Design strategies from sexual exploitation and sex work studies among women and girls: Methodological considerations in a hidden and vulnerable population
Restricted accessResearch articleFirst published online June, 2017
Design strategies from sexual exploitation and sex work studies among women and girls: Methodological considerations in a hidden and vulnerable population
The study of sex trafficking, prostitution, sex work, and sexual exploitation is associated with many methodological issues and challenges. Researchers’ study designs must consider the many safety issues related to this vulnerable and hidden population. Community advisory boards and key stakeholder involvement are essential to study design to increase safety of participants, usefulness of study aims, and meaningfulness of conclusions. Nonrandomized sampling strategies are most often utilized when studying exploited women and girls, which have the capacity to provide rich data and require complex sampling and recruitment methods. This article reviews the current methodological issues when studying this marginalized population as well as strategies to address challenges while working with the community in order to bring about social change. The authors also discuss their own experiences in collaborating with community organizations to conduct research in this field.
Abdul-QuaderA. S.HeckathornD. D.McKnightC.BramsonH.NemethC.SabinK.Des JarlaisD. C. (2006) Effectiveness of respondent-driven sampling for recruiting drug users in New York City: Findings from a pilot study. Journal of Urban Health83(3): 459–476. doi:10.1007/s11524-006-9052-7.
2.
Abdul-QuaderA. S.HeckathornD. D.SabinK.SaidelT. (2006) Implementation and analysis of respondent driven sampling: Lessons learned from the field. Journal of Urban Health83(7): 1–5. doi:10.1007/s11524-006-9108-8.
3.
CampbellR.AhrensC. E.ClarkM. L. (2003) Adult sexual assault and prostitution: An exploratory analysis. Violence and Victims18(3): 299–317.
4.
CarrollJ. J.TrullL. A. (2001) Drug-dependent homeless African-American women’s perspectives of life on the streets. Journal of Ethnicity in Substance Abuse1(1): 27–45. doi:10.1300/J233v01n01_03.
5.
ChenS.BiswasB. (2011) Behavioural correlates of dual diagnosis among women in treatment for substance abuse. Mental Health and Substance Use5: 217–227. doi:10.1080/17523281.2011.631933.
6.
ClarkeR. J.ClarkeE. A.Roe-SepowitzD.FeyR. (2012) Age at entry into prostitution: Relationship to drug use, race, suicide, education level, childhood abuse, and family experiences. Journal of Human Behavior in the Social Environment22(3): 270–289. doi:10.1080/10911359.2012.655583.
7.
ConnollyJ. A.JolyL. E. (2012) Outreach with street-involved youth: a quantitative and qualitative review of the literature. Clinical Psychology Review32(6): 524–534. doi:10.1016/j.cpr.2012.05.006.
8.
Curtis, R., Terry, K., & Dank, M. (2008). The commercial sexual exploitation of children in New York City Volume One The CSEC Population in New York City: Size, Characteristics. Center for Court Innovation. Retrieved from https://www.ncjrs.gov/pdffiles1/nij/grants/225083.pdf.
9.
CusickL.Brooks-GordonB.CampbellR.EdgarF. (2011) “Exiting” drug use and sex work: Career paths, interventions and government strategy targets. Drugs: Education, Prevention, and Policy18(2): 145–156. doi:10.3109/09687631003776901.
10.
CusickL.HickmanM. (2005) “Trapping” in drug use and sex work careers. Drugs: Education, Prevention, and Policy12(5): 369–379. doi:10.1080/09687630500226779.
11.
CwikelJ.HobanE. (2005) Contentious issues in research on trafficked women working in the sex industry: Study design, ethics, and methodology. Journal of Sex Research42(4): 306–316. doi:10.1080/00224490509552286.
12.
DodsworthJ. (2014) Sexual exploitation, selling and swapping sex: victimhood and agency. Child Abuse Review23(February 2013): 185–199. doi:10.1002/car.
13.
GerassiL. (2015) From exploitation to industry: Definitions, risks, and consequences of domestic sexual exploitation and sex work among women and girls. Journal of Human Behavior in the Social Environment25(6): 591–605. .
14.
Gerassi, L., & Nichols, A. (2016, January). Coalition heterogeneity in community-based responses to sex trafficking and commercial sex. In: Society for Social Work and Research 20th Annual Conference: Grand Challenges of the American Academy of Social Work and Social Welfare Initiative. Sswr.
15.
GileK.HandcockM. S. (2010) Respondent-driven sampling: An assessment of current methodology. Sociology Methodology40(1): 1–34. doi:10.1111/j.1467-9531.2010.01223.x.Respondent-Driven.
16.
Holger-AmbroseB.LangmadeC.EdinburghL. D.SaewycE. (2013) The illusions and juxtapositions of commercial sexual exploitation among youth: Identifying effective street-outreach strategies. Journal of Child Sexual Abuse22(3): 326–340. doi:10.1080/10538712.2013.737443.
17.
