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RESEARCH ARTICLE

Factors associated with women’s entry into the sex industry: findings from interviews conducted with female sex workers in Chinese detention centres

Xiaohu Zhang A B , Limin Mao C E , Peter Aggleton C , Jun Zhang A D , Jun Jing A D , Jia Cui A , Rui Zhao A , Jiehui Ren A and John de Wit C
+ Author Affiliations
- Author Affiliations

A Department of Sociology, Tsinghua University, Beijing, 100084, China.

B China Food and Drug Administration Institute of Executive Development, Beijing, 100073, China.

C Centre for Social Research in Health, UNSW Australia, Sydney, NSW 2052, Australia.

D Research Centre for Public Health, Tsinghua University, Beijing, 100084, China.

E Corresponding author. Email: limin.mao@unsw.edu.au

Sexual Health 12(6) 541-545 https://doi.org/10.1071/SH14009
Submitted: 9 January 2014  Accepted: 17 June 2015   Published: 3 August 2015

Abstract

Background: To date, limited research has been conducted to identify the personal and contextual factors that contribute to women’s entry into the sex industry in China. Methods: The reasons for and factors associated with voluntary entry into the sex industry were explored through in-depth interviews conducted with 38 Chinese women who were held in detention centres for selling sex. Results: Women’s personal accounts reveal that entry into sex work is influenced by life aspirations, family responsibilities and social connections, which facilitate mobility to a new urban environment in which they encounter opportunities and challenges. Findings highlight the complex interactions between individual and contextual factors in relation to women’s entry into sex work. Conclusions: In a rapidly developing country such as China, entry into sex work may appeal to women of low socioeconomic status, particularly young women who have recently migrated to urban areas. For members of this mobile and relatively disadvantaged population, comprehensive social services and support are urgently needed.

Additional keywords: China, HIV prevention, social disadvantage.


References

[1]  Devine A, Bowen K, Dzuvichu B, Rungsung R, Kermode M. Pathways to sex-work in Nagaland, India: implications for HIV prevention and community mobilisation. AIDS Care 2010; 22 228–37.
Pathways to sex-work in Nagaland, India: implications for HIV prevention and community mobilisation.Crossref | GoogleScholarGoogle Scholar | 20390501PubMed |

[2]  Ingabire MC, Mitchell K, Veldhuijzen N, Umulisa MM, Nyinawabega J, Kestelyn E, Van Steijn M, Van De Wijgert J, Pool R. Joining and leaving sex work: experiences of women in Kigali, Rwanda. Cult Health Sex 2012; 14 1037–47.
Joining and leaving sex work: experiences of women in Kigali, Rwanda.Crossref | GoogleScholarGoogle Scholar | 22937751PubMed |

[3]  Gil VE, Wang MS, Anderson AF, Lin GM, Wu ZO. Prostitutes, prostitution and STD/HIV transmission in mainland China. Soc Sci Med 1996; 42 141–52.
Prostitutes, prostitution and STD/HIV transmission in mainland China.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DyaK28zkt1OgtA%3D%3D&md5=3ac92116eefc423c53c166a40a2ecc11CAS | 8745115PubMed |

[4]  Tucker J, Ren X, Sapio F. Incarcerated sex workers and HIV prevention in China: social suffering and social justice countermeasures. Soc Sci Med 2010; 70 121–9.
Incarcerated sex workers and HIV prevention in China: social suffering and social justice countermeasures.Crossref | GoogleScholarGoogle Scholar | 19880233PubMed |

[5]  Huang Y, Maman S, Pan S. Understanding the diversity of male clients of sex workers in China and the implications for HIV prevention programmes. Glob Public Health 2012; 7 509–21.
Understanding the diversity of male clients of sex workers in China and the implications for HIV prevention programmes.Crossref | GoogleScholarGoogle Scholar | 22313090PubMed |

[6]  Choi SY, Holroyd E. The influence of power, poverty and agency in the negotiation of condom use for female sex workers in mainland China. Cult Health Sex 2007; 9 489–503.
The influence of power, poverty and agency in the negotiation of condom use for female sex workers in mainland China.Crossref | GoogleScholarGoogle Scholar | 17687674PubMed |

[7]  Fang X, Li X, Yang H, Hong Y, Zhao R, Dong B, Liu W, Zhou Y, Liang S, Stanton B. Profile of female sex workers in a Chinese county: does it differ by where they came from and where they work? World Health Popul 2007; 9 46–64.
Profile of female sex workers in a Chinese county: does it differ by where they came from and where they work?Crossref | GoogleScholarGoogle Scholar | 18270499PubMed |

[8]  Pan S, Bai W, Wang A, Lao M. Dangdai zhonguo ren de xing xingwei he xing guanxi [Sexual behaviour and relation in contemporary China]. Beijing: China Social Sciences Documentation Publishing House; 2004.

