor venues, and earned more per client than other groups. They, however, had 41 % lower health service contact (adjusted odds ratio = 0.59; 95 % confidence interval = 0.40–0.86) and less frequent condom use than non-migrants. Police interaction was similar. Cross-border migrants appear more tenacious in certain aspects of sex work, but require increased health service contact. Migrant-sensitive, sex work-specific health care and health education are needed.
Url:
DOI: 10.1007/s10903-012-9758-4
PubMed: 23238581
PubMed Central: 3895178
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PMC:3895178Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Migration Status, Work Conditions and Health Utilization of Female Sex Workers in Three South African Cities</title><author><name sortKey="Richter, Marlise" sort="Richter, Marlise" uniqKey="Richter M" first="Marlise" last="Richter">Marlise Richter</name><affiliation><nlm:aff id="Aff1">Department of Obstetrics and Gynaecology, International Centre for Reproductive Health, Ghent University, Ghent, Belgium</nlm:aff></affiliation><affiliation><nlm:aff id="Aff2">African Centre for Migration & Society, University of the Witwatersrand, Johannesburg, South Africa</nlm:aff></affiliation></author><author><name sortKey="Chersich, Matthew F" sort="Chersich, Matthew F" uniqKey="Chersich M" first="Matthew F." last="Chersich">Matthew F. Chersich</name><affiliation><nlm:aff id="Aff1">Department of Obstetrics and Gynaecology, International Centre for Reproductive Health, Ghent University, Ghent, Belgium</nlm:aff></affiliation><affiliation><nlm:aff id="Aff3">Faculty of Health Sciences, Centre for Health Policy, School of Public Health, University of the Witwatersrand, Johannesburg, South Africa</nlm:aff></affiliation></author><author><name sortKey="Vearey, Jo" sort="Vearey, Jo" uniqKey="Vearey J" first="Jo" last="Vearey">Jo Vearey</name><affiliation><nlm:aff id="Aff2">African Centre for Migration & Society, University of the Witwatersrand, Johannesburg, South Africa</nlm:aff></affiliation></author><author><name sortKey="Sartorius, Benn" sort="Sartorius, Benn" uniqKey="Sartorius B" first="Benn" last="Sartorius">Benn Sartorius</name><affiliation><nlm:aff id="Aff4">School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa</nlm:aff></affiliation></author><author><name sortKey="Temmerman, Marleen" sort="Temmerman, Marleen" uniqKey="Temmerman M" first="Marleen" last="Temmerman">Marleen Temmerman</name><affiliation><nlm:aff id="Aff1">Department of Obstetrics and Gynaecology, International Centre for Reproductive Health, Ghent University, Ghent, Belgium</nlm:aff></affiliation></author><author><name sortKey="Luchters, Stanley" sort="Luchters, Stanley" uniqKey="Luchters S" first="Stanley" last="Luchters">Stanley Luchters</name><affiliation><nlm:aff id="Aff1">Department of Obstetrics and Gynaecology, International Centre for Reproductive Health, Ghent University, Ghent, Belgium</nlm:aff></affiliation><affiliation><nlm:aff id="Aff4">School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa</nlm:aff></affiliation><affiliation><nlm:aff id="Aff5">Centre for International Health, Burnet Institute, Melbourne, Australia</nlm:aff></affiliation><affiliation><nlm:aff id="Aff6">School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">23238581</idno><idno type="pmc">3895178</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3895178</idno><idno type="RBID">PMC:3895178</idno><idno type="doi">10.1007/s10903-012-9758-4</idno><date when="2012">2012</date><idno type="wicri:Area/Pmc/Corpus">000911</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000911</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Migration Status, Work Conditions and Health Utilization of Female Sex Workers in Three South African Cities</title><author><name sortKey="Richter, Marlise" sort="Richter, Marlise" uniqKey="Richter M" first="Marlise" last="Richter">Marlise Richter</name><affiliation><nlm:aff id="Aff1">Department of Obstetrics and Gynaecology, International Centre for Reproductive Health, Ghent University, Ghent, Belgium</nlm:aff></affiliation><affiliation><nlm:aff id="Aff2">African Centre for Migration & Society, University of the Witwatersrand, Johannesburg, South Africa</nlm:aff></affiliation></author><author><name sortKey="Chersich, Matthew F" sort="Chersich, Matthew F" uniqKey="Chersich M" first="Matthew F." last="Chersich">Matthew F. Chersich</name><affiliation><nlm:aff id="Aff1">Department of Obstetrics and Gynaecology, International Centre for Reproductive Health, Ghent University, Ghent, Belgium</nlm:aff></affiliation><affiliation><nlm:aff id="Aff3">Faculty of Health Sciences, Centre for Health Policy, School of Public Health, University of the Witwatersrand, Johannesburg, South Africa</nlm:aff></affiliation></author><author><name sortKey="Vearey, Jo" sort="Vearey, Jo" uniqKey="Vearey J" first="Jo" last="Vearey">Jo Vearey</name><affiliation><nlm:aff id="Aff2">African Centre for Migration & Society, University of the Witwatersrand, Johannesburg, South Africa</nlm:aff></affiliation></author><author><name sortKey="Sartorius, Benn" sort="Sartorius, Benn" uniqKey="Sartorius B" first="Benn" last="Sartorius">Benn Sartorius</name><affiliation><nlm:aff id="Aff4">School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa</nlm:aff></affiliation></author><author><name sortKey="Temmerman, Marleen" sort="Temmerman, Marleen" uniqKey="Temmerman M" first="Marleen" last="Temmerman">Marleen Temmerman</name><affiliation><nlm:aff id="Aff1">Department of Obstetrics and Gynaecology, International Centre for Reproductive Health, Ghent University, Ghent, Belgium</nlm:aff></affiliation></author><author><name sortKey="Luchters, Stanley" sort="Luchters, Stanley" uniqKey="Luchters S" first="Stanley" last="Luchters">Stanley Luchters</name><affiliation><nlm:aff id="Aff1">Department of Obstetrics and Gynaecology, International Centre for Reproductive Health, Ghent University, Ghent, Belgium</nlm:aff></affiliation><affiliation><nlm:aff id="Aff4">School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa</nlm:aff></affiliation><affiliation><nlm:aff id="Aff5">Centre for International Health, Burnet Institute, Melbourne, Australia</nlm:aff></affiliation><affiliation><nlm:aff id="Aff6">School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia</nlm:aff></affiliation></author></analytic><series><title level="j">Journal of Immigrant and Minority Health</title><idno type="ISSN">1557-1912</idno><idno type="eISSN">1557-1920</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Intersections between migration and sex work are underexplored in southern Africa, a region with high internal and cross-border population mobility, and HIV prevalence. Sex work often constitutes an important livelihood activity for migrant women. In 2010, sex workers trained as interviewers conducted cross-sectional surveys with 1,653 female sex workers in Johannesburg (Hillbrow and Sandton), Rustenburg and Cape Town. Most (85.3 %) sex workers were migrants (1396/1636): 39.0 % (638/1636) internal and 46.3 % (758/1636) cross-border. Cross-border migrants had higher education levels, predominately worked part-time, mainly at indoor venues, and earned more per client than other groups. They, however, had 41 % lower health service contact (adjusted odds ratio = 0.59; 95 % confidence interval = 0.40–0.86) and less frequent condom use than non-migrants. Police interaction was similar. Cross-border migrants appear more tenacious in certain aspects of sex work, but require increased health service contact. Migrant-sensitive, sex work-specific health care and health education are needed.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Adepoju, A" uniqKey="Adepoju A">A Adepoju</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Agustin, L" uniqKey="Agustin L">L Agustin</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Akileswaran, C" uniqKey="Akileswaran C">C Akileswaran</name></author><author><name sortKey="Lurie, M" uniqKey="Lurie M">M Lurie</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="B Hr, J" uniqKey="B Hr J">J Bähr</name></author><author><name sortKey="Jurgens, U" uniqKey="Jurgens U">U Jürgens</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Baral, S" uniqKey="Baral S">S Baral</name></author><author><name sortKey="Beyrer, C" uniqKey="Beyrer C">C Beyrer</name></author><author><name sortKey="Muessig, K" uniqKey="Muessig K">K Muessig</name></author><author><name sortKey="Poteat, T" uniqKey="Poteat T">T Poteat</name></author><author><name sortKey="Wirtz, A" uniqKey="Wirtz A">A Wirtz</name></author><author><name sortKey="Decker, M" uniqKey="Decker M">M Decker</name></author><author><name sortKey="Sherman, M" uniqKey="Sherman M">M Sherman</name></author><author><name sortKey="Kerrigan, D" uniqKey="Kerrigan D">D Kerrigan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Biradavolu, Mr" uniqKey="Biradavolu M">MR Biradavolu</name></author><author><name sortKey="Burris, S" uniqKey="Burris S">S Burris</name></author><author><name sortKey="George, A" uniqKey="George A">A George</name></author><author><name sortKey="Jena, A" uniqKey="Jena A">A Jena</name></author><author><name sortKey="Blankenship, Km" uniqKey="Blankenship K">KM Blankenship</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Bodin, C" uniqKey="Bodin C">C Bodin</name></author><author><name sortKey="Richter, M" uniqKey="Richter M">M Richter</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bujra, Jm" uniqKey="Bujra J">JM Bujra</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Busza, J" uniqKey="Busza J">J Busza</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Campbell, C" uniqKey="Campbell C">C Campbell</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Deane, Kd" uniqKey="Deane K">KD Deane</name></author><author><name sortKey="Parkhurst, Jo" uniqKey="Parkhurst J">JO Parkhurst</name></author><author><name sortKey="Johnston, D" uniqKey="Johnston D">D Johnston</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Evans, C" uniqKey="Evans C">C Evans</name></author><author><name sortKey="Jana, S" uniqKey="Jana S">S Jana</name></author><author><name sortKey="Lambert, H" uniqKey="Lambert H">H Lambert</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Fick, N" uniqKey="Fick N">N Fick</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Fick, N" uniqKey="Fick N">N Fick</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Fick, N" uniqKey="Fick N">N Fick</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gould, C" uniqKey="Gould C">C Gould</name></author><author><name sortKey="Fick, N" uniqKey="Fick N">N Fick</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hammar, A" uniqKey="Hammar A">A Hammar</name></author><author><name sortKey="Mcgregor, J" uniqKey="Mcgregor J">J Mcgregor</name></author><author><name sortKey="Landau, L" uniqKey="Landau L">L Landau</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hawken, Mp" uniqKey="Hawken M">MP Hawken</name></author><author><name sortKey="Melis, Rd" uniqKey="Melis R">RD Melis</name></author><author><name sortKey="Ngombo, Dt" uniqKey="Ngombo D">DT Ngombo</name></author><author><name sortKey="Mandaliya, K" uniqKey="Mandaliya K">K Mandaliya</name></author><author><name sortKey="Ng Ng, Lw" uniqKey="Ng Ng L">LW Ng’ang’a</name></author><author><name sortKey="Price, J" uniqKey="Price J">J Price</name></author><author><name sortKey="Dallabetta, G" uniqKey="Dallabetta G">G Dallabetta</name></author><author><name sortKey="Temmerman, M" uniqKey="Temmerman M">M Temmerman</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Landau, L" uniqKey="Landau L">L Landau</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Landau, Lb" uniqKey="Landau L">LB Landau</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Landau, Lb" uniqKey="Landau L">LB Landau</name></author><author><name sortKey="Wa Kabwe Segatti, A" uniqKey="Wa Kabwe Segatti A">A Wa Kabwe Segatti</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Malmusi, D" uniqKey="Malmusi D">D Malmusi</name></author><author><name sortKey="Borrell, C" uniqKey="Borrell C">C Borrell</name></author><author><name sortKey="Benach, J" uniqKey="Benach J">J Benach</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mccarthy, K" uniqKey="Mccarthy K">K Mccarthy</name></author><author><name sortKey="Chersich, Mf" uniqKey="Chersich M">MF Chersich</name></author><author><name sortKey="Vearey, J" uniqKey="Vearey J">J Vearey</name></author><author><name sortKey="Meyer Rath, G" uniqKey="Meyer Rath G">G Meyer-Rath</name></author><author><name