Safety First, Then Condoms: Commercial Sex, Risky Behavior, and the Spread of HIV/AIDS in Managua, Nicaragua

This study analyzes the commercial sex market in Managua, Nicaragua, to understand risky behavior among sex workers. While health risks are a major concern for sex workers, the risk of violence weighs more heavily in decision making, such that they more often take risks to their health than to their...

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Bibliographic Details
Main Author: Willman, Alys
Format: Journal Article
Language:EN
Published: 2012
Subjects:
Online Access:http://hdl.handle.net/10986/5020
id okr-10986-5020
recordtype oai_dc
spelling okr-10986-50202021-04-23T14:02:20Z Safety First, Then Condoms: Commercial Sex, Risky Behavior, and the Spread of HIV/AIDS in Managua, Nicaragua Willman, Alys Health Production I120 Economics of Gender Non-labor Discrimination J160 This study analyzes the commercial sex market in Managua, Nicaragua, to understand risky behavior among sex workers. While health risks are a major concern for sex workers, the risk of violence weighs more heavily in decision making, such that they more often take risks to their health than to their immediate, physical well-being. These concerns are reflected in the lower premiums sex workers charge for unprotected sex (39 percent more for vaginal sex without a condom) compared with risks of violence, such as accompanying a client to an unknown place (a 118 percent premium). Risk behaviors reflect a rational calculation of actual risk: while only 9 percent of the sample knew anyone diagnosed with HIV, nearly 44 percent of sex workers had been assaulted. These observations indicate the need to consider sex workers' physical safety in policies to contain the spread of HIV/AIDS and other sexually transmitted diseases. 2012-03-30T07:30:53Z 2012-03-30T07:30:53Z 2008 Journal Article Feminist Economics 13545701 http://hdl.handle.net/10986/5020 EN http://creativecommons.org/licenses/by-nc-nd/3.0/igo World Bank Journal Article Nicaragua
repository_type Digital Repository
institution_category Foreign Institution
institution Digital Repositories
building World Bank Open Knowledge Repository
collection World Bank
language EN
topic Health Production I120
Economics of Gender
Non-labor Discrimination J160
spellingShingle Health Production I120
Economics of Gender
Non-labor Discrimination J160
Willman, Alys
Safety First, Then Condoms: Commercial Sex, Risky Behavior, and the Spread of HIV/AIDS in Managua, Nicaragua
geographic_facet Nicaragua
relation http://creativecommons.org/licenses/by-nc-nd/3.0/igo
description This study analyzes the commercial sex market in Managua, Nicaragua, to understand risky behavior among sex workers. While health risks are a major concern for sex workers, the risk of violence weighs more heavily in decision making, such that they more often take risks to their health than to their immediate, physical well-being. These concerns are reflected in the lower premiums sex workers charge for unprotected sex (39 percent more for vaginal sex without a condom) compared with risks of violence, such as accompanying a client to an unknown place (a 118 percent premium). Risk behaviors reflect a rational calculation of actual risk: while only 9 percent of the sample knew anyone diagnosed with HIV, nearly 44 percent of sex workers had been assaulted. These observations indicate the need to consider sex workers' physical safety in policies to contain the spread of HIV/AIDS and other sexually transmitted diseases.
format Journal Article
author Willman, Alys
author_facet Willman, Alys
author_sort Willman, Alys
title Safety First, Then Condoms: Commercial Sex, Risky Behavior, and the Spread of HIV/AIDS in Managua, Nicaragua
title_short Safety First, Then Condoms: Commercial Sex, Risky Behavior, and the Spread of HIV/AIDS in Managua, Nicaragua
title_full Safety First, Then Condoms: Commercial Sex, Risky Behavior, and the Spread of HIV/AIDS in Managua, Nicaragua
title_fullStr Safety First, Then Condoms: Commercial Sex, Risky Behavior, and the Spread of HIV/AIDS in Managua, Nicaragua
title_full_unstemmed Safety First, Then Condoms: Commercial Sex, Risky Behavior, and the Spread of HIV/AIDS in Managua, Nicaragua
title_sort safety first, then condoms: commercial sex, risky behavior, and the spread of hiv/aids in managua, nicaragua
publishDate 2012
url http://hdl.handle.net/10986/5020
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