[9]  Wu J, Zhou X, Lu C, Moyer E, Wang H, Hong L, Deng X. A qualitative exploration of barriers to condom use among female sex workers in China. PLoS One 2012; 7 e46786
A qualitative exploration of barriers to condom use among female sex workers in China.Crossref | GoogleScholarGoogle Scholar | 1:CAS:528:DC%2BC38XhsFCktb%2FJ&md5=94fd37b635ac456f163af893534ec6e2CAS |

[10]  Zhang C, Hong Y, Li X, Qiao S, Zhou Y, Su S. Psychological stressors in the context of commercial sex among female sex workers in China. Health Care Women Int 2013; 36 753–67.
Psychological stressors in the context of commercial sex among female sex workers in China.Crossref | GoogleScholarGoogle Scholar | 24180467PubMed |

[11]  Tucker JD, Peng H, Wang K, Chang H, Zhang SM, Yang LG, Yang B. Female sex worker social networks and STI/HIV prevention in South China. PLoS One 2011; 6 e24816
Female sex worker social networks and STI/HIV prevention in South China.Crossref | GoogleScholarGoogle Scholar | 1:CAS:528:DC%2BC3MXht1GltbvI&md5=6e63b2947bb714f882ea969c13465fafCAS | 21931856PubMed |

[12]  Rou K, Wu Z, Sullivan SG, Li F, Guan J, Xu C, Liu W, Lie D, Yin Y. A five-city trial of a behavioural intervention to reduce sexually transmitted disease/HIV risk among sex workers in China. AIDS 2007; 21 S95–101.
A five-city trial of a behavioural intervention to reduce sexually transmitted disease/HIV risk among sex workers in China.Crossref | GoogleScholarGoogle Scholar | 18172399PubMed |

[13]  Zhuang K, McQuaide S. AIDS/other STIs prevention in China: the effect of sex worker migration and the organization of the sex industry. Anthropol Med 2013; 20 36–47.
AIDS/other STIs prevention in China: the effect of sex worker migration and the organization of the sex industry.Crossref | GoogleScholarGoogle Scholar | 23514622PubMed |

[14]  Hong Y, Li X, Fang X, Lin X, Zhang C. Internet use among female sex workers in China: implications for HIV/STI prevention. AIDS Behav 2011; 15 273–82.
Internet use among female sex workers in China: implications for HIV/STI prevention.Crossref | GoogleScholarGoogle Scholar | 21082341PubMed |

[15]  Huang Y, Henderson GE, Pan S, Cohen MS. HIV/AIDS risk among brothel-based female sex workers in China: assessing the terms, content, and knowledge of sex work. Sex Transm Dis 2004; 31 695–700.
HIV/AIDS risk among brothel-based female sex workers in China: assessing the terms, content, and knowledge of sex work.Crossref | GoogleScholarGoogle Scholar | 15502679PubMed |

[16]  Li Y, Detels R, Lin P, Fu X, Deng Z, Liu Y, Huang G, Li J, Tan Y. Difference in risk behaviors and STD prevalence between street-based and establishment-based FSWs in Guangdong Province, China. AIDS Behav 2012; 16 943–51.
Difference in risk behaviors and STD prevalence between street-based and establishment-based FSWs in Guangdong Province, China.Crossref | GoogleScholarGoogle Scholar | 22228068PubMed |

[17]  Chapman J, Estcourt CS, Zhou H. Saving ‘face’ and ‘othering’: getting to the root of barriers to condom use among Chinese female sex workers. Sex Health 2008; 5 291–8.
Saving ‘face’ and ‘othering’: getting to the root of barriers to condom use among Chinese female sex workers.Crossref | GoogleScholarGoogle Scholar | 18771646PubMed |