sortKey="Jaffer, A" uniqKey="Jaffer A">A Jaffer</name></author><author><name sortKey="Simpwalo, S" uniqKey="Simpwalo S">S Simpwalo</name></author><author><name sortKey="Venter, Wd" uniqKey="Venter W">WD Venter</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nairne, D" uniqKey="Nairne D">D Nairne</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nairne, D" uniqKey="Nairne D">D Nairne</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="O Onnor, Cc" uniqKey="O Onnor C">CC O’connor</name></author><author><name sortKey="Berry, G" uniqKey="Berry G">G Berry</name></author><author><name sortKey="Rohrsheim, R" uniqKey="Rohrsheim R">R Rohrsheim</name></author><author><name sortKey="Donovan, B" uniqKey="Donovan B">B Donovan</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Perberdy, S" uniqKey="Perberdy S">S Perberdy</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Ramjee, G" uniqKey="Ramjee G">G Ramjee</name></author><author><name sortKey="Karim, Ss" uniqKey="Karim S">SS Karim</name></author><author><name sortKey="Sturm, Aw" uniqKey="Sturm A">AW Sturm</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rekart, Ml" uniqKey="Rekart M">ML Rekart</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Richter, M" uniqKey="Richter M">M Richter</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Richter, M" uniqKey="Richter M">M Richter</name></author><author><name sortKey="Luchters, S" uniqKey="Luchters S">S Luchters</name></author><author><name sortKey="Ndlovu, D" uniqKey="Ndlovu D">D Ndlovu</name></author><author><name sortKey="Temmerman, M" uniqKey="Temmerman M">M Temmerman</name></author><author><name sortKey="Chersich, Mf" uniqKey="Chersich M">MF Chersich</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Richter, Ml" uniqKey="Richter M">ML Richter</name></author><author><name sortKey="Chersich, Mf" uniqKey="Chersich M">MF Chersich</name></author><author><name sortKey="Scorgie, F" uniqKey="Scorgie F">F Scorgie</name></author><author><name sortKey="Luchters, S" uniqKey="Luchters S">S Luchters</name></author><author><name sortKey="Temmerman, M" uniqKey="Temmerman M">M Temmerman</name></author><author><name sortKey="Steen, R" uniqKey="Steen R">R Steen</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Scorgie, F" uniqKey="Scorgie F">F Scorgie</name></author><author><name sortKey="Chersich, Mf" uniqKey="Chersich M">MF Chersich</name></author><author><name sortKey="Ntaganira, I" uniqKey="Ntaganira I">I Ntaganira</name></author><author><name sortKey="Gerbase, A" uniqKey="Gerbase A">A Gerbase</name></author><author><name sortKey="Lule, F" uniqKey="Lule F">F Lule</name></author><author><name sortKey="Lo, Yr" uniqKey="Lo Y">YR Lo</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Shannon, K" uniqKey="Shannon K">K Shannon</name></author><author><name sortKey="Montaner, J" uniqKey="Montaner J">J Montaner</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Stadler, J" uniqKey="Stadler J">J Stadler</name></author><author><name sortKey="Delany, S" uniqKey="Delany S">S Delany</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Vanwiesenbeeck, I" uniqKey="Vanwiesenbeeck I">I Vanwiesenbeeck</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Vearey, J" uniqKey="Vearey J">J Vearey</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Vearey, J" uniqKey="Vearey J">J Vearey</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Vearey, J" uniqKey="Vearey J">J Vearey</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Vearey, J" uniqKey="Vearey J">J Vearey</name></author><author><name sortKey="Oliveira, E" uniqKey="Oliveira E">E Oliveira</name></author><author><name sortKey="Madzimure, T" uniqKey="Madzimure T">T Madzimure</name></author><author><name sortKey="Ntini, B" uniqKey="Ntini B">B Ntini</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Vearey, J" uniqKey="Vearey J">J Vearey</name></author><author><name sortKey="Palmary, I" uniqKey="Palmary I">I Palmary</name></author><author><name sortKey="Thomas, L" uniqKey="Thomas L">L Thomas</name></author><author><name sortKey="Nunez, L" uniqKey="Nunez L">L Nunez</name></author><author><name sortKey="Drimie, S" uniqKey="Drimie S">S Drimie</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Vearey, J" uniqKey="Vearey J">J Vearey</name></author><author><name sortKey="Richter, M" uniqKey="Richter M">M Richter</name></author><author><name sortKey="Nu Ez, L" uniqKey="Nu Ez L">L Núñez</name></author><author><name sortKey="Moyo, K" uniqKey="Moyo K">K Moyo</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Vetten, L" uniqKey="Vetten L">L Vetten</name></author><author><name sortKey="Dladla, J" uniqKey="Dladla J">J Dladla</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Wojcicki, Jm" uniqKey="Wojcicki J">JM Wojcicki</name></author><author><name sortKey="Malala, J" uniqKey="Malala J">J Malala</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Immigr Minor Health</journal-id><journal-id journal-id-type="iso-abbrev">J Immigr Minor Health</journal-id><journal-title-group><journal-title>Journal of Immigrant and Minority Health</journal-title></journal-title-group><issn pub-type="ppub">1557-1912</issn><issn pub-type="epub">1557-1920</issn><publisher><publisher-name>Springer US</publisher-name><publisher-loc>Boston</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">23238581</article-id><article-id pub-id-type="pmc">3895178</article-id><article-id pub-id-type="publisher-id">9758</article-id><article-id pub-id-type="doi">10.1007/s10903-012-9758-4</article-id><article-categories><subj-group subj-group-type="heading"><subject>Original Paper</subject></subj-group></article-categories><title-group><article-title>Migration Status, Work Conditions and Health Utilization of Female Sex Workers in Three South African Cities</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Richter</surname><given-names>Marlise</given-names></name><address><email>Marlise.richter@gmail.com</email></address><xref ref-type="aff" rid="Aff1"></xref><xref ref-type="aff" rid="Aff2"></xref></contrib><contrib contrib-type="author"><name><surname>Chersich</surname><given-names>Matthew F.</given-names></name><address><email>mfchersich@gmail.com</email></address><xref ref-type="aff" rid="Aff1"></xref><xref ref-type="aff" rid="Aff3"></xref></contrib><contrib contrib-type="author"><name><surname>Vearey</surname><given-names>Jo</given-names></name><address><email>jovearey@gmail.com</email></address><xref ref-type="aff" rid="Aff2"></xref></contrib><contrib contrib-type="author"><name><surname>Sartorius</surname><given-names>Benn</given-names></name><address><email>Benn.Sartorius@wits.ac.za</email></address><xref ref-type="aff" rid="Aff4"></xref></contrib><contrib contrib-type="author"><name><surname>Temmerman</surname><given-names>Marleen</given-names></name><address><email>Marleen.Temmerman@ugent.be</email></address><xref ref-type="aff" rid="Aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Luchters</surname><given-names>Stanley</given-names></name><address><email>sluchters@burnet.edu.au</email></address><xref ref-type="aff" rid="Aff1"></xref><xref ref-type="aff" rid="Aff4"></xref><xref ref-type="aff" rid="Aff5"></xref><xref ref-type="aff" rid="Aff6"></xref></contrib><aff id="Aff1"><label></label>Department of Obstetrics and Gynaecology, International Centre for Reproductive Health, Ghent University, Ghent, Belgium</aff><aff id="Aff2"><label></label>African Centre for Migration & Society, University of the Witwatersrand, Johannesburg, South Africa</aff><aff id="Aff3"><label></label>Faculty of Health Sciences, Centre for Health Policy, School of Public Health, University of the Witwatersrand, Johannesburg, South Africa</aff><aff id="Aff4"><label></label>School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa</aff><aff id="Aff5"><label></label>Centre for International Health, Burnet Institute, Melbourne, Australia</aff><aff id="Aff6"><label></label>School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia</aff></contrib-group><pub-date pub-type="epub"><day>13</day><month>12</month><year>2012</year></pub-date><pub-date pub-type="pmc-release"><day>13</day><month>12</month><year>2012</year></pub-date><pub-date pub-type="ppub"><year>2014</year></pub-date><volume>16</volume><issue>1</issue><fpage>7</fpage><lpage>17</lpage><permissions><copyright-statement>© The Author(s) 2012</copyright-statement><license license-type="OpenAccess"><license-p><bold>Open Access</bold>This article is distributed under the terms of the Creative Commons Attribution License which permits any use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited.</license-p></license></permissions><abstract id="Abs1"><p>Intersections between migration and sex work are underexplored in southern Africa, a region with high internal and cross-border population mobility, and HIV prevalence. Sex work often constitutes an important livelihood activity for migrant women. In 2010, sex workers trained as interviewers conducted cross-sectional surveys with 1,653 female sex workers in Johannesburg (Hillbrow and Sandton), Rustenburg and Cape Town. Most (85.3 %) sex workers were migrants (1396/1636): 39.0 % (638/1636) internal and 46.3 % (758/1636) cross-border. Cross-border migrants had higher education levels, predominately worked part-time, mainly at indoor venues, and earned more per client than other groups. They, however, had 41 % lower health service contact (adjusted odds ratio = 0.59; 95 % confidence interval = 0.40–0.86) and less frequent condom use than non-migrants. Police interaction was similar. Cross-border migrants appear more tenacious in certain aspects of sex work, but require increased health service contact. Migrant-sensitive, sex work-specific health care and health education are needed.</p></abstract><kwd-group xml:lang="en"><title>Keywords</title><kwd>Sex work</kwd><kwd>Condoms</kwd><kwd>Health care utilization</kwd><kwd>Migration status</kwd><kwd>South Africa</kwd></kwd-group><custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name><meta-value>© Springer Science+Business Media New York 2014</meta-value></custom-meta></custom-meta-group></article-meta></front><body><sec id="Sec1"><title>Background</title><p>Southern Africa is home to the largest population of people with HIV globally [<xref ref-type="bibr" rid="CR56">56</xref>]. A meta-analysis showed that sex workers in sub-Saharan Africa were 12.4 times more likely than the general population to acquire HIV, with 95 % confidence interval (CI) estimates ranging from 8.9 to 17.2 [<xref ref-type="bibr" rid="CR6">6</xref>]. Further, female sex workers (FSWs) who are migrants in lower-income countries have higher HIV risks than non-migrants [<xref ref-type="bibr" rid="CR37">37</xref>] Despite this, appropriate legal, policy and programmatic responses to HIV, migration and sex work are lacking in Africa [<xref ref-type="bibr" rid="CR42">42</xref>, <xref ref-type="bibr" rid="CR44">44</xref>, <xref ref-type="bibr" rid="CR48">48</xref>, <xref ref-type="bibr" rid="CR57">57</xref>, <xref ref-type="bibr" rid="CR64">64</xref>] and sex work remains mostly criminalised across the continent [<xref ref-type="bibr" rid="CR50">50</xref>, <xref ref-type="bibr" rid="CR64">64</xref>].</p><p>Internationally, studies have highlighted clear linkages between migration and sex work [<xref ref-type="bibr" rid="CR2">2</xref>, <xref ref-type="bibr" rid="CR10">10</xref>, <xref ref-type="bibr" rid="CR11">11</xref>, <xref ref-type="bibr" rid="CR58">58</xref>]. In southern Africa, whilst several studies have documented associations between migration and informal livelihood activities [<xref ref-type="bibr" rid="CR1">1</xref>, <xref ref-type="bibr" rid="CR27">27</xref>, <xref ref-type="bibr" rid="CR36">36</xref>, <xref ref-type="bibr" rid="CR38">38</xref>, <xref ref-type="bibr" rid="CR64">64</xref>], little research has focused specifically on the overlap between sex work and migration.