Skip to main content
Log in

The Role of Social Stigma in the Lives of Female-Identified Sex Workers: A Scoping Review

  • Review
  • Published:
Sexuality & Culture Aims and scope Submit manuscript

Abstract

From 2008 to 2018 research across the social sciences has burgeoned concerning sex work and social stigma. This paper employs a scoping review methodology to map scholarship produced during this period and develop a more coherent body of knowledge concerning the relationship between social stigma and female-identified sex workers. Twenty-six pieces of research related to sex work stigma are identified and reviewed from across the disciplines of sociology (n = 8), public health (n = 6), social work (n = 4), criminology (n = 2), psychology (n = 2), communications (n = 2), nursing (n = 1), and political science (n = 1). This scoping review identifies the main sources of sex-work stigma, the ways in which sex-work stigma manifests for sex workers, and stigma resistance strategies, as discussed in this body of literature. If, as theorists and researchers suggest, social stigma is at the foundation of the pernicious violence against sex workers, understanding the sources, manifestations, and resistance strategies of sex-work stigma is critical to countering and shifting this stigma. Findings include potential areas of research, policy, and practice to address and challenge sex-work stigma, recognizing that successful social transformation occurs in a dialectic between society’s socio-structural, community, and intrapersonal levels.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

*Denotes reference included in scoping review

  • *Abel, G. M. (2011). Different stage, different performance: The protective strategy of role play on emotional health in sex work. Social Science and Medicine, 72(7), 1177–1184.

    Google Scholar 

  • Arksey, H., & O’Malley, L. (2005). Scoping studies: Towards a methodological framework. International Journal of Social Research Methodology, 8(1), 19–32.

    Google Scholar 

  • Australian Capital Territory Government. (2018). Sex work regulation act. Retrieved January 15, 2019, from https://www.legislation.act.gov.au/DownloadFile/sl/2018-15/current/PDF/2018-15.PDF.

  • *Begum, S., Hocking, J. S., Groves, J., Fairley, C. K., & Keogh, L. A. (2013). Sex workers talk about sex work: Six contradictory characteristics of legalised sex work in Melbourne, Australia. Culture, Health & Sexuality, 15(1), 85–100.

    Google Scholar 

  • *Benoit, C., Jansson, S. M., Smith, M., & Flagg, J. (2018). Prostitution stigma and its effect on the working conditions, personal lives, and health of sex workers. Journal of Sex Research, 55(4–5), 457–471.

    Google Scholar 

  • Bettio, F., Della Giusta, M., & Di Tommaso, M. L. (2017). Sex work and trafficking: Moving beyond dichotomies. Feminist Economics, 23(3), 1–22. https://doi.org/10.1080/13545701.2017.1330547.

    Article  Google Scholar 

  • Bishop, A. (2015). Becoming an ally: Breaking the cycle of oppression in people. London: Zed Books.

    Google Scholar 

  • *Blithe, S. J., & Wolfe, A. W. (2017). Work-life management in legal prostitution: Stigma and lockdown in Nevada’s brothels. Human Relations, 70(6), 725–750.

    Google Scholar 

  • *Bowen, R., & Bungay, V. (2016). Taint: An examination of the lived experiences of stigma and its lingering effects for eight sex industry experts. Culture, Health & Sexuality, 18(18), 186–199. (Personality Traits & Processes [3120]).

    Google Scholar 

  • British Columbia Coalition of Experiential Communities (BCCEC). (2009). Continuum of sexual exchange. Canada’s source for HIV and hepatitis C information. Retrieved January 15, 2019, from http://www.catie.ca/en/pc/program/shift.

  • Campbell, A. (2015). Sex work’s governance: Stuff and nuisance. Feminist Legal Studies, 23(1), 27–45.

    Google Scholar 

  • Chapkis, W. (2018). Commentary: Response to Weitzer ‘Resistance to sex work stigma’. Sexualities, 21(5–6), 743–746.

    Google Scholar 

  • Corrigan, P. (2004). How stigma interferes with mental health care. American Psychologist, 59(7), 614.

    Google Scholar 

  • Culhane, D. (2003). Their spirits live within us: Aboriginal women in Downtown Eastside Vancouver emerging into visibility. American Indian Quarterly, 27(3/4), 593–606.

    Google Scholar 

  • Desyllas, M. C. (2013). Representations of sex workers’ needs and aspirations: A case for arts-based research. Sexualities, 16(7), 772–787.

    Google Scholar 

  • *Desyllas, M. C. (2014). Using photovoice with sex workers: The power of art, agency and resistance. Qualitative Social Work, 13(4), 477–501.