[18]  Hao C, Liu H, Sherman SG, Jiang B, Li X, Xu Y, Jiang Z, Zang C. Typology of older female sex workers and sexual risk for HIV infection in China: a qualitative study. Cult Health Sex 2014; 16 47–60.
Typology of older female sex workers and sexual risk for HIV infection in China: a qualitative study.Crossref | GoogleScholarGoogle Scholar | 23998493PubMed |

[19]  Huang W, Operario D, Dong Y, Zaller N, Song D, He H, Tao H, Xia J, Zhang H. HIV-related risk among female migrants working in entertainment venues in China. Prev Sci 2014; 15 329–39.
HIV-related risk among female migrants working in entertainment venues in China.Crossref | GoogleScholarGoogle Scholar | 23921562PubMed |

[20]  Tucker JD, Henderson GE, Wang TF, Huang YY, Parish W, Pan SM, Chen XS, Cohen MS. Surplus men, sex work, and the spread of HIV in China. AIDS 2005; 19 539–47.
Surplus men, sex work, and the spread of HIV in China.Crossref | GoogleScholarGoogle Scholar | 15802971PubMed |

[21]  Edlund L, Korn E. A theory of prostitution. J Polit Econ 2002; 110 181–214.
A theory of prostitution.Crossref | GoogleScholarGoogle Scholar |

[22]  Xia G. Laws, statutes and policies concerning AIDS in China: their social influences and effects. In Li D, Xia G, Qiu R, Hamblin J, Yue T, editors. Law, polices and regulations concerning HIV/AIDS prevention and containment: an assessment and recommendations. Beijing: United Nations Development Program; 2003. pp. 69–120.

[23]  Zuo J, Tang S. Breadwinner status and gender ideologies of men and women regarding family roles. Sociol Perspect 2000; 43 29–43.
Breadwinner status and gender ideologies of men and women regarding family roles.Crossref | GoogleScholarGoogle Scholar |

[24]  McClarty LM, Bhattacharjee P, Blanchard JF, Lorway RR, Ramanaik S, Mishra S, Isac S, Ramesh BM, Washington R, Moses S, Becker ML. Circumstances, experiences and processes surrounding women’s entry into sex work in India. Cult Health Sex 2014; 16 149–63.
Circumstances, experiences and processes surrounding women’s entry into sex work in India.Crossref | GoogleScholarGoogle Scholar | 24236895PubMed |

[25]  Pan S. The accomplishment of sexuality revolution in China. Gaoxiong, Taiwan: Universal Press; 2008.

[26]  Cui X, Rockett IR, Yang T, Cao R. Work stress, life stress, and smoking among rural-urban migrant workers in China. BMC Public Health 2012; 12 979
Work stress, life stress, and smoking among rural-urban migrant workers in China.Crossref | GoogleScholarGoogle Scholar | 23151299PubMed |

[27]  Wong WC, Holroyd E, Bingham A. Stigma and sex work from the perspective of female sex workers in Hong Kong. Sociol Health Illn 2011; 33 50–65.
Stigma and sex work from the perspective of female sex workers in Hong Kong.Crossref | GoogleScholarGoogle Scholar | 21226729PubMed |

[28]  Yi H, Mantell JE, Wu R, Lu Z, Zeng J, Wan Y. A profile of HIV risk factors in the context of sex work environments among migrant female sex workers in Beijing, China. Psychol Health Med 2010; 15 172–87.
A profile of HIV risk factors in the context of sex work environments among migrant female sex workers in Beijing, China.Crossref | GoogleScholarGoogle Scholar | 20391235PubMed |

[29]  Tucker JD, Ren X. Sex worker incarceration in the People’s Republic of China. Sex Transm Infect 2008; 84 34–5.
Sex worker incarceration in the People’s Republic of China.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BD1c%2Flslemug%3D%3D&md5=2d5a07ffb109cdde600b939edea49bc1CAS | 18212187PubMed |

[30]  Ghose T, Swendeman DT, George SM. The role of brothels in reducing HIV risk in Sonagachi, India. Qual Health Res 2011; 21 587–600.
The role of brothels in reducing HIV risk in Sonagachi, India.Crossref | GoogleScholarGoogle Scholar | 21266706PubMed |

[31]  Kaufman J. HIV, sex work, and civil society in China. J Infect Dis 2011; 204 S1218–22.
HIV, sex work, and civil society in China.Crossref | GoogleScholarGoogle Scholar | 22043035PubMed |