</p><p>This study therefore assessed selected structural determinants of vulnerability of migrant FSWs (economic environment and working conditions) and whether access to health services varies between non-migrants, internal migrants and cross-border migrants. The study, in four sites in South Africa, evaluates outcomes based on a conceptual framework (Fig. <xref rid="Fig1" ref-type="fig">1</xref>). This framework draws on previous evidence showing that health status and HIV risk among sex workers is contingent on sole economic dependence on sex work, safety of the work environment and degree of responsiveness of health services [<xref ref-type="bibr" rid="CR8">8</xref>, <xref ref-type="bibr" rid="CR13">13</xref>, <xref ref-type="bibr" rid="CR40">40</xref>, <xref ref-type="bibr" rid="CR46">46</xref>, <xref ref-type="bibr" rid="CR67">67</xref>]. Clients often demand unprotected sex [<xref ref-type="bibr" rid="CR12">12</xref>, <xref ref-type="bibr" rid="CR35">35</xref>, <xref ref-type="bibr" rid="CR39">39</xref>], and the ability of sex workers to negotiate safer sex depends on their degree of economic vulnerability, and the prevailing power relations between sex workers and clients, and between sex workers and law enforcement agencies [<xref ref-type="bibr" rid="CR7">7</xref>, <xref ref-type="bibr" rid="CR16">16</xref>, <xref ref-type="bibr" rid="CR67">67</xref>]. In South Africa, cross-border migrants face high levels of police harassment [<xref ref-type="bibr" rid="CR25">25</xref>] and difficulties in accessing health services because of language problems or xenophobic health care workers [<xref ref-type="bibr" rid="CR23">23</xref>]. We hypothesise that these experiences extend to migrant sex workers, and influence their economic dependence on sex work, safety of work conditions and contact with health services.<fig id="Fig1"><label>Fig. 1</label><caption><p>Factors influencing health outcomes of non-migrant, internal migrant and cross-border migrant sex workers</p></caption><graphic xlink:href="10903_2012_9758_Fig1_HTML" id="MO1"></graphic></fig></p></sec><sec id="Sec2" sec-type="materials|methods"><title>Methods</title><sec id="Sec3"><title>Study Setting</title><p>Cross-sectional surveys with self-identified FSWs were conducted around the time of the 2010 Soccer World Cup, during which few changes in FSW demographics were documented [<xref ref-type="bibr" rid="CR43">43</xref>]. Two contrasting areas of Johannesburg, the largest city in South Africa, were selected: Hillbrow and Sandton. The inner-city area of Hillbrow was chosen as it has a well-known, long-standing sex trade and is a popular destination for newly-arrived migrants [<xref ref-type="bibr" rid="CR32">32</xref>, <xref ref-type="bibr" rid="CR33">33</xref>, <xref ref-type="bibr" rid="CR42">42</xref>, <xref ref-type="bibr" rid="CR51">51</xref>, <xref ref-type="bibr" rid="CR62">62</xref>, <xref ref-type="bibr" rid="CR69">69</xref>]. Sandton, by contrast, is a wealthy suburb and business district [<xref ref-type="bibr" rid="CR5">5</xref>] with a visible outdoor sex industry. The Rustenburg site, in a predominantly rural province, comprised informal settlements within a platinum mine area about 15 km outside the city. Its sex work industry mainly serves the local mining community [<xref ref-type="bibr" rid="CR4">4</xref>]. The coastal city of Cape Town is a popular international tourist destination [<xref ref-type="bibr" rid="CR45">45</xref>], with a relatively well documented sex work industry [<xref ref-type="bibr" rid="CR17">17</xref>–<xref ref-type="bibr" rid="CR20">20</xref>, <xref ref-type="bibr" rid="CR35">35</xref>]. Commercial sex work, for purposes of this study, was defined as the exchange of sexual services for financial reward in women above 18 years. Detailed methods are described elsewhere [<xref ref-type="bibr" rid="CR43">43</xref>].</p></sec><sec id="Sec4"><title>Data Collection</title><p>Between May and September 2010, university-based researchers collaborated with two non-governmental organisations—the Sex Worker Education and Advocacy Taskforce (SWEAT) and Sisonke Sex Worker Movement [<xref ref-type="bibr" rid="CR68">68</xref>]. Sex worker peer educators and other sex workers attended a training workshop addressing research ethics, participant selection and interviewing. Ten research assistants were selected per site, with those in Hillbrow also collecting data in Sandton.</p><p>Research assistants administered a 43-item semi-structured questionnaire to approximately 60 sex workers each. To minimise selection bias, they approached every third woman known to them as a sex worker and invited her to participate. Questionnaires were adapted from tools used in previous studies with sex workers in Mombasa, Kenya [<xref ref-type="bibr" rid="CR29">29</xref>] and research on migration and access to health care in Johannesburg [<xref ref-type="bibr" rid="CR59">59</xref>]. Study tools were translated from English into Afrikaans, isiXhosa, isiZulu and Setswana.</p></sec><sec id="Sec5"><title>Ethical Considerations</title><p>Participants provided written informed consent and were offered a cell-phone airtime or grocery voucher of 20 South African Rand (~US$3) for time taken in interview. Women were referred to local counselling, health and legal assistance organizations, when required. Participants were given female condoms and information about a newly established toll-free sex worker helpline. As sex work is criminalized in South Africa [<xref ref-type="bibr" rid="CR9">9</xref>], no identifying information was collected. Study databases were password-protected, with access restricted to the research team. The University of the Witwatersrand Human Research Ethics Committee approved the protocol (Protocol no. H100304).</p></sec><sec id="Sec6"><title>Study Measures & Data Analysis</title><p>Data were entered in duplicate in Microsoft Access by separate data clerks. Participants were asked to indicate if they had been interviewed previously and data from repeat interviews (356 of 1,696 women) was excluded from analysis. We compared socio-demographic characteristics and study outcomes between three study groups: (1) non-migrant females working in the province of their birth, (2) internal migrants, born in different province from where they work, and (3) cross-border migrants, women born in another country.</p><p>Based on previous evidence, three categories of risk factors were defined, each measured as a binary outcome: economic dependence on sex work [<xref ref-type="bibr" rid="CR8">8</xref>] (earns income outside sex work, i.e. part-time sex workers), unsafe work environment [<xref ref-type="bibr" rid="CR7">7</xref>] (had negative interaction with law enforcement in past year) and health services contact [<xref ref-type="bibr" rid="CR8">8</xref>] (contact in past month with facility- or community-based health services such as peer education or outreach). Part-time sex work was defined as having any other income aside from sex work [<xref ref-type="bibr" rid="CR22">22</xref>]. Free text descriptions about contact with the police in the preceding year were coded as a “negative interaction” if it concerned police violence, arrest, harassment, theft, bribery or fines. Conversely, “positive interaction” denoted police assistance with, for example, laying a complaint or warning a participant about potential danger. Weekly income was calculated from the mean amount charged with last two clients, and multiplying that by the number of clients in past week (7.5 South African Rand = 1 US Dollar).</p><p>Chi square tests were used to detect differences between categorical variables. For continuous variables, The Kruskal–Wallis test compared those with a non-normal distribution, and ANOVA test those with a normal distribution. Bivariate analysis was conducted to assess possible confounding by site. Associations between migration group and the three study outcomes were assessed in multivariable logistic regression analysis, controlling for site of enrolment, socio-demographic and sex work confounders. Variables associated with the primary outcome in bivariate analysis or in similar studies were included in the initial model and retained if their removal from the model markedly altered the model fit.</p></sec></sec><sec id="Sec7" sec-type="results"><title>Results</title><sec id="Sec8"><title>Population Description</title><p>Of 1,653 participants, 17 did not state birthplace and were excluded from analysis, while 240 (14.7 %) were non-migrants, 638 (39.0 %) internal migrants and 758 (46.3 %) cross-border migrants. Participants were a mean 29.7 years, similar in the three study groups. Across groups, more than 40 % of participants had spent five or more years in sex work. There was a difference in number of dependents (child and adult) between the groups: a median two for non-migrants, three for internal migrants and four for cross-border migrants (<italic>P</italic> < 0.001). More cross-border migrants (39.6 %) had a regular partner than internal migrants (30.6 %; <italic>P</italic> < 0.001) or non-migrants (27.9 %; <italic>P</italic> = 0.01). However, cross-border migrants who had a regular partner were less likely to live with him/her (34.1 %) than their internal migrant (43.2 %; <italic>P</italic> < 0.001) or non-migrant (54.5 %; <italic>P</italic> = 0.01) counterparts.</p><p>Over one-third (276/733) of cross-border migrants had completed secondary school or some tertiary training, 2.2 fold more than the other two groups (95 % CI odds ratio [OR] = 1.5–3.1). These levels were similar between internal migrants and non-migrants (OR = 1.1; 95 %Cl = 0.8–1.6). Cross-border migrants took up sex work at an older age (mean = 24.9 years, standard deviation [SD] = 5.3) than non-migrants (mean = 23.0 years; SD = 5.4; <italic>P</italic> < 0.001). Approximately 60 % of all migrants—similar among internal (332/551) and cross-border migrants (357/600)—started sex work within two years of arrival in the city. Notably, a quarter of cross-border participants (152/626) were sex workers before leaving their place of birth compared to only about 10 % of internal migrants (58/539, <italic>P</italic> < 0.001; data not shown).</p><p>Eastern Cape province was the biggest contributor of internal migrants (204) to the four sites, exceeding the 124 internal migrants from KwaZulu-Natal and 89 from the Free State (Fig. <xref rid="Fig2" ref-type="fig">2</xref>). This echoes recent findings that the Eastern Cape is one of South Africa’s poorest provinces, with high rates of outmigration [<xref ref-type="bibr" rid="CR41">41</xref>, <xref ref-type="bibr" rid="CR52">52</xref>]. Hillbrow and Sandton had the highest proportion of cross-border migrants (51.9 %, 308/594 in Hillbrow and 66.1 %, 193/292 in Sandton). For all sites, most cross-border migrants hailed from South Africa’s neighbouring countries—notably Zimbabwe (Fig. <xref rid="Fig3" ref-type="fig">3</xref>). Participants from Zimbabwe had a greater number of total dependants (median = 5), than South Africans (median = 3) or those born in other countries (median = 4; <italic>P</italic> ≤ 0.001). Half of non-migrants (117/233) and a third of internal migrants solicited outdoors (195/600; <italic>P</italic> < 0.001), compared to only 22.8 % of cross-border migrants (<italic>P</italic> < 0.001). The latter group predominately worked indoors (52.0 %, 372/715), especially in Hillbrow where two-thirds worked indoors (186/282) Table <xref rid="Tab1" ref-type="table">1</xref>.