Community-Based Responses to Negative Health Impacts of Sexual Humanitarian Anti-Trafficking Policies and the Criminalization of Sex Work and Migration in the US

Heidi Hoefinger (1, 2, 3) , Jennifer Musto (1, 4) , P. Macioti (1, 5) , Anne Fehrenbacher (1, 6) , Nicola Mai (1) , Calum Bennachie (1) , Calogero Giametta (7, 1)

1 Department of Criminology and Sociology, Kingston University, London KT1 1LQ, UK
2 Department of Political Science, John Jay College of Criminal Justice, City University of New York, New York, NY 10019, USA
3 Department of Science, Berkeley College, New York, NY 10017, USA
4 Department of Women’s and Gender Studies, Wellesley College, Wellesley, MA 02481, USA
5 UTS - University of Technology Sydney
6 Department of Psychiatry and Biobehavioral Sciences, Semel Institute, University of California, Los Angeles, CA 90095, USA
7 LAMES - Laboratoire méditerranéen de sociologie

System-involvement resulting from anti-trafficking interventions and the criminalization of sex work and migration results in negative health impacts on sex workers, migrants, and people with trafficking experiences. Due to their stigmatized status, sex workers and people with trafficking experiences often struggle to access affordable, unbiased, and supportive health care. This paper will use thematic analysis of qualitative data from in-depth interviews and ethnographic fieldwork with 50 migrant sex workers and trafficked persons, as well as 20 key informants from legal and social services, in New York and Los Angeles. It will highlight the work of trans-specific and sex worker–led initiatives that are internally addressing gaps in health care and the negative health consequences that result from sexual humanitarian anti-trafficking interventions that include policing, arrest, court-involvement, court-mandated social services, incarceration, and immigration detention. Our analysis focuses on the impact of criminalization on sex workers and their experiences with sexual humanitarian efforts intended to protect and control them. We argue that these grassroots community-based efforts are a survival-oriented reaction to the harms of criminalization and a response to vulnerabilities left unattended by mainstream sexual humanitarian approaches to protection and service provision that frame sex work itself as the problem. Peer-to-peer interventions such as these create solidarity and resiliency within marginalized communities, which act as protective buffers against institutionalized systemic violence and the resulting negative health outcomes. Our results suggest that broader public health support and funding for community-led health initiatives are needed to reduce barriers to health care resulting from stigma, criminalization, and ineffective anti-trafficking and humanitarian efforts. We conclude that the decriminalization of sex work and the reform of institutional practices in the US are urgently needed to reduce the overall negative health outcomes of system-involvement.

Mots clés: sex work; anti-trafficking; health; stigma; community responses; sexual humanitarianism; migration; transgender

Domaines: Sociologie; Etudes sur le genre; Science politique; Géographie

Heidi Hoefinger, Jennifer Musto, P. Macioti, Anne Fehrenbacher, Nicola Mai, et al.. Community-Based Responses to Negative Health Impacts of Sexual Humanitarian Anti-Trafficking Policies and the Criminalization of Sex Work and Migration in the US. Social Sciences, 2020, 9 (1), pp.1. ⟨10.3390/socsci9010001⟩. ⟨hal-03269588⟩