JanssenP. A.GibsonK.BowenR.SpittalP. M.PetersenK. L. (2009) Peer support using a mobile access van promotes safety and harm reduction strategies among sex trade workers in Vancouver’s downtown eastside. Journal of Urban Health86(5): 804–809. doi:10.1007/s11524-009-9376-1.
18.
JohnstonL. G.SabinK.MaiT. H.PhamT. H. (2006) Assessment of respondent driven sampling for recruiting female sex workers in two Vietnamese cities: reaching the unseen sex worker. Journal of Urban Health : Bulletin of the New York Academy of Medicine83(6 Suppl): i16–28. doi:10.1007/s11524-006-9099-5.
19.
KennedyA. C.BybeeD.KulkarniS. J.ArcherG. (2012) Sexual victimization and family violence among urban African American adolescent women: Do violence cluster profiles predict partner violence victimization and sex trade exposure?Violence Against Women18: 1319–1338. doi:10.1177/1077801212470544.
20.
KokenJ. A. (2011) Independent female escort’s strategies for coping with sex work related stigma. Sexuality and Culture16(3): 209–229. doi:10.1007/s12119-011-9120-3.
21.
KurtzS. P.SurrattH. L.InciardiJ. A.KileyM. C. (2004) Sex work and “date” violence. Violence Against Women10(4): 357–385. doi:10.1177/1077801204263199.
22.
KurtzS. P.SurrattH. L.KileyM. C.InciardiJ. A. (2005) Barriers to health and social services for street-based sex workers. Journal of Health Care for the Poor and Underserved16(2): 345–361. doi:10.1353/hpu.2005.0038.
23.
LangeA. (2010) Research note: Challenges of identifying female human trafficking victims using a national 1-800 call center. Trends in Organized Crime14(1): 47–55. doi:10.1007/s12117-010-9107-8.
24.
LeonC. S.ShdaimahC. S. (2012) JUSTifying scrutiny: State power in prostitution diversion programs. Journal of Poverty16(3): 250–273. doi:10.1080/10875549.2012.695539.
25.
LopezV.KopakA.RobillardA.GillmoreM. R.HollidayR. C.BraithwaiteR. L. (2011) Pathways to sexual risk taking among female adolescent detainees. Journal of Youth and Adolescence40(8): 945–957. doi:10.1007/s10964-010-9623-5.
26.
LucasA. M. (2005) The work of sex work: Elite prostitutes’ vocational orientations and experiences. Deviant Behavior26(6): 513–546. doi:10.1080/01639620500218252.
27.
LutnickA.CohanD. (2009) Criminalization, legalization or decriminalization of sex work: What female sex workers say in San Francisco, USA. Reproductive Health Matters17(34): 38–46.
28.
MagnaniR.SabinK.SaidelT.HeckathornD. (2005) Review of sampling hard-to-reach and hidden populations for HIV surveillance. AIDS19(Supplement 2): S67–S72. doi:10.1097/01.aids.0000172879.20628.e1.
29.
Maguire, P. (2008). Feminist participatory research framework. In A. M. Jaggar (Ed.), Just Methods: An Interdisciplinary Feminist Reader. Boulder, CO: Paradigm.
30.
MarcusA.RiggsR.HorningA.RiveraS.CurtisR.ThompsonE. (2011) Is child to adult as victim is to criminal?Sexuality Research and Social Policy9(2): 153–166. doi:10.1007/s13178-011-0070-1.
31.
MartinL. (2013) Sampling and sex trading: Lessons on research design from the street. Action Research11(3): 220–235. doi:10.1177/1476750313488146.
32.
MartinL.HearstM. O.WidomeR. (2010) Meaningful differences: Comparison of adult women who first traded sex as a juvenile versus as an adult. Violence Against Women16(11): 1252–1269. doi:10.1177/1077801210386771.
33.
MasonM. (2010) Sample size and saturation in PhD studies using qualitative interviews. Qualitative Social Research11(3): 1–19.
34.
MillayT. A.SatyanarayanaV. A.O’LearyC. C.CreceliusR.CottlerL. B. (2009) Risky business: Focus-group analysis of sexual behaviors, drug use and victimization among incarcerated women in St. Louis. Journal of Urban Health: Bulletin of the New York Academy of Medicine86(5): 810–817. doi:10.1007/s11524-009-9381-4.
35.
MillerC. L.FieldenS. J.TyndallM. W.ZhangR.GibsonK.ShannonK. (2011) Individual and structural vulnerability among female youth who exchange sex for survival. The Journal of Adolescent Health49(1): 36–41. doi:10.1016/j.jadohealth.2010.10.003.
36.
NicholsA. J. (2012) Survivor-defined practices to mitigate revictimization of battered women in the protective order process. Journal of Interpersonal Violence28(7): 1403–1423. doi:10.1177/0886260512468243.
37.
NicholsA. J. (2013) Meaning-making and domestic violence victim advocacy: An examination of feminist identities, ideologies, and practices. Feminist Criminology8n3: 177–201. doi:10.1177/1557085113482727.
38.
NicholsA. J. (2014) No-drop prosecution in domestic violence cases: Survivor-defined and social change practices. Journal of Interpersonal Violence29n11: 2114–2142. doi:10.1177/0886260513516385.