<fig id="Fig2"><label>Fig. 2</label><caption><p>Place of origin of internal migrants according to research site</p></caption><graphic xlink:href="10903_2012_9758_Fig2_HTML" id="MO2"></graphic></fig><fig id="Fig3"><label>Fig. 3</label><caption><p>Place of origin of cross-border migrants according to research site</p></caption><graphic xlink:href="10903_2012_9758_Fig3_HTML" id="MO3"></graphic></fig><table-wrap id="Tab1"><label>Table 1</label><caption><p>Description of socio-demographics, sex work and migration characteristics of female sex workers in four sites in South Africa (N = 1636)</p></caption><table frame="hsides" rules="groups"><thead><tr><th align="left">Variables</th><th align="left">Non-migrant n = 240</th><th align="left">Internal migrant n = 638</th><th align="left">Cross-border migrant; n = 758</th><th align="left"><italic>P</italic> value<sup>b</sup></th></tr></thead><tbody><tr><td align="left">Age, mean years (SD)</td><td char="(" align="char">29.6 (6.8), n = 240</td><td char="(" align="char">29.9 (6.5), n = 633</td><td char="(" align="char">29.7 (6.4), n = 757</td><td char="." align="char"><0.78<sup>c</sup></td></tr><tr><td align="left" colspan="5">Site, n/N (%)</td></tr><tr><td align="left"> Hillbrow, Johannesburg</td><td char="(" align="char">35/240 (14.6 %)</td><td char="(" align="char">246/638 (38.6 %)</td><td char="(" align="char">299/758 (39.5 %)</td><td align="left"></td></tr><tr><td align="left"> Sandton, Johannesburg</td><td char="(" align="char">20/240 (8.3 %)</td><td char="(" align="char">64/638 (10.0 %)</td><td char="(" align="char">183/758 (24.1 %)</td><td char="." align="char"><0.001</td></tr><tr><td align="left"> Cape Town</td><td char="(" align="char">134/240 (55.8 %)</td><td char="(" align="char">164/638 (25.7 %)</td><td char="(" align="char">55/758 (7.3 %)</td><td align="left"></td></tr><tr><td align="left"> Rustenburg</td><td char="(" align="char">51/240 (21.3 %)</td><td char="(" align="char">164/638 (25.7 %)</td><td char="(" align="char">221/758 (29.2 %)</td><td align="left"></td></tr><tr><td align="left" colspan="5">Education, n/N (%)</td></tr><tr><td align="left"> Primary incomplete</td><td char="(" align="char">45/228 (19.7 %)</td><td char="(" align="char">117/614 (19.1 %)</td><td char="(" align="char">134/733 (18.3 %)</td><td char="." align="char"><0.001</td></tr><tr><td align="left"> Completed primary</td><td char="(" align="char">133/228 (58.3 %)</td><td char="(" align="char">350/614 (57.0 %)</td><td char="(" align="char">323/733 (44.1 %)</td><td align="left"></td></tr><tr><td align="left"> Completed secondary school</td><td char="(" align="char">42/228 (18.4 %)</td><td char="(" align="char">106/614 (17.3 %)</td><td char="(" align="char">223/733 (30.4 %)</td><td align="left"></td></tr><tr><td align="left"> Some tertiary training</td><td char="(" align="char">8/228 (3.5 %)</td><td char="(" align="char">41/614 (6.7 %)</td><td char="(" align="char">53/733 (7.2 %)</td><td align="left"></td></tr><tr><td align="left">Median number of dependants,(IQR)</td><td char="(" align="char">2 (1–4)</td><td char="(" align="char">3 (2–6)</td><td char="(" align="char">4 (2–6)</td><td char="." align="char"><0.001<sup>d</sup></td></tr><tr><td align="left" colspan="5">Relationship status, n/N (%)</td></tr><tr><td align="left"> Single</td><td char="(" align="char">170/237 (71.7 %)</td><td char="(" align="char">435/626 (69.5 %)</td><td char="(" align="char">451/747 (60.4 %)</td><td char="." align="char" rowspan="3"><0.001</td></tr><tr><td align="left"> Regular partner</td><td char="(" align="char">66/237 (27.9 %)</td><td char="(" align="char">190/626 (30.6 %)</td><td char="(" align="char">296/747 (39.6 %)</td></tr><tr><td align="left"> Lives with regular partner</td><td char="(" align="char">36/66 (54.5 %)</td><td char="(" align="char">82/190 (43.2 %)</td><td char="(" align="char">101/296 (34.1 %)</td></tr><tr><td align="left">Age at sex work debut, mean years (SD); n</td><td char="(" align="char">23.0 (5.4); n = 212</td><td char="(" align="char">24.0 (5.1); n = 585</td><td char="(" align="char">24.9 (5.3); n = 684</td><td char="." align="char"><0.001<sup>c</sup></td></tr><tr><td align="left" colspan="5">Duration in sex work, n/N (%)</td></tr><tr><td align="left"> <1 year</td><td char="(" align="char">33/217 (15.2 %)</td><td char="(" align="char">78/583 (13.4 %)</td><td char="(" align="char">134/692 (19.4 %)</td><td char="." align="char" rowspan="3">0.03</td></tr><tr><td align="left"> 1–5 years</td><td char="(" align="char">81/217 (37.3 %)</td><td char="(" align="char">232/583 (39.8 %)</td><td char="(" align="char">278/692 (40.2 %)</td></tr><tr><td align="left"> >5 years</td><td char="(" align="char">103/217 (47.5 %)</td><td char="(" align="char">273/583 (46.8 %)</td><td char="(" align="char">280/692 (40.5 %)</td></tr><tr><td align="left" colspan="5">Main place solicit clients<sup>a</sup>, n/N (%)</td></tr><tr><td align="left"> Indoors</td><td align="left">64/233 (27.5 %)</td><td char="(" align="char">259/600 (43.2 %)</td><td char="(" align="char">372/715 (52.0 %)</td><td char="." align="char" rowspan="3"><0.001</td></tr><tr><td align="left"> Outdoors</td><td align="left">117/233 (50.2 %)</td><td char="(" align="char">195/600 (32.5 %)</td><td char="(" align="char">163/715 (22.8 %)</td></tr><tr><td align="left"> Combination of venues</td><td align="left">52/233 (22.3 %)</td><td char="(" align="char">146/600 (24.3 %)</td><td char="(" align="char">180/715 (25.2 %)</td></tr><tr><td align="left" colspan="5">Sex work initiation, n/N (%)</td></tr><tr><td align="left"> Before arrival in city</td><td align="left">–</td><td char="(" align="char">105/551 (19.1 %)</td><td char="(" align="char">177/600 (29.5 %)</td><td char="." align="char" rowspan="3"><0.001</td></tr><tr><td align="left"> Within 2 years of arrival in city</td><td align="left"></td><td char="(" align="char">332/551 (60.3 %)</td><td char="(" align="char">357/600 (59.5 %)</td></tr><tr><td align="left"> 2 or more years of arrival in city</td><td align="left"></td><td char="(" align="char">114/551 (20.7 %)</td><td char="(" align="char">66/600 (11.0 %)</td></tr><tr><td align="left">Median months since leaving birthplace, (IQR)</td><td align="left">–</td><td char="(" align="char">79.2 (28.2–131.2)</td><td char="(" align="char">47.2 (18.1–111.0)</td><td char="." align="char"><0.001<sup>d</sup></td></tr><tr><td align="left">Median months since arrival in current workplace, (IQR)</td><td align="left">–</td><td char="(" align="char">67.7 (24.2–123.8)</td><td char="(" align="char">41.0 (16.2–90.0)</td><td char="." align="char"><0.001<sup>d</sup></td></tr></tbody></table><table-wrap-foot><p><italic>SD</italic> standard deviation, <italic>IQR</italic> inter-quartile range</p><p><sup>a</sup>Indoors includes working from brothels, bars or massage parlours; outdoors includes street-based sex workers; and women reporting both these were classified as combination venues</p><p><sup>b</sup>Chi square test unless indicated</p><p><sup>c</sup>ANOVA test</p><p><sup>d</sup>Kruskal-Wallis test; All tests compare distribution across all three study groups apart from time since leaving birthplace and arrival in workplace</p></table-wrap-foot></table-wrap></p></sec><sec id="Sec9"><title>Economic Dependence on Sex Work</title><p>More than a third (256/723) of cross-border migrants worked as part-time sex workers, in contrast to a quarter of internal migrants (150/606; <italic>P</italic> < 0.001; Table <xref rid="Tab2" ref-type="table">2</xref>), and a fifth of non-migrants (40/213; <italic>P</italic> < 0.001). In bivariate analysis assessing this outcome in each site, patterns of part-time work across the study groups were similar to overall findings, except in Rustenburg. Here, for each migrant group, about 20 % worked part-time. After adjusting for confounding factors including site, cross-border migrants were 2.3 times more likely to work as part-time sex workers than non-migrants (95 % CI adjusted-OR [AOR] = 1.5–3.7; Table <xref rid="Tab3" ref-type="table">3</xref>). Similarly, women with some tertiary training compared to those who had not completed primary school had a twofold odds of being a part-time sex worker (95 % CI AOR = 1.1–3.6). Women who had a permanent partner were 2.8 times more likely to be a part-time sex worker than those who were single (95 % CI AOR = 2.1–3.6). Consistent with this, in a univariate analysis, women who actually lived with their partner were 3.1 fold (95 % CI OR = 2.3–4.2) more likely to be part-time sex workers than those not living with their partners, or who were single (data not shown).<table-wrap id="Tab2"><label>Table 2</label><caption><p>Association between migrant type and economic dependence on sex work, work conditions and health contact among female sex workers in four sites in South Africa (N = 1636)</p></caption><table frame="hsides" rules="groups"><thead><tr><th align="left">Variables</th><th align="left">Non-migrant n = 240; A</th><th align="left">Internal migrant n = 638; B</th><th align="left">Cross-border migrant; n = 758; C</th><th align="left"><italic>P</italic> value A vs C<sup>a</sup></th><th align="left"><italic>P</italic> value B vs C<sup>a</sup></th></tr></thead><tbody><tr><td align="left" colspan="6">Economic dependence on sex work</td></tr><tr><td align="left"> Part-time sex work, n/N (%)</td><td char="(" align="char">40/213 (18.8 %)</td><td char="(" align="char">150/606 (24.8 %)</td><td char="(" align="char">256/723 (35.4 %)</td><td char="." align="char"><0.001</td><td char="." align="char"><0.001</td></tr><tr><td align="left"> Median amount charged with last client US$ (IQR, range), n</td><td char="(" align="char">13.3 (13.3–24; 2.7–458.4), n = 233</td><td char="(" align="char">13.3 (6.7–26.7; 1.5–466.7), n = 629</td><td char="(" align="char">20.0 (10.7–40; 0.3–466.7), n = 754</td><td char="." align="char">0.01<sup>b</sup></td><td char="." align="char"><0.001<sup>b</sup></td></tr><tr><td align="left" colspan="6">Unsafe working conditions<sup>c</sup></td></tr><tr><td align="left"> Police interaction, last year, n/N (%)</td><td char="(" align="char">86/197 (43.6 %)</td><td char="(" align="char">217/537 (40.4 %)</td><td char="(" align="char">277/624 (44.4 %)</td><td char="." align="char">0.86</td><td char="." align="char">0.17</td></tr><tr><td align="left"> Positive<sup>d</sup></td><td char="(" align="char">2/197 (1.0 %)</td><td char="(" align="char">2/537 (0.4 %)</td><td char="(" align="char">10/624 (1.6 %)</td><td char="." align="char">0.55</td><td char="." align="char">0.04</td></tr><tr><td align="left"> Negative<sup>e</sup></td><td char="(" align="char">59/197 (30.0 %)</td><td char="(" align="char">140/537 (26.1 %)</td><td char="(" align="char">192/624 (30.7 %)</td><td char="." align="char">0.83</td><td char="." align="char">0.08</td></tr><tr><td char="(" align="char" colspan="6">Nature of negative police interaction in last year, n/N (%)<sup>f</sup></td></tr><tr><td align="left"> Physical/sexual assault</td><td char="(" align="char">9/197 (4.6 %)</td><td char="(" align="char">24/537 (4.5 %)</td><td char="(" align="char">24/624 (3.8 %)</td><td char="." align="char">0.65</td><td char="." align="char">0.60</td></tr><tr><td align="left"> Bribe</td><td char="(" align="char">5/197 (2.5 %)</td><td char="(" align="char">197/537 (3.2 %)</td><td char="(" align="char">33/624 (5.2 %)</td><td char="." align="char">0.11</td><td char="." align="char">0.08</td></tr><tr><td align="left"> Immigration issues</td><td char="(" align="char">1/197 (0.5 %)</td><td char="(" align="char">1/537 (0.2 %)</td><td char="(" align="char">34/624 (5.5 %)</td><td char="." align="char">0.003</td><td char="." align="char"><0.001</td></tr><tr><td align="left"> Arrest</td><td char="(" align="char">40/197 (20.3 %)</td><td char="(" align="char">96/537 (17.8 %)</td><td char="(" align="char">109/624 (17.5 %)</td><td char="." align="char">0.37</td><td char="." align="char">0.86</td></tr><tr><td align="left"> Other</td><td char="(" align="char">24/197 (12.2 %)</td><td char="(" align="char">39/537 (7.3 %)</td><td char="(" align="char">57/624 (9.1 %)</td><td char="." align="char">0.21</td><td char="." align="char">0.25</td></tr><tr><td align="left" colspan="6">Contact with health services</td></tr><tr><td align="left"> Received facility or community-based services in last month, n/N (%)</td><td char="(" align="char">131/216 (60.7 %)</td><td char="(" align="char">352/595 (59.2 %)</td><td char="(" align="char">421/718 (58.6 %)</td><td char="." align="char">0.60</td><td char="." align="char">0.85</td></tr><tr><td align="left"> Condom-use with last client during penetrative intercourse, n/N (%)</td><td char="(" align="char">217/230 (94.6 %)</td><td char="(" align="char">558/626 (89.1 %)</td><td char="(" align="char">677/747 (90.6 %)</td><td char="." align="char">0.08</td><td char="." align="char">0.36</td></tr></tbody></table><table-wrap-foot><p>1US$ = 7.5 South African Rand</p><p><sup>a</sup>Chi square test unless indicated</p><p><sup>b</sup>Mann-Whitney <italic>U</italic> test</p><p><sup>c</sup>Post-coding free-text answers. Some participants gave insufficient information to classify interaction as positive or negative</p><p><sup>d</sup>Police assistance with laying a complaint or warning a participant about potential danger</p><p><sup>e</sup>Police violence, arrest, harassment, theft, bribery or fines</p><p><sup>f</sup>Multiple-response question</p></table-wrap-foot></table-wrap><table-wrap id="Tab3"><label>Table 3</label><caption><p>Multivariate analysis of factors associated with part-time sex work, negative police interaction and health care utilization among female sex workers in South Africa</p></caption><table frame="hsides" rules="groups"><thead><tr><th align="left" rowspan="2">Variable</th><th align="left" colspan="2">Part-time sex work</th><th align="left" colspan="2">Negative police interaction</th><th align="left" colspan="2">Health care utilization</th></tr><tr><th align="left">Univariate OR (95 % CI)</th><th align="left">Multivariate OR (95 % CI)</th><th align="left">Univariate OR (95 % CI)</th><th align="left">Multivariate OR (95 % CI)</th><th align="left">Univariate OR (95 % CI)</th><th align="left">Multivariate OR (95 % CI)</th></tr></thead><tbody><tr><td align="left" colspan="7">Age</td></tr><tr><td align="left"> 18–24</td><td align="left">1.0</td><td align="left">1.0</td><td align="left">1.0</td><td align="left">–</td><td align="left">1.0</td><td align="left">1.0</td></tr><tr><td align="left"> 25–30</td><td char="(" align="left">1.14 (0.83–1.56)</td><td char="(" align="left">1.38 (0.94–2.04)</td><td char="(" align="left">1.20 (0.85–1.69)</td><td align="left"></td><td char="(" align="left">1.26 (0.94–1.69)</td><td char="(" align="left">1.00 (0.72–1.39)</td></tr><tr><td align="left"> 30–35</td><td char="(" align="left">1.11 (0.80–1.56)</td><td char="(" align="left">1.62 (1.08–2.45)</td><td char="(" align="left">1.38 (0.97–1.96)</td><td align="left"></td><td char="(" align="left">0.89 (0.66–1.20)</td><td char="(" align="left">0.82 (0.58–1.15)</td></tr><tr><td align="left"> 35+</td><td char="(" align="left">1.18 (0.85-1.65)</td><td char="(" align="left">1.72 (1.11–2.68)</td><td char="(" align="left">1.00 (0.69–1.45)</td><td align="left"></td><td char="(" align="left">0.87 (0.64–1.18)</td><td char="(" align="left">0.77 (0.54–1.11)</td></tr><tr><td align="left" colspan="7">Site</td></tr><tr><td align="left"> Cape Town</td><td align="left">1.0</td><td align="left">1.0</td><td align="left">1.0</td><td align="left">1.0</td><td align="left">1.0</td><td align="left">1.0</td></tr><tr><td align="left"> Hillbrow, Johannesburg</td><td char="(" align="left">0.95 (0.71–1.28)</td><td char="(" align="left">0.44 (0.29–0.67)</td><td char="(" align="left">0.86 (0.63–1.17)</td><td char="(" align="left">1.04 (0.68–1.57)</td><td char="(" align="left">1.87 (1.39–2.50)</td><td char="(" align="left">1.75 (1.21–2.52)</td></tr><tr><td align="left"> Rustenburg</td><td char="(" align="left">0.65 (0.46–0.90)</td><td char="(" align="left">0.38 (0.25–0.60)</td><td char="(" align="left">0.10 (0.06–0.18)</td><td char="(" align="left">0.06 (0.03–0.13)</td><td char="(" align="left">0.43 (0.32–0.58)</td><td char="(" align="left">0.48 (0.34–0.69)</td></tr><tr><td align="left"> Sandton, Johannesburg</td><td char="(" align="left">1.18 (0.83–1.67)</td><td char="(" align="left">0.54 (0.34–0.86)</td><td char="(" align="left">2.12 (1.47–3.05)</td><td char="(" align="left">1.82 (1.15–2.88)</td><td char="(" align="left">0.81 (0.58–1.14)</td><td char="(" align="left">0.82 (0.56–1.21)</td></tr><tr><td align="left" colspan="7">Migration status</td></tr><tr><td align="left"> Non-migrant</td><td align="left">1.0</td><td align="left">1.0</td><td align="left">1.0</td><td align="left">1.0</td><td align="left">1.0</td><td align="left">1.0</td></tr><tr><td align="left"> Internal migrant</td><td char="(" align="left">1.42 (0.96–2.10)</td><td char="(" align="left">1.47 (0.93–2.31)</td><td char="(" align="left">0.82 (0.58–1.18)</td><td char="(" align="left">0.88 (0.56–1.38)</td><td char="(" align="left">0.94 (0.68–1.29)</td><td char="(" align="left">0.65 (0.45–0.93)</td></tr><tr><td align="left"> Cross-border migrant</td><td char="(" align="left">2.37 (1.63–3.45)</td><td char="(" align="left">2.34 (1.47–3.71)</td><td char="(" align="left">1.04 (0.73–1.47)</td><td char="(" align="left">1.27 (0.80–2.02)</td><td char="(" align="left">0.92 (0.67–1.25)</td><td char="(" align="left">0.59 (0.40–0.86)</td></tr><tr><td align="left" colspan="7">Education</td></tr><tr><td align="left"> Primary incomplete</td><td align="left">1.0</td><td align="left">1.0</td><td align="left">1.0</td><td align="left">1.0</td><td align="left">1.0</td><td align="left">1.0</td></tr><tr><td align="left"> Completed primary</td><td char="(" align="left">1.30 (0.94–1.79)</td><td char="(" align="left">1.34 (0.89–2.01)</td><td char="(" align="left">1.15 (0.83–1.60)</td><td char="(" align="left">0.95 (0.61–1.46)</td><td char="(" align="left">1.40 (1.06–1.85)</td><td char="(" align="left">0.85 (0.62–1.18)</td></tr><tr><td align="left"> Completed secondary school</td><td char="(" align="left">1.41 (0.98–2.02)</td><td char="(" align="left">1.29 (0.82–2.02)</td><td char="(" align="left">1.11 (0.76–1.61)</td><td char="(" align="left">0.91 (0.56–1.48)</td><td char="(" align="left">1.26 (0.92–1.74)</td><td char="(" align="left">0.77 (0.53–1.11)</td></tr><tr><td align="left"> Some tertiary training</td><td char="(" align="left">2.39 (1.46–3.91)</td><td char="(" align="left">2.00 (1.12–3.59)</td><td char="(" align="left">0.50 (0.27–0.92)</td><td char="(" align="left">0.46 (0.22–0.94)</td><td char="(" align="left">1.45 (0.90–2.33)</td><td char="(" align="left">1.03 (0.61–1.74)</td></tr><tr><td align="left" colspan="7">Number of dependants</td></tr><tr><td align="left"> 0</td><td align="left">1.0</td><td align="left">–</td><td align="left">1.0</td><td align="left">1.0</td><td align="left">1.0</td><td align="left">1.0</td></tr><tr><td align="left"> 1–3</td><td char="(" align="left">1.13 (0.73–1.76)</td><td align="left"></td><td char="(" align="left">1.03 (0.66–1.61)</td><td char="(" align="left">0.89 (0.52–1.55)</td><td char="(" align="left">1.81 (1.25–2.64)</td><td char="(" align="left">1.60 (1.04–2.44)</td></tr><tr><td align="left"> ≥4 or more</td><td char="(" align="left">1.78 (1.16–2.72)</td><td align="left"></td><td char="(" align="left">1.20 (0.78–1.86)</td><td char="(" align="left">0.78 (0.45–1.35)</td><td char="(" align="left">2.79 (1.93–4.03)</td><td char="(" align="left">2.09 (1.35–3.25)</td></tr><tr><td align="left" colspan="7">Relationship status</td></tr><tr><td align="left"> Permanent partner</td><td align="left">1.0</td><td align="left">1.0</td><td align="left">1.0</td><td align="left">–</td><td align="left">1.0</td><td align="left">1.0</td></tr><tr><td align="left"> Single</td><td char="(" align="left">3.41 (2.71–4.30)</td><td char="(" align="left">2.77 (2.13–3.60)</td><td char="(" align="left">1.24 (0.97–1.58)</td><td align="left"></td><td char="(" align="left">1.62 (1.30–2.01)</td><td char="(" align="left">1.48 (1.16–1.89)</td></tr><tr><td align="left" colspan="7">Main place solicits clients<sup>a</sup></td></tr><tr><td align="left"> Indoors</td><td char="(" align="left">1.0</td><td char="(" align="left">1.0</td><td char="(" align="left">1.0</td><td char="(" align="left">1.0</td><td char="(" align="left">1.0</td><td char="(" align="left">1.0</td></tr><tr><td align="left"> Outdoors</td><td char="(" align="left">0.59 (0.45–0.78)</td><td char="(" align="left">0.52 (0.37–0.74)</td><td char="(" align="left">2.09 (1.58–2.76)</td><td char="(" align="left">1.64 (1.15–2.36)</td><td char="(" align="left">0.75 (0.59–0.96)</td><td char="(" align="left">0.83 (0.62–1.10)</td></tr><tr><td align="left"> Combination of venues</td><td char="(" align="left">1.14 (0.87–1.50)</td><td char="(" align="left">1.04 (0.76–1.42)</td><td char="(" align="left">1.60 (1.18–2.16)</td><td char="(" align="left">1.35 (0.95–1.91)</td><td char="(" align="left">0.95 (0.73–1.23)</td><td char="(" align="left">1.04 (0.77–1.39)</td></tr><tr><td align="left" colspan="7">Duration in sex work</td></tr><tr><td align="left"> <1 years</td><td align="left">1.0</td><td align="left">1.0</td><td align="left">1.0</td><td align="left">1.0</td><td align="left">1.0</td><td align="left" rowspan="3">–</td></tr><tr><td align="left"> 1–5 years</td><td align="left">0.84 (0.60–1.16)</td><td align="left">0.71 (0.49–1.04)</td><td align="left">1.93 (1.27–2.94)</td><td align="left">2.15 (1.36–3.39)</td><td align="left">0.99 (0.73–1.36)</td></tr><tr><td align="left"> >5 years</td><td align="left">0.70 (0.51–0.98)</td><td align="left">0.63 (0.42–0.95)</td><td align="left">1.65 (1.09–2.51)</td><td align="left">2.83 (1.78–4.53)</td><td align="left">0.81 (0.60–1.10)</td></tr></tbody></table><table-wrap-foot><p><italic>OR</italic> odds ratio, <italic>CI</italic> confidence interval</p><p><sup>a</sup>Indoors includes working from brothels, bars or massage parlours; outdoors includes street-based sex workers</p></table-wrap-foot></table-wrap></p><p>Cross-border migrants charged a median $7 more with their last client ($20), than internal migrants (<italic>P</italic> < 0.001) or non-migrants (<italic>P</italic> = 0.01). Median number of clients in the past week was 14 for cross-border and 15 for internal migrants, double the median number of clients of non-migrants (<italic>P</italic> < 0.001). Zimbabwean women had a considerably higher median number of clients per week (n = 18), than their counterparts from South African (n = 11) or elsewhere (n = 12; <italic>P</italic> ≤ 0.001). Among full-time sex workers only, non-migrants received the lowest weekly income at $126.70 (IQR = 65.3–280) compared to internal migrants’ $200 (IQR = 88–466.7) and the $233.33 (IQR = 116.7–554.6; <italic>P</italic> < 0.001) of cross-border migrants (data not shown).</p></sec><sec id="Sec10"><title>Unsafe Work Conditions</title><p>More than 40 % of participants had some contact with police in the past year, with almost a third having a negative experience. Occurrences were similar across study groups, including in multivariate analysis, though the nature of police interaction differed. Cross-border migrants had more experience of police bribes (5.2 %) or issues relating to immigration (5.5 %) than the internal migrants (3.2 and 0.2 %, respectively) and non-migrants (2.5 and 0.5 %, respectively). In Hillbrow, 9.8 % of cross-border sex workers had interacted with police on immigration, as opposed to 4.9 % in Sandton, 0.6 % in Rustenburg and 0 % in Cape Town. Sex workers in outdoor settings were 1.6 fold (AOR, 95 % CI = 1.2–2.4) more likely to have adverse interactions, than women in indoor settings. Also, negative police interaction was more than twice as likely among those in the industry for 1–5 years than those who had just started sex work (AOR = 2.2; 95 % CI = 1.4–3.4), and such encounters were almost three times as likely among those in the industry for more than 5 years (95 % CI = 1.8–4.5). FSWs in Rustenburg were much less likely to experience negative police interaction than those in Cape Town (AOR = 0.06; 95 % CI = 0.03–0.13), though levels in Sandton were 1.82-fold higher than the latter city (95 % CI AOR = 1.15–2.88).</p></sec><sec id="Sec11"><title>Health Care Utilization</title><p>Close to 60 % of participants in each group interacted with health service in the last month. However, in a sub-analysis of utilization in Cape Town, non-migrants had more contact than cross-border sex workers (72.8 vs. 50.0 %; <italic>P</italic> = 0.002), and 81.8 % of non-migrants had contact in the past month in Hillbrow versus 75.0 % of cross-border migrants (<italic>P</italic> = 0.38, data not shown). In multivariate analysis controlling for site and other confounders, cross-border migrants were less likely to access health care (AOR = 0.6; 95 % CI = 0.4–0.9; Table <xref rid="Tab3" ref-type="table">3</xref>) than non-migrants. Health contact was considerably higher in Hillbrow than other sites. Non-migrants were more likely to use a condom during penetrative sex with last client (217/230; 94.6 %) than internal (558/626; 89.1 %; <italic>P</italic> = 0.02, data not shown) or cross-border migrants (677/747; 90.6 %; <italic>P</italic> = 0.08).</p></sec></sec><sec id="Sec12" sec-type="discussion"><title>Discussion</title><p>In this survey, nearly half of FSWs were cross-border migrants. Two-thirds of the cross-border sex workers in Hillbrow migrated from neighbouring Zimbabwe, mirroring the escalation in Zimbabwean migration to South Africa in search of improved livelihood opportunities following political and economic instability in Zimbabwe since the early 2000 s [<xref ref-type="bibr" rid="CR21">21</xref>, <xref ref-type="bibr" rid="CR63">63</xref>].</p><p>Our data challenges prevailing assumptions that position cross-migrants as the most disempowered sub-group within the sex industry [<xref ref-type="bibr" rid="CR15">15</xref>, <xref ref-type="bibr" rid="CR34">34</xref>]. Compared to their internal or non-migrant colleagues, cross-border sex workers in this study had spent less time in the industry, had additional income-generating activities, worked mostly in the relatively safer indoor venues, and were older when they made their sex work debut. Cross-border migrants were also better educated than internal or non-migrants, similar to other studies in South Africa [<xref ref-type="bibr" rid="CR26">26</xref>, <xref ref-type="bibr" rid="CR28">28</xref>]. Finally, this population had a higher client number than non-migrants, and charged more per client than internal or non-migrants.