Impacts of im/migration experience on work stress among sex workers in Vancouver, Canada

Julie Sou, Kate Shannon, Jean Shoveller, Putu Duff, Melissa Braschel, Sabina Dobrer, Shira M. Goldenberg

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)

Abstract

Objectives: Despite the precarious and unsafe working conditions frequently experienced by sex workers (SWs) and im/migrant workers, there remains a paucity of research on work-related stress and links to duration of im/migration residency among SWs. This study analyzes the relationship between duration of residency and two dimensions of work stress among SWs in Metro Vancouver. Methods: Data were drawn from a longitudinal cohort of women SWs across Metro Vancouver (2010–2014). Multivariable confounder models with generalized estimating equations were developed to examine the independent effects of duration of residency on decision authority and job demands, after adjusting for confounders. Results: Of 545 SWs, 9.7% were recent im/migrants, 13.9% were long-term im/migrants, and 76.2% were non-migrants. In comparison to non-migrant SWs, recent (β coefficient − 1.02, 95% CI − 1.57 to − 0.47) and long-term im/migrants (β coefficient − 0.87, 95% CI − 1.36 to −0.38) faced decreased work stress related to job demands after adjustment for key confounders. Decision authority did not retain a significant independent association after adjusting for the same factors. Conclusion: Job demands varied significantly by duration of residency. This may be explained by changing working conditions and experiences over the course of arrival and settlement among im/migrant SWs, as well as the role of formal work environments in supporting im/migrant SWs’ well-being. Given high rates of work stress related to job demands and low decision authority among all SWs, decriminalization of sex work, improved occupational standards, and culturally sensitive interventions to promote collectivization and improved access to working conditions remain needed.

Original languageEnglish
Pages (from-to)344-353
Number of pages10
JournalCanadian Journal of Public Health
Volume110
Issue number3
DOIs
Publication statusPublished - Jun 19 2019
Externally publishedYes

Bibliographical note

Funding Information:
Funding information This research was supported by operating grants from the US National Institutes of Health (R01DA028648) and Canadian Institutes of Health Research (HHP-98835), the Canadian Institutes of Health Research/Public Health Agency of Canada (HEB-330155), and MacAIDS. KS holds a Canada Research Chair in Global Sexual Health and HIV/AIDS and a Scholar Award from the Michael Smith Foundation for Health Research. SG is supported by a Canadian Institutes of Health Research New Investigator Award and the National Institutes of Health (R01DA028648).

Publisher Copyright:
© 2018, The Canadian Public Health Association.

ASJC Scopus Subject Areas

  • Public Health, Environmental and Occupational Health

PubMed: MeSH publication types

  • Journal Article
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

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