    Google Scholar 

  • Farley, M. (2004). “Bad for the body, bad for the heart”: Prostitution harms women even if legalized or decriminalized. Violence Against Women, 10(10), 1087–1125.

    Google Scholar 

  • Gauntlett, D., & Holzwarth, P. (2006). Creative and visual methods for exploring identities. Visual Studies, 21(1), 82–91.

    Google Scholar 

  • Goffman, E. (1963). Stigma: Notes on a spoiled identity. Englewood Cliffs, NJ: Prentice Hall.

    Google Scholar 

  • Government of Canada. (2014). Technical paper: Bill C-36, protection of communities and exploited persons act. Retrieved January 15, 2019, from http://www.justice.gc.ca/Eng/Rp-Pr/Other-Autre/Protect/P1.Html.

  • Government of Western Australia. (2011). Prostitution bill. Retrieved January 15, 2019, from http://www.parliament.wa.gov.au/parliament/bills.nsf/AB39DEA43DCCB5084825793D001C7937/$File/Bill+218-1.pdf.

  • Green, S., Davis, C., Karshmer, E., Marsh, P., & Straight, B. (2005). Living stigma: The impact of labeling, stereotyping, separation, status loss, and discrimination in the lives of individuals with disabilities and their families. Sociological Inquiry, 75(2), 197–215.

    Google Scholar 

  • Grittner, A. L. (2019). The Victoria Mxenge: Gendered formalizing housing and community design strategies out of Cape Town, South Africa. Journal of Housing and the Built Environment, 34(2), 599–618.

    Google Scholar 

  • *Hallgrímsdóttir, H. K., Phillips, R., Benoit, C., & Walby, K. (2008). Sporting girls, streetwalkers, and inmates of houses of ill repute: Media narratives and the historical mutability of prostitution stigmas. Sociological Perspectives, 51(1), 119–138.

    Google Scholar 

  • *Ham, J., & Gerard, A. (2014). Strategic in/visibility: Does agency make sex workers invisible? Criminology & Criminal Justice: An International Journal, 14(3), 298–313. https://doi.org/10.1177/1748895813500154.

    Article  Google Scholar 

  • *Huang, A. L. (2016). De-stigmatizing sex work: Building knowledge for social work. Social Work & Social Sciences Review, 18(1), 83–96.

    Google Scholar 

  • Hunt, S. (2013). Decolonizing sex work: Developing an intersectional Indigenous approach. In E. van der Meulen, E. M. Durisin, & V. Love (Eds.), Selling sex: Experience, advocacy, and research on sex work in Canada (pp. 82–100). Vancouver, Canada: UBC Press.

    Google Scholar 

  • Jeffrey, L. A., & MacDonald, G. (2011). Sex workers in the Maritimes talk back. Vancouver, BC: UBC Press.

    Google Scholar 

  • *Koken, J. (2012). Independent female escort’s strategies for coping with sex work related stigma. Sexuality and Culture, 16(3), 209–229.

    Google Scholar 

  • *Krüsi, A., Kerr, T., Taylor, C., Rhodes, T., & Shannon, K. (2016). “They won’t change it back in their heads that we’re trash”: The intersection of sex work-related stigma and evolving policing strategies. Sociology of Health & Illness, 38(7), 1137–1150.

    Google Scholar 

  • *Lazarus, L., Deering, K. N., Nabess, R., Gibson, K., Tyndall, M. W., & Shannon, K. (2012). Occupational stigma as a primary barrier to health care for street-based sex workers in Canada. Culture, Health & Sexuality, 14(2), 139–150.

    Google Scholar 

  • Levac, D., Colquhoun, H., & O’Brien, K. K. (2010). Scoping studies: Advancing the methodology. Implementation Science, 5(1), 69.

    Google Scholar 

  • *Levey, T. G., & Pinsky, D. (2015). A constellation of stigmas: Intersectional stigma management and the professional dominatrix. Deviant Behavior, 36, 347–367. (Industrial & Organizational Psychology [3600]).

    Google Scholar 

  • Lewis, J., Shaver, F., & Maticka-Tyndale, E. (2013). Going ‘round again: The persistence of prostitution-related stigma. In E. van der Meulen, E. M. Durisin, & V. Love (Eds.), Selling sex: Experience, advocacy, and research on sex work in Canada (pp. 198–208). Vancouver, BC: University of British Columbia Press.

    Google Scholar 

  • *Lindemann, D. J. (2013). Health discourse and within-group stigma in professional BDSM. Social Science and Medicine, 99, 169–175.