</p><p>Surprisingly few differences were observed in police interaction amongst the migrant groups. More cross-border migrants reported police requesting a bribe, possibly reflecting police’s practice of extorting money or favours from cross-border migrants in relation to their status as non-nationals [<xref ref-type="bibr" rid="CR49">49</xref>, <xref ref-type="bibr" rid="CR66">66</xref>]. Likely over time, police become familiar with sex workers in an area, explaining why interaction with police increases with duration in the industry.</p><p>Higher levels of contact with health services in Hillbrow could be attributed to the only sex work-specific clinic in South Africa operating there [<xref ref-type="bibr" rid="CR42">42</xref>]. Overall, cross-border migrants had considerably less contact with health services than the other groups in multivariate analysis. Similarly, a study in Nairobi, Kenya found only 55 % of migrant FSWs had ever accessed a health facility for an HIV-test in comparison to 78 % of FSWs born in Kenya [<xref ref-type="bibr" rid="CR24">24</xref>]. This may reflect an unwillingness of cross-border migrants to engage with public facilities due to fear of arrest in the case of an irregular legal status, or as a result of prior negative experiences [<xref ref-type="bibr" rid="CR23">23</xref>, <xref ref-type="bibr" rid="CR47">47</xref>, <xref ref-type="bibr" rid="CR61">61</xref>], or as peer education services do not adequately reach this group. Migrant sex workers, compared to non-migrants, face greater discrimination and additional barriers to health, as well as social and legal services [<xref ref-type="bibr" rid="CR53">53</xref>–<xref ref-type="bibr" rid="CR55">55</xref>, <xref ref-type="bibr" rid="CR64">64</xref>]. Alternatively, it may point to the ‘healthy migrant effect’, where immigrants to a new community may on average be healthier on arrival than the host population [<xref ref-type="bibr" rid="CR14">14</xref>, <xref ref-type="bibr" rid="CR30">30</xref>]. Regardless of the reason(s), strategies are required to ensure cross-border migrant sex workers can utilize health services, and in particular HIV and STI prevention and treatment services, when needed [<xref ref-type="bibr" rid="CR31">31</xref>, <xref ref-type="bibr" rid="CR59">59</xref>, <xref ref-type="bibr" rid="CR60">60</xref>].</p><p>The study has several limitations. It used a non-random sampling design and includes only self-reported data. Surveys were, however, conducted by trained peer interviewers—many migrants themselves—which may have minimised social-desirability bias. Multiple comparisons were made between study groups, increasing the changes of spurious findings. Even though questionnaires were available in five of the most widely spoken languages, some cross-border migrants may not be conversant in these, precluding their participation. Research sites were purposively selected and may not be generalizable to other sex work settings within the country. The three outcome variables selected describe only a limited number of risk factors associated with sex worker ill health and several others should have been assessed. In particular, workplace safety encompasses several factors other than negative police contact, such as exploitative managers or controllers, a violent neighbourhood and no condom supplies within sex work venues [<xref ref-type="bibr" rid="CR3">3</xref>, <xref ref-type="bibr" rid="CR65">65</xref>]. Also, additional factors such as irregular immigration status, ethnic or racial discrimination and ghettoised work conditions are pertinent to migrant sex workers, as shown elsewhere [<xref ref-type="bibr" rid="CR37">37</xref>]. Similarly, there may be instances where women elected to be full-time sex workers because of its comparative higher earnings (not because of lack of alternatives) and they may make sufficient money to resist client overtures for unprotected sex.</p><p>In conclusion, our data illustrate the preponderance of migrants in sex work and the relative tenacity of cross-border migrants in South Africa. It illustrates the need for further sex work-specific health services, which specifically address health needs of migrant sex workers, especially around HIV/STI prevention. Such services should actively involve migrant sex workers in their design and planning, and as peer educators and outreach workers.</p></sec></body><back><ack><p>We thank the Sex Worker Education and Advocacy Taskforce (SWEAT) and Sisonke Sex Worker Movement for guidance and logistical support, and the research assistants for data collection. Technical and logistical support of the African Centre for Migration & Society and the Centre for Health Policy, Wits University and their students was key to conceptualising and developing the project, together with assistance of the Sex Worker Project, Wits Reproductive Health and HIV Institute in Hillbrow. Authors gratefully acknowledge the contribution to this work of the Victorian Operational Infrastructure Support Program. Special thanks for the contribution of Dudu Ndlovu, Dianne Massawe, Carolin Kueppers, Tom Considine, Fiona Scorgie, Elsa Oliveira, Agnieszka Flak, Marc Lewis, Ingrid Palmary, Richard Steen, Gerrit Maritz, Lucy Allais and Francois Venter. Thank you also Richard Steen for assistance with the conceptual framework and graphic representation thereof, and to Lenore Manderson, Eric Worby and Ziad El-Khatib for comments on earlier drafts of this manuscript Funding for this study was provided by UNFPA and Atlantic Philanthropies, while support of the Humanities Graduate Centre and the SPARC Fund at Wits University facilitated drafting of the manuscript.</p></ack><ref-list id="Bib1"><title>References</title><ref id="CR1"><label>1.</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Adepoju</surname><given-names>A</given-names></name></person-group><article-title>Continuity and changing configurations of migration to and from the Republic of South Africa</article-title><source>Int Migr</source><year>2003</year><volume>41</volume><fpage>3</fpage><lpage>28</lpage><pub-id pub-id-type="doi">10.1111/1468-2435.00228</pub-id></element-citation></ref><ref id="CR2"><label>2.</label><element-citation publication-type="book"><person-group person-group-type="author"><name><surname>Agustin</surname><given-names>L</given-names></name></person-group><source>Sex at the margins: migration, labour markets and the rescue industry</source><year>2007</year><publisher-loc>New York & London</publisher-loc><publisher-name>Zed Books</publisher-name></element-citation></ref><ref id="CR3"><label>3.</label><mixed-citation publication-type="other">Akers N, Evans C. St James Infirmary Occupational Health & Safety Handbook, San Francisco. 2010.</mixed-citation></ref><ref id="CR4"><label>4.</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Akileswaran</surname><given-names>C</given-names></name><name><surname>Lurie</surname><given-names>M</given-names></name></person-group><article-title>Overcoming socioeconomic struggle and encountering risk: lived experiences of South African female migrants</article-title><source>Annal Anthropol Pract</source><year>2010</year><volume>34</volume><fpage>176</fpage><lpage>194</lpage></element-citation></ref><ref id="CR5"><label>5.</label><element-citation publication-type="book"><person-group person-group-type="author"><name><surname>Bähr</surname><given-names>J</given-names></name><name><surname>Jürgens</surname><given-names>U</given-names></name></person-group><person-group person-group-type="editor"><name><surname>Schneider-Sliwa</surname><given-names>R</given-names></name></person-group><article-title>Johannesburg: life after apartheid</article-title><source>Cities in transition: globalization</source><year>2006</year><publisher-loc>Political Change and Urban Development</publisher-loc><publisher-name>Springer</publisher-name></element-citation></ref><ref id="CR6"><label>6.</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Baral</surname><given-names>S</given-names></name><name><surname>Beyrer</surname><given-names>C</given-names></name><name><surname>Muessig</surname><given-names>K</given-names></name><name><surname>Poteat</surname><given-names>T</given-names></name><name><surname>Wirtz</surname><given-names>A</given-names></name><name><surname>Decker</surname><given-names>M</given-names></name><name><surname>Sherman</surname><given-names>M</given-names></name><name><surname>Kerrigan</surname><given-names>D</given-names></name></person-group><article-title>Burden of HIV among female sex workers in low-income and middle-income countries: a systematic review and meta-analysis</article-title><source>Lancet Infect Dis</source><year>2012</year></element-citation></ref><ref id="CR7"><label>7.</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Biradavolu</surname><given-names>MR</given-names></name><name><surname>Burris</surname><given-names>S</given-names></name><name><surname>George</surname><given-names>A</given-names></name><name><surname>Jena</surname><given-names>A</given-names></name><name><surname>Blankenship</surname><given-names>KM</given-names></name></person-group><article-title>Can sex workers regulate police? Learning from an HIV prevention project for sex workers in southern India</article-title><source>Soc Sci Med</source><year>2009</year><volume>68</volume><fpage>1541</fpage><lpage>1547</lpage><pub-id pub-id-type="doi">10.1016/j.socscimed.2009.01.040</pub-id><pub-id pub-id-type="pmid">19261364</pub-id></element-citation></ref><ref id="CR8"><label>8.</label><mixed-citation publication-type="other">Blankenship KM, West BS, Kershaw TS, Biradavolu MR. Power, community mobilization, and condom use practices among female sex workers in Andhra Pradesh, India; 2008.</mixed-citation></ref><ref id="CR9"><label>9.</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Bodin</surname><given-names>C</given-names></name><name><surname>Richter</surname><given-names>M</given-names></name></person-group><article-title>Adult, consensual sex work in South Africa—the cautionary message of criminal law and sexual morality</article-title><source>S Af J Hum Rights</source><year>2009</year><volume>25</volume><fpage>179</fpage><lpage>197</lpage></element-citation></ref><ref id="CR10"><label>10.</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Bujra</surname><given-names>JM</given-names></name></person-group><article-title>Women “Entrepreneurs” of Early Nairobi</article-title><source>Can J Af Stud</source><year>1975</year><volume>9</volume><fpage>213</fpage><lpage>234</lpage><pub-id pub-id-type="doi">10.2307/484081</pub-id></element-citation></ref><ref id="CR11"><label>11.</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Busza</surname><given-names>J</given-names></name></person-group><article-title>Having the rug pulled from under your feet: one project’s experience of the US policy reversal on sex work</article-title><source>Health Policy Plan</source><year>2006</year><volume>21</volume><fpage>329</fpage><lpage>332</lpage><pub-id pub-id-type="doi">10.1093/heapol/czl016</pub-id><pub-id pub-id-type="pmid">16790456</pub-id></element-citation></ref><ref id="CR12"><label>12.</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Campbell</surname><given-names>C</given-names></name></person-group><article-title>Selling sex in the time of AIDS: the psycho-social context of condom use by sex workers on a Southern African mine</article-title><source>Soc Sci Med</source><year>2000</year><volume>50</volume><fpage>479</fpage><lpage>494</lpage><pub-id pub-id-type="doi">10.1016/S0277-9536(99)00317-2</pub-id><pub-id pub-id-type="pmid">10641801</pub-id></element-citation></ref><ref id="CR13"><label>13.</label><mixed-citation publication-type="other">Chersich MF, Luchters S, Ntaganira I, Gerbase A, Lo, Y-R, Scorgie F, Steen R. in press. Priority interventions to reduce HIV transmission in sex work settings in sub-Saharan Africa and delivery of these services. J Int AIDS Soc.</mixed-citation></ref><ref id="CR14"><label>14.</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Deane</surname><given-names>KD</given-names></name><name><surname>Parkhurst</surname><given-names>JO</given-names></name><name><surname>Johnston</surname><given-names>D</given-names></name></person-group><article-title>Linking migration, mobility and HIV</article-title><source>Trop Med Int Health</source><year>2010</year><volume>15</volume><fpage>1458</fpage><lpage>1463</lpage><pub-id pub-id-type="doi">10.1111/j.1365-3156.2010.02647.x</pub-id><pub-id pub-id-type="pmid">20958895</pub-id></element-citation></ref><ref id="CR15"><label>15.