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‘I miss being honest’: sex workers’ accounts of silence and disclosure with health care providers in Ireland
Culture, Health & Sexuality ( IF 2.154 ) Pub Date : 2021-02-02
Paul Ryan, Kathryn McGarry

Abstract

In this paper, female sex workers tell stories of their interactions with health care providers (HCP) in four cities in the Republic of Ireland. While Irish society has made great progress in listening to the sexual stories of women that were historically silenced (e.g. stories of abortion, sexual abuse), sex workers have not benefited from this new climate. Regularly silenced by parliamentarians and non-governmental organisations who speak upon their behalf, sex workers are consigned within a narrative of victimhood and coercion. This paper draws from a participant action research study conducted in 2019–20 and explores women’s motivations in whether to disclose their sex work, and the strategies deployed to conceal it while seeking access to sexual health care. These strategies included traveling beyond their own communities for health care and STI home testing. The paper identifies women, particularly, migrants who felt their precarious position made it impossible for them to be truthful about their sex work to health care providers, exposing them to greater health risk. The paper understands this marginality within a context of structural violence where sex worker health is shaped by institutional power relations creating unequal health outcomes but is also challenged by stories of solidarity.



中文翻译:

``我想说实话'':性工作者向爱尔兰医疗保健提供者的沉默和披露的说法

摘要

在本文中,女性性工作者讲了自己与爱尔兰共和国四个城市的医疗服务提供者(HCP)互动的故事。尽管爱尔兰社会在聆听历来沉默的妇女的性故事(例如堕胎,性虐待的故事)方面取得了长足进步,但性工作者并未从这种新环境中受益。国会议员和代表他们发言的非政府组织经常对此保持沉默,将性工作者托付给受害者和胁迫。本文来自于2019-20年度进行的一项参与者行动研究,探讨了女性是否公开性工作的动机,以及在寻求性保健时采用隐藏性工作的策略。这些策略包括走出自己的社区进行医疗保健和性传播感染家庭测试。该论文指出了妇女,特别是那些认为自己的处境pre可危的移民,因为她们无法向医疗保健提供者真实地了解自己的性工作,使她们面临更大的健康风险。该论文在结构性暴力的背景下理解了这种边缘性,在这种暴力中,性工作者的健康受到制度权力关系的影响,产生了不平等的健康结果,但也受到声援故事的挑战。

更新日期:2021-02-02
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