39.
OselinS. S. (2010) Weighing the consequences of a deviant career: Factors leading to an exit from prostitution. Sociological Perspectives53(4): 527–550. doi:10.1525/sop.2010.53.4.527.SOP5304.
40.
Oselin, S. S. (2014). Leaving Prostitution: Getting out and Staying out of Sex Work. New York: New York University Press.
41.
Otto-SalajL. L.Gore-FeltonC.McGarveyE.CanterburyR. J. (2002) Psychiatric functioning and substance use: Factors associated with HIV risk among incarcerated adolescents. Child Psychiatry and Human Development33(2): 91–106. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/12462349.
42.
Padgett, D. (2008). Qualitative Methods in Social Work Research (2nd ed.). Thousand Oaks, CA: Sage Publications.
43.
Raj, A., Clarke, J. G., Silverman, J. G., Rose, J., Rosengard, C., Hebert, M., & Stein, M. (2006). Violence against women associated with arrests for sex trade but not drug charges. International Journal of Law and Psychiatry, 29(3), 204–211. doi:10.1016/j.ijlp.2005.09.004.
44.
RaphaelJ.ReichertJ. A.PowersM. (2010) Pimp control and violence: Domestic sex trafficking of Chicago women and girls. Women and Criminal Justice20(1–2): 89–104. doi:10.1080/08974451003641065.
45.
ReichertJ.SylwestrakA. (2013) National survey of residential programs for victims of sex trafficking: National survey of residential programs for victims of sex trafficking, Chicago, IL: The Illinois Criminal Justice Information Authority.
46.
ReidJ. A.PiqueroA. R. (2014) On the relationships between commercial sexual exploitation/prostitution, substance dependency, and delinquency in youthful offenders. Child Maltreatment and Emerging Adulthood: Clinical Populations19(3–4): 247–260. doi:10.1177/1077559514539752.
47.
Roe-SepowitzD. E.HickleK. E.CiminoA. (2012) The impact of abuse history and trauma symptoms on successful completion of a prostitution-exiting program. Journal of Human Behavior in the Social Environment22(1): 65–77. doi:10.1080/10911359.2011.598830.
48.
SandersT. (2007) Becoming an ex-sex worker: Making transitions out of a deviant career. Feminist Criminology2(1): 74–95. doi:10.1177/1557085106294845.
49.
ShaverF. M. (2005) Sex work research: methodological and ethical challenges. Journal of Interpersonal Violence20(3): 296–319. doi:10.1177/0886260504274340.
50.
ShdaimahC. S.WiecheltS. A. (2012) Converging on empathy: Perspectives on Baltimore City’s specialized prostitution diversion program. Women and Criminal Justice22(2): 156–173. doi:10.1080/08974454.2012.662131.
51.
Singer, M. (2013). Studying Hidden and Hart-to Reach Populations. In Specialized ethnographic methods: A mixed methods approach. Plymouth, UK: AltaMira Press.
52.
SurrattH. L.InciardiJ. A. (2004) HIV risk, seropositivity and predictors of infection among homeless and non-homeless women sex workers in Miami, Florida, USA. AIDS Care16(5): 594–604. doi:10.1080/09540120410001716397.
53.
TiffanyJ. S. (2006) Respondent-driven sampling in participatory research contexts: Participant-driven recruitment. Journal of Urban Health: Bulletin of the New York Academy of Medicine83(6 Suppl): i113–124. doi:10.1007/s11524-006-9107-9.
54.
TwillS. E.GreenD. M.TraylorA. (2010) A descriptive study on sexually exploited children in residential treatment. Child and Youth Care Forum39(3): 187–199. doi:10.1007/s10566-010-9098-2.
55.
UradaL. A.SimmonsJ. (2014) A collaborative methodology for investigating the ethical conduct of research on female sex workers in the Philippines. Journal of Empirical Research on Human Research Ethics9(1): 41–45. doi:10.1525/jer.2014.9.1.41.
56.
Van LeeuwenJ. M.HopferC.HooksS.WhiteR.PetersenJ.PirkopfJ. (2004) A snapshot of substance abuse among homeless and runaway youth in Denver, Colorado. Journal of Community Health29(3): 217–229. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/15141897.
57.
VoisinD. R.HongJ. S.KingK. (2012) Ecological factors associated with sexual risk behaviors among detained adolescents: A systematic review. Children and Youth Services Review34(10): 1983–1991. doi:10.1016/j.childyouth.2012.07.003.
58.
WilliamsonC.BakerL. M. (2009) Women in street-based prostitution: A typology of their work styles. Qualitative Social Work8(1): 27–44. doi:10.1177/1473325008100420.
59.
WilliamsonC.FolaronG. (2003) Understanding the experiences of street level prostitutes. Qualitative Social Work2(3): 271–287. doi:10.1177/14733250030023004.
60.
WilsonJ. M.DaltonE. (2008) Human trafficking in the heartland: Variation in law enforcement awareness and response. Journal of Contemporary Criminal Justice24(3): 296–313. doi:10.1177/1043986208318227.