</label><mixed-citation publication-type="other">Editorial. Prostitution and immigrants. The Herald Sun. 2011.</mixed-citation></ref><ref id="CR16"><label>16.</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Evans</surname><given-names>C</given-names></name><name><surname>Jana</surname><given-names>S</given-names></name><name><surname>Lambert</surname><given-names>H</given-names></name></person-group><article-title>What makes a structural intervention? Reducing vulnerability to HIV in community settings, with particular reference to sex work</article-title><source>Glob Public Health</source><year>2010</year><volume>5</volume><fpage>449</fpage><lpage>461</lpage><pub-id pub-id-type="doi">10.1080/17441690902942472</pub-id><pub-id pub-id-type="pmid">19507079</pub-id></element-citation></ref><ref id="CR17"><label>17.</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Fick</surname><given-names>N</given-names></name></person-group><article-title>Sex workers experiences with the local law enforcement in South Africa</article-title><source>Research for Sex Work</source><year>2005</year><volume>8</volume><fpage>4</fpage><lpage>8</lpage></element-citation></ref><ref id="CR18"><label>18.</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Fick</surname><given-names>N</given-names></name></person-group><article-title>Enforcing fear—police abuse of sex workers when making arrests</article-title><source>SA Crime Quart</source><year>2006</year><volume>16</volume><fpage>27</fpage><lpage>33</lpage></element-citation></ref><ref id="CR19"><label>19.</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Fick</surname><given-names>N</given-names></name></person-group><article-title>Sex workers speak out—policing and the sex industry</article-title><source>SA Crime Quart</source><year>2006</year><volume>15</volume><fpage>13</fpage><lpage>18</lpage></element-citation></ref><ref id="CR20"><label>20.</label><element-citation publication-type="book"><person-group person-group-type="author"><name><surname>Gould</surname><given-names>C</given-names></name><name><surname>Fick</surname><given-names>N</given-names></name></person-group><source>Selling sex in Cape Town: sex work and human trafficking in a South African city</source><year>2008</year><publisher-loc>Institute for Security Studies</publisher-loc><publisher-name>Pretoria/Tshwane</publisher-name></element-citation></ref><ref id="CR21"><label>21.</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Hammar</surname><given-names>A</given-names></name><name><surname>Mcgregor</surname><given-names>J</given-names></name><name><surname>Landau</surname><given-names>L</given-names></name></person-group><article-title>Introduction. Displacing Zimbabwe: crisis and construction in Southern Africa</article-title><source>J South Af Stud</source><year>2010</year><volume>36</volume><fpage>263</fpage><lpage>283</lpage><pub-id pub-id-type="doi">10.1080/03057070.2010.485779</pub-id></element-citation></ref><ref id="CR22"><label>22.</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Hawken</surname><given-names>MP</given-names></name><name><surname>Melis</surname><given-names>RD</given-names></name><name><surname>Ngombo</surname><given-names>DT</given-names></name><name><surname>Mandaliya</surname><given-names>K</given-names></name><name><surname>Ng’ang’a</surname><given-names>LW</given-names></name><name><surname>Price</surname><given-names>J</given-names></name><name><surname>Dallabetta</surname><given-names>G</given-names></name><name><surname>Temmerman</surname><given-names>M</given-names></name></person-group><article-title>Part time female sex workers in a suburban community in Kenya: a vulnerable hidden population</article-title><source>Sex Transm Infect</source><year>2002</year><volume>78</volume><fpage>271</fpage><lpage>273</lpage><pub-id pub-id-type="doi">10.1136/sti.78.4.271</pub-id><pub-id pub-id-type="pmid">12181465</pub-id></element-citation></ref><ref id="CR23"><label>23.</label><element-citation publication-type="book"><source>No healing here—violence, discrimination and barriers to health for migrants in South Africa</source><year>2009</year><publisher-loc>New York</publisher-loc><publisher-name>Hum Rights Watch</publisher-name></element-citation></ref><ref id="CR24"><label>24.</label><mixed-citation publication-type="other">International Organization for Migration. Healthy Migrants in Healthy Communities. In: Kenya mission with coordinating functions for the horn of Africa (ed.). Nairobi, Kenya; 2011.</mixed-citation></ref><ref id="CR25"><label>25.</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Landau</surname><given-names>L</given-names></name></person-group><article-title>Transplants and transients: idioms of belonging and dislocation in inner-City Johannesburg</article-title><source>Af Stud Rev</source><year>2006</year><volume>49</volume><fpage>125</fpage><lpage>145</lpage><pub-id pub-id-type="doi">10.1353/arw.2006.0109</pub-id></element-citation></ref><ref id="CR26"><label>26.</label><mixed-citation publication-type="other">Landau L, Gindrey V. Migration and populations trends in Gauteng Province, 1996–2055. In: Forced Migration studies programme; University of the witwatersrand; Johannesburg. (ed.) Migr Stud Work Paper Ser; 2008.</mixed-citation></ref><ref id="CR27"><label>27.</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Landau</surname><given-names>LB</given-names></name></person-group><article-title>Discrimination and development? Immigration, urbanisation and sustainable livelihoods in Johannesburg</article-title><source>Develop South Af</source><year>2007</year><volume>24</volume><fpage>61</fpage><lpage>76</lpage><pub-id pub-id-type="doi">10.1080/03768350601165876</pub-id></element-citation></ref><ref id="CR28"><label>28.</label><element-citation publication-type="book"><person-group person-group-type="author"><name><surname>Landau</surname><given-names>LB</given-names></name><name><surname>Wa Kabwe Segatti</surname><given-names>A</given-names></name></person-group><person-group person-group-type="editor"><name><surname>Programme</surname><given-names>UnitedNationsDevelopment</given-names></name></person-group><article-title>Human development impacts of migration: South Africa case study</article-title><source>Human development reports</source><year>2009</year><publisher-loc>USA</publisher-loc><publisher-name>United Nations Development Programme</publisher-name></element-citation></ref><ref id="CR29"><label>29.</label><mixed-citation publication-type="other">Luchters S, Chersich MF, Rinyiru A, Barasa M-S, King’ola N, Mandaliya K, Bosire W, Wambugu S, Mwarogo P, Temmerman M. Impact of five years of peer-mediated interventions on sexual behavior and sexually transmitted infections among female sex workers in Mombasa, Kenya. BMC Public Health, 8; 2008.</mixed-citation></ref><ref id="CR30"><label>30.</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Malmusi</surname><given-names>D</given-names></name><name><surname>Borrell</surname><given-names>C</given-names></name><name><surname>Benach</surname><given-names>J</given-names></name></person-group><article-title>Migration-related health inequalities: showing the complex interactions between gender, social class and place of origin</article-title><source>Soc Sci Med</source><year>2010</year><volume>71</volume><fpage>1610</fpage><lpage>1619</lpage><pub-id pub-id-type="doi">10.1016/j.socscimed.2010.07.043</pub-id><pub-id pub-id-type="pmid">20869798</pub-id></element-citation></ref><ref id="CR31"><label>31.</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Mccarthy</surname><given-names>K</given-names></name><name><surname>Chersich</surname><given-names>MF</given-names></name><name><surname>Vearey</surname><given-names>J</given-names></name><name><surname>Meyer-Rath</surname><given-names>G</given-names></name><name><surname>Jaffer</surname><given-names>A</given-names></name><name><surname>Simpwalo</surname><given-names>S</given-names></name><name><surname>Venter</surname><given-names>WD</given-names></name></person-group><article-title>Good treatment outcomes among foreigners receiving antiretroviral therapy in Johannesburg, South Africa</article-title><source>Int J STD AIDS</source><year>2009</year><volume>20</volume><fpage>858</fpage><lpage>862</lpage><pub-id pub-id-type="doi">10.1258/ijsa.2009.009258</pub-id><pub-id pub-id-type="pmid">19948901</pub-id></element-citation></ref><ref id="CR32"><label>32.</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Nairne</surname><given-names>D</given-names></name></person-group><article-title>‘Please help me cleanse my womb’ A hotel-based STD programme in a violent neighbourhood in Johannesburg</article-title><source>Res Sex Work</source><year>1999</year><volume>2</volume><fpage>18</fpage><lpage>20</lpage></element-citation></ref><ref id="CR33"><label>33.</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Nairne</surname><given-names>D</given-names></name></person-group><article-title>‘We Want the Power’ Findings from focus group discussion in Hillbrow, Johannesburg</article-title><source>Res for Sex work</source><year>2000</year><volume>3</volume><fpage>3</fpage><lpage>5</lpage></element-citation></ref><ref id="CR34"><label>34.</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>O’connor</surname><given-names>CC</given-names></name><name><surname>Berry</surname><given-names>G</given-names></name><name><surname>Rohrsheim</surname><given-names>R</given-names></name><name><surname>Donovan</surname><given-names>B</given-names></name></person-group><article-title>Sexual health and use of condoms among local and international sex workers in Sydney</article-title><source>Genitourin Med</source><year>1996</year><volume>72</volume><fpage>47</fpage><lpage>51</lpage><pub-id pub-id-type="pmid">8655167</pub-id></element-citation></ref><ref id="CR35"><label>35.</label><mixed-citation publication-type="other">Pauw I, Brener L. ‘You Are Just Whores: You Can’t Be Raped’: Barriers to safer sex practices among women street sex workers in Cape Town. Cult Health Sex, Nov–Dec 2003; 465–481.</mixed-citation></ref><ref id="CR36"><label>36.</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Perberdy</surname><given-names>S</given-names></name></person-group><article-title>Mobile entrepreneurship: informal sector cross-border trade and street trade in South Africa</article-title><source>Develop South Af</source><year>2000</year><volume>17</volume><fpage>201</fpage><lpage>209</lpage><pub-id pub-id-type="doi">10.1080/713661400</pub-id></element-citation></ref><ref id="CR37"><label>37.</label><mixed-citation publication-type="other">Platt L, Grenfell P, Fletcher A, Sorhaindo A, Jolley E, Rhodes T, Bonell C. Systematic review examining differences in HIV, sexually transmitted infections and health-related harms between migrant and non-migrant female sex workers. Sex Transm Infect; 2012.</mixed-citation></ref><ref id="CR38"><label>38.</label><mixed-citation publication-type="other">Preston-whyte E, Tollman S, Landau L, Findley S. African Migration in the Twenty-First Century: Conclusion. In: Tienda M, Findley S, Tollman S, Preston-whyte E. (eds.) Africa on the move. African Migration and Urbanisation in Comparative Perspective. Johannesburg: Wits University Press; 2006.</mixed-citation></ref><ref id="CR39"><label>39.</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ramjee</surname><given-names>G</given-names></name><name><surname>Karim</surname><given-names>SS</given-names></name><name><surname>Sturm</surname><given-names>AW</given-names></name></person-group><article-title>Sexually transmitted infections among sex workers in KwaZulu-Natal, South Africa</article-title><source>Sex Transm Dis</source><year>1998</year><volume>25</volume><fpage>346</fpage><lpage>349</lpage><pub-id pub-id-type="doi">10.1097/00007435-199808000-00004</pub-id><pub-id pub-id-type="pmid">9713913</pub-id></element-citation></ref><ref id="CR40"><label>40.</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Rekart</surname><given-names>ML</given-names></name></person-group><article-title>Sex-work harm reduction</article-title><source>Lancet</source><year>2005</year><volume>366</volume><fpage>2123</fpage><lpage>2134</lpage><pub-id pub-id-type="doi">10.1016/S0140-6736(05)67732-X</pub-id><pub-id pub-id-type="pmid">16360791</pub-id></element-citation></ref><ref id="CR41"><label>41.</label><mixed-citation publication-type="other">Research and Population UNIT. The people matter—The state of the population in the Eastern Cape. In: Makiwane MB, Chimere-Dan, DO (eds.) Department of Social Development. Pretoria: Human Sciences Research Council; 2010.