    Google Scholar 

  • Link, B., & Hatzenbuehler, M. L. (2016). Stigma as an unrecognized determinant of population health: Research and policy implications. Journal of Health Politics, Policy and Law, 41(4), 653–673.

    Google Scholar 

  • Link, B. G., & Phelan, J. (1995). Social conditions as fundamental causes of disease. Journal of Health and Social Behavior, Spec No, 80–94.

    Google Scholar 

  • Link, B. G., & Phelan, J. C. (2001). Conceptualizing stigma. Annual Review of Sociology, 27(1), 363–385.

    Google Scholar 

  • Logie, C. H., James, L., Tharao, W., & Loutfy, M. R. (2011). HIV, gender, race, sexual orientation, and sex work: A qualitative study of intersectional stigma experienced by HIV-positive women in Ontario, Canada. PLoS medicine, 8(11), e1001124.

    Google Scholar 

  • MacKinnon, C. A., & Dworkin, A. (Eds.). (1997). In harm’s way: The pornography civil rights hearings. Harvard: Harvard University Press.

    Google Scholar 

  • Marsiglia, F., & Kulis, S. (2009). Diversity, oppression, and change: Culturally grounded social work. Chicago: Lyceum Books.

    Google Scholar 

  • Minichiello, V., Scott, J., & Cox, C. (2018). Commentary: Reversing the agenda of sex work stigmatization and criminalization: Signs of a progressive society. Sexualities, 21(5–6), 730–735.

    Google Scholar 

  • Mullaly, R. P. (2007). The new structural social work. Oxford University Press.

  • *Murphy, H., Dunk-West, P., & Chonody, J. (2015). Emotion work and the management of stigma in female sex workers’ long-term intimate relationships. Journal of Sociology, 51(4), 1103–1116.

    Google Scholar 

  • *Oselin, S. (2010). Weighing the consequences of a deviant career: Factors leading to an exit from prostitution. Sociological Perspectives, 53(4), 527–549.

    Google Scholar 

  • Parker, R., & Aggleton, P. (2003). HIV and AIDS-related stigma and discrimination: A conceptual framework and implications for action. Social Science & Medicine, 57(1), 13–24.

    Google Scholar 

  • Phelan, J., Link, B. G., Moore, R. E., & Stueve, A. (1997). The stigma of homelessness: The impact of the label “homeless” on attitudes toward poor persons. Social Psychology Quarterly, 60, 323–337.

    Google Scholar 

  • Phoenix, J. (2018). A commentary: Response to Weitzer ‘Resistance to sex work stigma’. Sexualities, 21(5–6), 740–742.

    Google Scholar 

  • Prostitution Law Reform Committee. (2008). Report of the prostitution law review committee on the operation of the prostitution reform act 2003. Wellington, NZ: Ministry of Justice, Government of New Zealand. Retrieved January 15, 2019, from http://prostitutescollective.net/wp-content/uploads/2016/10/report-of-the-nz-prostitution-law-committee-2008.pdf.

  • Qwul’sih’yah’maht (Thomas, R. A.). (2005). Honoring the oral traditions of my ancestors through storytelling. In L. Brown & S. Strega (Eds.), Research as resistance: Critical, indigenous, and anti-oppressive approaches (pp. 237–254). Toronto, ON: Canadian Scholars’ Press.

  • Razack, S. H. (2000). Gendered racial violence and spatialized justice: The murder Pamela George. Canadian Journal of Law & Society/La Revue Canadienne Droit et Société, 15(2), 91–130.

    Google Scholar 

  • *Reeve, K. (2013). The morality of the “immoral”: The case of homeless, drug-using street prostitutes. Deviant Behavior, 34(10), 824–840.

    Google Scholar 

  • Rogers, J. (2012). Anti-oppressive social work research: Reflections on power in the creation of knowledge. Social Work Education, 31(7), 866–879.

    Google Scholar 

  • *Sallmann, J. (2010). Living with stigma: Women’s experiences of prostitution and substance use. Affilia: Journal of Women & Social Work, 25(2), 146–159.

    Google Scholar 

  • *Sanders, T. (2016). Inevitably violent? Dynamics of space, governance, and stigma in understanding violence against sex workers. Studies in Law, Politics & Society, 71, 93–114.

    Google Scholar 

  • Sanders, T. (2018). Unpacking the process of destigmatization of sex work/ers: Response to Weitzer ‘Resistance to sex work stigma’. Sexualities, 21(5–6), 736–739.

