Sex workers are 13 times more at risk of HIV compared with the general population, due to an increased likelihood of being economically vulnerable, unable to negotiate consistent condom use, and experiencing violence, criminalisation and marginalisation. Where HIV prevention programmes are available they are generally well received, however sex workers often face many barriers in accessing them. HIV prevention services that are sex-worker led and community based are proven to be most effective when they address the legal and social barriers that affect sex workers. Sex workers are among the highest risk groups for HIV.
The Hustle: Economics of the Underground Commercial Sex Economy
Decriminalization - No criminal penalties for prostitution Legalization -prostitution legal and regulated Abolitionism - prostitution is legal, but organized activities such as brothels and pimping are illegal; prostitution is not regulated Neo-abolitionism - illegal to buy sex and for 3rd party involvement, legal to sell sex Prohibitionism - prostitution illegal Legality varies with local laws The legal status of prostitution in Africa varies widely. It is frequently common in practice, partially driven by the widespread poverty in many sub-Saharan African countries,  and is one of the drivers for the prevalence of AIDS in Africa. In other countries, prostitution may be legal, but brothels are not allowed to operate. In some countries where prostitution is illegal, the law is rarely enforced. Transactional sexual relationships are particularly common in sub-Saharan Africa, where they often involve relationships between older men and younger women or girls. In many cases, the woman in a transactional sexual relationship may remain faithful to her boyfriend, while he may have multiple sexual partners.
Outside the sex sold legally in Nevada, prostitution in the United States transpires in the shadows of an underground economy. There are no accounting records to trace, no receipts to scrutinize, and no legal records to analyze. Simply, it is difficult to grasp the size of this economy.
However, please read on before you click-off. Sex tourism is a complex subject and the following represents my views, but I urge you to consider them in the hope that the lives of many, yourself included, can be improved by more thoughtful consideration of this issue. Yet there is nothing virginal about this country, where sex tourism is sufficiently rife to give Thailand a run for its money. I have not led a sheltered life and my friends would place my behavior closer to sinner than saint. Consequently there is very little that tends to shock me, but the extreme levels of male prostitution in this country have done exactly that.