</mixed-citation></ref><ref id="CR42"><label>42.</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Richter</surname><given-names>M</given-names></name></person-group><article-title>Sex work, reform initiatives and HIV/AIDS in inner-city Johannesburg</article-title><source>Af J AIDS Res</source><year>2008</year><volume>7</volume><fpage>323</fpage><lpage>333</lpage><pub-id pub-id-type="doi">10.2989/AJAR.2008.7.3.9.656</pub-id></element-citation></ref><ref id="CR43"><label>43.</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Richter</surname><given-names>M</given-names></name><name><surname>Luchters</surname><given-names>S</given-names></name><name><surname>Ndlovu</surname><given-names>D</given-names></name><name><surname>Temmerman</surname><given-names>M</given-names></name><name><surname>Chersich</surname><given-names>MF</given-names></name></person-group><article-title>Female sex work and international sport events - no major changes in demand or supply of paid sex during the 2010 Soccer World Cup: a cross-sectional study</article-title><source>BMC Public Health</source><year>2012</year><volume>12</volume><fpage>763</fpage><pub-id pub-id-type="doi">10.1186/1471-2458-12-763</pub-id><pub-id pub-id-type="pmid">22967260</pub-id></element-citation></ref><ref id="CR44"><label>44.</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Richter</surname><given-names>ML</given-names></name><name><surname>Chersich</surname><given-names>MF</given-names></name><name><surname>Scorgie</surname><given-names>F</given-names></name><name><surname>Luchters</surname><given-names>S</given-names></name><name><surname>Temmerman</surname><given-names>M</given-names></name><name><surname>Steen</surname><given-names>R</given-names></name></person-group><article-title>Sex work and the 2010 FIFA World Cup: time for public health imperatives to prevail</article-title><source>Global Health</source><year>2010</year><volume>6</volume><fpage>1</fpage><pub-id pub-id-type="doi">10.1186/1744-8603-6-1</pub-id><pub-id pub-id-type="pmid">20181213</pub-id></element-citation></ref><ref id="CR45"><label>45.</label><mixed-citation publication-type="other">SA Cities Network. State of Cities Report, 2006. Johannesburg; 2006.</mixed-citation></ref><ref id="CR46"><label>46.</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Scorgie</surname><given-names>F</given-names></name><name><surname>Chersich</surname><given-names>MF</given-names></name><name><surname>Ntaganira</surname><given-names>I</given-names></name><name><surname>Gerbase</surname><given-names>A</given-names></name><name><surname>Lule</surname><given-names>F</given-names></name><name><surname>Lo</surname><given-names>YR</given-names></name></person-group><article-title>Socio-demographic characteristics and behavioral risk factors of female sex workers in sub-saharan Africa: a systematic review</article-title><source>AIDS Behav</source><year>2012</year><volume>16</volume><fpage>920</fpage><lpage>933</lpage><pub-id pub-id-type="doi">10.1007/s10461-011-9985-z</pub-id><pub-id pub-id-type="pmid">21750918</pub-id></element-citation></ref><ref id="CR47"><label>47.</label><mixed-citation publication-type="other">Scorgie F, Nakato D, Ogutu AD, Netshivhambe M, Chakuvinga P, Nkomo P, Abdalla P, Sibanda S, Richter M. “I expect to be abused and I have fear”: Sex workers’ experiences of human rights violations and barriers to accessing healthcare in four African countries. In: African sex worker alliance (ed.) April ed. Johannesburg; 2011.</mixed-citation></ref><ref id="CR48"><label>48.</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Shannon</surname><given-names>K</given-names></name><name><surname>Montaner</surname><given-names>J</given-names></name></person-group><article-title>The politics and policies of HIV prevention in sex work</article-title><source>Lancet Infect Diseas</source><year>2012</year></element-citation></ref><ref id="CR49"><label>49.</label><mixed-citation publication-type="other">South African Human Rights Commission. “Everything is not okay here. We are not treated like people.” South African Human Rights Commission Report into the Arrest and Detention of Suspected Undocumented Migrants. Parktown: South African Human Rights Commission, 1999.</mixed-citation></ref><ref id="CR50"><label>50.</label><element-citation publication-type="book"><source>Discussion Paper 0001/2009</source><year>2009</year><publisher-loc>Sexual Offences</publisher-loc><publisher-name>Adult Prostitution South African Law Reform Commission</publisher-name></element-citation></ref><ref id="CR51"><label>51.</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Stadler</surname><given-names>J</given-names></name><name><surname>Delany</surname><given-names>S</given-names></name></person-group><article-title>The ‘healthy brothel’: the context of clinical services for sex workers in Hillbrow, South Africa</article-title><source>Cult Health Sex</source><year>2006</year><volume>8</volume><fpage>451</fpage><lpage>464</lpage><pub-id pub-id-type="doi">10.1080/13691050600872107</pub-id><pub-id pub-id-type="pmid">16923648</pub-id></element-citation></ref><ref id="CR52"><label>52.</label><mixed-citation publication-type="other">Statistics South Africa. Census 2011. In: Statssa (ed.). Pretoria: Statistics South Africa; 2012.</mixed-citation></ref><ref id="CR53"><label>53.</label><mixed-citation publication-type="other">Tampep. Sex Work, Migration, Health. <italic>In:</italic> European network for HIV/STI prevention and health promotion among migrant sex workers (ed.). Amsterdam: European Network for HIV/STI Prevention and Health Promotion among Migrant Sex Workers (TAMPEP) 2009.</mixed-citation></ref><ref id="CR54"><label>54.</label><mixed-citation publication-type="other">UNAIDS. Sex Work and HIV/AIDS. In: Unaids (ed.) Techincal Update. Geneva 2002.</mixed-citation></ref><ref id="CR55"><label>55.</label><mixed-citation publication-type="other">UNAIDS. UNADS Guidance Note: HIV and Sex Work 2007.</mixed-citation></ref><ref id="CR56"><label>56.</label><element-citation publication-type="book"><source>Report on the global AIDS epidemic</source><year>2011</year><publisher-loc>Geneva</publisher-loc><publisher-name>UNAIDS</publisher-name></element-citation></ref><ref id="CR57"><label>57.</label><element-citation publication-type="book"><source>The report of the UNAIDS Advisory Group on HIV and Sex Work</source><year>2011</year><publisher-loc>Geneva</publisher-loc><publisher-name>UNAIDS</publisher-name></element-citation></ref><ref id="CR58"><label>58.</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Vanwiesenbeeck</surname><given-names>I</given-names></name></person-group><article-title>Another decade of social scientific work on sex work: a review of research 1990–2000</article-title><source>Ann Rev Sex Res</source><year>2001</year><volume>12</volume><fpage>242</fpage><lpage>289</lpage><pub-id pub-id-type="pmid">12666742</pub-id></element-citation></ref><ref id="CR59"><label>59.</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Vearey</surname><given-names>J</given-names></name></person-group><article-title>Migration, access to ART, and survivalist livelihood strategies in Johannesburg</article-title><source>Af J AIDS Res</source><year>2008</year><volume>7</volume><fpage>361</fpage><lpage>374</lpage><pub-id pub-id-type="doi">10.2989/AJAR.2008.7.3.13.660</pub-id></element-citation></ref><ref id="CR60"><label>60.</label><element-citation publication-type="book"><person-group person-group-type="author"><name><surname>Vearey</surname><given-names>J</given-names></name></person-group><source>Challenging urban health: towards an improved local government response to migration, informal settlements, and HIV in Johannesburg</source><year>2011</year><publisher-loc>South Africa</publisher-loc><publisher-name>Glob Health Action</publisher-name></element-citation></ref><ref id="CR61"><label>61.</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Vearey</surname><given-names>J</given-names></name></person-group><article-title>Learning from HIV: exploring migration and health in South Africa</article-title><source>Glob Public Health</source><year>2012</year><volume>7</volume><fpage>58</fpage><lpage>70</lpage><pub-id pub-id-type="doi">10.1080/17441692.2010.549494</pub-id><pub-id pub-id-type="pmid">21360380</pub-id></element-citation></ref><ref id="CR62"><label>62.</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Vearey</surname><given-names>J</given-names></name><name><surname>Oliveira</surname><given-names>E</given-names></name><name><surname>Madzimure</surname><given-names>T</given-names></name><name><surname>Ntini</surname><given-names>B</given-names></name></person-group><article-title>Working the City: experiences of migrant women in inner-city Johannesburg</article-title><source>South Af Gender Med Divers J</source><year>2011</year><volume>9</volume><fpage>228</fpage><lpage>233</lpage></element-citation></ref><ref id="CR63"><label>63.</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Vearey</surname><given-names>J</given-names></name><name><surname>Palmary</surname><given-names>I</given-names></name><name><surname>Thomas</surname><given-names>L</given-names></name><name><surname>Nunez</surname><given-names>L</given-names></name><name><surname>Drimie</surname><given-names>S</given-names></name></person-group><article-title>Urban health in Johannesburg: the importance of place in understanding intra-urban inequalities in a context of migration and HIV</article-title><source>Health Place</source><year>2010</year><volume>16</volume><fpage>694</fpage><lpage>702</lpage><pub-id pub-id-type="doi">10.1016/j.healthplace.2010.02.007</pub-id><pub-id pub-id-type="pmid">20400354</pub-id></element-citation></ref><ref id="CR64"><label>64.</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Vearey</surname><given-names>J</given-names></name><name><surname>Richter</surname><given-names>M</given-names></name><name><surname>Núñez</surname><given-names>L</given-names></name><name><surname>Moyo</surname><given-names>K</given-names></name></person-group><article-title>South African HIV/AIDS programming overlooks migration, urban livelihoods, and informal workplaces</article-title><source>Af J AIDS Res</source><year>2011</year><volume>10</volume><issue>Supplement</issue><fpage>381</fpage><lpage>391</lpage><pub-id pub-id-type="doi">10.2989/16085906.2011.637741</pub-id></element-citation></ref><ref id="CR65"><label>65.</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Vetten</surname><given-names>L</given-names></name><name><surname>Dladla</surname><given-names>J</given-names></name></person-group><article-title>Women’s fear and survival in inner-city Johannesburg</article-title><source>Agenda</source><year>2000</year><volume>45</volume><fpage>70</fpage><lpage>75</lpage><pub-id pub-id-type="doi">10.2307/4066319</pub-id></element-citation></ref><ref id="CR66"><label>66.</label><mixed-citation publication-type="other">Vigneswaran D, Hornberger J. Beyond ‘Good Cop’/‘Bad Cop’: Understanding Informality and Police Corruption in South Africa. In: FORCED Migration Studies Programme Wits University (ed.). Johannesburg 2008.</mixed-citation></ref><ref id="CR67"><label>67.</label><mixed-citation publication-type="other">Vuylsteke B, DAS A, Dallabetta G, Laga M. Preventing HIV among sex workers. In: Mayer, K. & Pizer, H. (eds.) HIV Prevention: A Comprehensive Approach. London: Academic Press; 2009.</mixed-citation></ref><ref id="CR68"><label>68.</label><mixed-citation publication-type="other">WEBMISTRESS. Sex Worker Education & Advocacy Taskforce (SWEAT) [Online]. 2010. Available: <ext-link ext-link-type="uri" xlink:href="http://www.sweat.org.za.">www.sweat.org.za.</ext-link></mixed-citation></ref><ref id="CR69"><label>69.</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wojcicki</surname><given-names>JM</given-names></name><name><surname>Malala</surname><given-names>J</given-names></name></person-group><article-title>Condom use, power and HIV/AIDS risk: sex-workers bargain for survival in Hillbrow/Joubert Park/Berea, Johannesburg</article-title><source>Social Sci Med</source><year>2001</year><volume>53</volume><fpage>99</fpage><lpage>121</lpage><pub-id pub-id-type="doi">10.1016/S0277-9536(00)00315-4</pub-id></element-citation></ref></ref-list></back></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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