    Google Scholar 

  • Sanders, T., & Campbell, R. (2007). Designing out vulnerability, building in respect: Violence, safety and sex work policy. The British Journal of Sociology, 58(1), 1–19.

    Google Scholar 

  • Sayers, N. (2013). Social spaces and #SexWork: An essay [Blog post]. Retrieved January 15, 2019, from https://kwetoday.com/2013/12/18/social-spaces-and-sexwork-an-essay/.

  • Scambler, G. (2007). Sex work stigma: Opportunist migrants in London. Sociology, 41(6), 1079–1096.

    Google Scholar 

  • Scambler, G. (2009). Health-related stigma. Sociology of Health & Illness, 31(3), 441–455.

    Google Scholar 

  • Scambler, G., & Paoli, F. (2008). Health work, female sex workers and HIV/AIDS: Global and local dimensions of stigma and deviance as barriers to effective interventions. Social Science and Medicine, 66(8), 1848–1862.

    Google Scholar 

  • Schreiber, R. (2015). ‘Someone you know is a sex worker’: A media campaign for the St. James Infirmary. In M. Laing, K. Pilcher, & N. Smith (Eds.), Queer sex work (pp. 255–262). London: Routledge.

    Google Scholar 

  • *Seshia, M. (2010). Naming systemic violence in Winnipeg’s street sex trade. Canadian Journal of Urban Research, 19(1), 1–17.

    Google Scholar 

  • Sloan, L., & Wahab, S. (2000). Feminist voices on sex work: Implications for social work. Affilia, 15(4), 457–479.

    Google Scholar 

  • *Sprankle, E., Bloomquist, K., Butcher, C., Gleason, N., & Schaefer, Z. (2018). The role of sex work stigma in victim blaming and empathy of sexual assault survivors. Sexuality Research and Social Policy, 15(3), 242–248.

    Google Scholar 

  • *Strega, S., Janzen, C., Morgan, J., Brown, L., Thomas, R., & Carriére, J. (2014). Never innocent victims: Street sex workers in Canadian print media. Violence Against Women, 20(1), 6–25.

    Google Scholar 

  • *Tomura, M. (2009). A prostitute’s lived experiences of stigma. Journal of Phenomenological Psychology, 40(1), 51–84.

    Google Scholar 

  • United States Congress. (2017a). Allow states and victims to fight online sex trafficking act of 2017. Retrieved January 15, 2019, from https://www.congress.gov/bill/115th-congress/house-bill/1865.

  • United States Congress. (2017b). Stop enabling sex traffickers act of 2017. Retrieved January 15, 2019, from https://www.congress.gov/bill/115th-congress/senate-bill/1693.

  • Vanwesenbeeck, I. (2001). Another decade of social scientific work on sex work: A review of research 1990–2000. Annual Review of Sex Research, 12(1), 242–289.

    Google Scholar 

  • Weitzer, R. (2007). The social construction of sex trafficking: Ideology and institutionalization of a moral crusade. Politics & Society, 35(3), 447–475.

    Google Scholar 

  • Weitzer, R. (2014). New directions in research on human trafficking. The ANNALS of the American Academy of Political and Social Science, 653(1), 6–24.

    Google Scholar 

  • *Weitzer, R. (2018). Resistance to sex work stigma. Sexualities, 21(5–6), 717–729.

    Google Scholar 

  • Wilson, S. (2008). Research is ceremony: Indigenous research methods. Black Point, NS: Fernwood Publishing.

    Google Scholar 

  • *Wolfe, A. W., & Blithe, S. J. (2015). Managing image in a core-stigmatized organization: Concealment and revelation in Nevada’s legal brothels. Management Communication Quarterly, 29, 539–563. (Organizational Behavior [3660]).

    Google Scholar 

  • Wynter, S. (1987). Whisper: Women hurt in systems of prostitution engaged in revolt. In E. Delacoste, F. (Ed.), Sex work: Writings by women in the sex industry (pp. 266–270). Jersey City, NJ: Cleis Press.

    Google Scholar 

  • Young, I. M. (2011). Justice and the politics of difference. Princeton, NJ: Princeton University Press.

    Google Scholar 

Download references

Acknowledgements

Thank you to the assigned editor and the reviewers for their thoughtful feedback.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Alison L. Grittner.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Grittner, A.L., Walsh, C.A. The Role of Social Stigma in the Lives of Female-Identified Sex Workers: A Scoping Review. Sexuality & Culture 24, 1653–1682 (2020). https://doi.org/10.1007/s12119-020-09707-7

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12119-020-09707-7

Keywords

Navigation