Abstract
Examining the involvement of women in commercial sexual exploitation (CSE), and the process of exit, as stages of change, from a non-western perspective, is an attempt to expand and build knowledge base about the exit process. This study included 163 women in, exiting or already exited CSE from five places in India–Bangalore, Mumbai, Kolkata, Goa, and Delhi. Forty-two percent of these women had entered as minors, and poor economic condition was a major driving force, with the women having an average stay of 10 years in the sex industry. Transtheoretical or Stages of Change model was used to guide the understanding of exit process. An exploratory factor analysis identified four stages of change—denial, hopeful, actively working, and perseverance—as the best fitting model for this population. Most of the women who exited (70%) highlighted the role of social welfare agencies in facilitating change towards exit. This article promotes an inclusive approach of placing individuals at different stages along the continuum of exit, and providing more finessed stage-specific services that facilitate exit from CSE, rather than adopting a one-size-fits-all approach that treats all women in or exiting CSE as a homogenous group.
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References
Baker, L. M., Dalla, R. L., & Williamson, C. (2010). Exiting prostitution: An integrated model. Violence Against Women, 16(5), 579–600.
Brown, V. B., Melchior, L. A., Slaughter, R., & Huba, G. J. (2005). Stages of multiple behavior change as a function of readiness for substance abuse treatment among women at risk. Journal of Addictions Nursing, 16(1–2), 23–29.
Burke, J. G., Mahoney, P., Gielen, A., McDonnell, K. A., & O’Campo, P. (2009). Defining appropriate stages of change for intimate partner violence survivors. Violence and Victims, 24(1), 36–51.
Cokluk, O., & Kocak, D. (2016). Using Horn’s parallel analysis method in exploratory factor analysis for determining number of factors. Educational Sciences: Theory and Practice, 16, 537–551.
Cusick, L., Brooks-Gordon, B., Campbell, R., & Edgar, F. (2011). “Exiting’’ drug use and sex work: Career paths, interventions and government strategy targets. Drugs: Education, Prevention & Policy, 18(2), 145–156.
Dalla, R. L. (2006). “You can’t hustle all your life”: An exploratory investigation of the exit process among street-level prostituted women. Psychology of Women Quarterly, 30(3), 276–290.
Farley, M., Cotton, A., Lynne, J., Zumbeck, S., Spiwak, F., Reyes, M. E., et al. (2003). Prostitution and trafficking in nine countries: An update on violence and posttraumatic stress disorder. Journal of Trauma Practice, 2(3–4), 33–74.
Fuchs Ebaugh, H. R. (1988). Becoming an ex: The process of role exit. Chicago: University of Chicago Press.
Global Slavery Index. (2016). Walk free foundation. http://www.globalslaveryindex.org/country/india/.
Heather, N., Hönekopp, J., & Smailes, D. (2009). Progressive stage transition does mean getting better: a further test of the Transtheoretical Model in recovery from alcohol problems. Addiction, 104(6), 949–958.
Johnson & Turner. (2003). Data collection strategies in mixed methods research. In A. Tashakkori & C. Teddlie (Eds.), Handbook of mixed methods in social and behavioral research (pp. 297–319). Thousand Oaks, CA: Sage Publications Inc.
Koraleski, S. F., & Larson, L. M. (1997). A partial test of the transtheoretical model in therapy with adult survivors of childhood sexual abuse. Journal of Counseling Psychology, 44(3), 302–306.
Ledesma, D. R., & Mora, P. V. (2007). Determining the number of factors to retain in EFA: An easy-to-use computer program for carrying out parallel analysis. Practica Assessment, Research & Evaluation, 17(2), 1–11.
Manopaiboon, C., Bunnell, R. E., Kilmarx, P. H., Chaikummao, S., Limpakarnjanarat, K., Supawitkul, S., et al. (2003). Leaving sex work: Barriers, facilitating factors and consequences for female sex workers in northern Thailand. AIDS care, 15(1), 39–52.
Månsson, S. A., & Hedin, U. C. (1999). Breaking the Matthew Effect–on women leaving prostitution. International Journal of Social Welfare, 8(1), 67–77.
Mayhew, P., & Mossman, D. E. (2007). Exiting prostitution: Models of best practice (p. 46). New Zealand: Ministry of Justice.
McConnaughy, E. A., Prochaska, J. O., & Velicer, W. F. (1983). Stages of change in psychotherapy: Measurement and sample profiles. Psychotherapy: Theory Research and Practice, 20, 368–375.
Ministry of Women & Child Development, Government of India [MWCD]. (2008). India country report: To prevent and combat trafficking and commercial sexual exploitation of children and women. New Delhi: World Congress III.
Muthén, L. K., & Muthén, B. O. (1998). Mplus user’s guide (6th ed.). Los Angeles, CA: Muthén & Muthén.
Oselin, S. S. (2009). Leaving the streets: Transformation of prostitute identity within the prostitution rehabilitation program. Deviant Behavior, 30(4), 379–406.
Prochaska, J., DiClemente, C., & Norcross, J. (1992). In search of how people change. Applications to addictive behaviors. The American Psychologist, 47(9), 1102–1114.
Prochaska, J. O., & Velicer, W. F. (1997). The transtheoretical model of health behavior change. American Journal of Health Promotion, 12, 38–48.
Raghavan, V., & Pawar-Kate, A. (2009). Evaluation report of ARZ (No. 2009) (p. 50). Goa, India: ARZ- Anyay rahit zindagi. http://arzindia.org/docs/ARZ_Evaluation_Report.pdf.
Sanders, T. (2007). Becoming an ex-sex worker. Feminist Criminology, 2(1), 74–95.
Saphira, M., & Herbert, A. (2004). Exiting commercial sexual activity (p. 8). New Zealand: ECPAT. http://www.ecpat.org.nz/Other/Researches/ExitingCommercialSexualActivity.aspx.
Teater, B., & Hammond, G. C. (2010). Exploring smoking prevalence, quit attempts, and readiness to quit cigarette use among women in substance abuse treatment. Social Work in Health Care, 49(2), 176–192.
Thomson, S., Hirshberg, D., Corbett, A., Valila, N., & Howley, D. (2011). Residential treatment for sexually exploited adolescent girls: Acknowledge, Commit, Transform (ACT). Children and Youth Services Review, 33, 2290–2296.
United States Department of State. (2017). Trafficking in persons report June 2017. https://www.state.gov/documents/organization/271339.pdf.
Williamson, C., & Folaron, G. (2003). Understanding the experiences of street level prostitutes. Qualitative Social Work, 2(3), 271–287.
Wilson, B., & Butler, L. D. (2013). Running a gauntlet: A review of victimization and violence in the pre-entry, post-entry, and peri-/post-exit periods of commercial sexual exploitation. Psychological Trauma: Theory, Research, Practice, and Policy. doi:10.1037/a0032977.
Wilson, B., & Nochajski, T. H. (2016). Predictors of readiness to exit commercial sexual exploitation among women in India and the U.S. Dignity: A Journal on Sexual Exploitation and Violence. DOI: 10.23860/dignity.2016.01.01.07.
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We owe many thanks to all the agencies and the women that participated in the study.
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This study was partially funded by Fahs-Beck Doctoral Dissertation Fund and Gender Institute Dissertation Scholarship, University at Buffalo.
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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
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Wilson, B., Nochajski, T.H. On the Continuum of Exit: Understanding the Stages of Change Among Women in Commercial Sexual Exploitation. Gend. Issues 35, 98–112 (2018). https://doi.org/10.1007/s12147-017-9201-1
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DOI: https://doi.org/10.1007/s12147-017-9201-1