SEX WORKERS LIVED EXPERIENCES OF STIGMA IN NAIROBI, KENYA

Authors

  • MOSES MUTUA MUTISO MOI UNIVERSITY
  • ERIC MASESE MOI UNIVERSITY
  • JAMIN RAYS MASASABI MASINDE

DOI:

https://doi.org/10.14738/assrj.77.7348

Keywords:

Sex Work, Sex Work Stigma, Stigma, Stigma Narratives, Lived Experiences, Kenya and Qualitative

Abstract

Since immemorial sex work has been viewed as immoral in the society that we live in. This has made those who practise it to experience something traumatic in their life.  Although sex work has been viewed by sex workers as a livelihood still the negative connotation associated with it has never faded. Similarly, studies on the stigma surrounding sex work industry are well documented and easily recognized worldwide. However, few studies examine the emic perspective of stigma among sex workers more so in Kenya.  In the face of stigma, it makes sex workers adopt various strategies as a way of shading the stigma as they earn their livelihood. Using stigma narratives from 28 respondents practicing sex work, selected using purposive, snowball and direct sampling techniques, this paper shows sex work as a livelihood to sex workers and they use various means to sustain it despite the stigma they face in their everyday life. This ambiguity is evidenced by the strategies that sex workers use in resisting the perception of their work as immoral and evil and at the same time trying to (re)negotiate their threatened identity due to stigma within the larger community they live in. This paper then argues that stigma still remains a major social problem among those practising sex work despite the various constructions on sex work. This is evidenced from stigma narratives where the sex workers in Kenya are subject to various stigmatizing forces in their daily lives in their interactions with the family/relatives, neighbours, religious institutions, law enforcers, and health providers. These stigmas harm the sex workers’ health, both through apparent manifestations such as physical or verbal abuse and through subtler means such as those which generated or perpetuated vulnerability which then compel the sex workers to come with personal individualized ways or collective ways of dealing with stigma. To come up with development of interventions that may reduce stigma, it is important to understand the ways in which sex workers are stigmatized (manifestations of stigma), as well as who is doing the stigmatizing (sources of stigma) and its solution should be pegged on the various sources of stigma.

References

Abel, G., Fitzgerald, L., Healy, C., & Taylor, A. (eds) (2010). Taking the Crime out of Sex Work: New Zealand Sex Workers’ Fight for Decriminalisation. Bristol: Policy Press.
Barton, B. (2006). Stripped. New York: New York University Press.
Basnyat, I. (2015). Structural violence in health care: Lived experiences of street-based female commercial sex workers in Kathmandu. Qualitative Health Research, 27, 1–13. doi:10.1177/1049732315601665
Beckham, S., Shembilu, C., Winch, P., Beyrer, C., & Kerrigan, D. (2015). “If you have children, you have responsibilities”: Motherhood, sex work, and HIV in southern Tanzania. Culture, Health, and Sexuality, 17, 165–179. doi:10.1080/13691058.2014.961034
Benoit, C., Jansson, M., Jansenberger, M., & Phillips, R. (2013). Disability stigmatization as a barrier to employment equity for legally blind Canadians. Disability and Society, 28, 970–983. doi:10.1080/09687599.2012.741518
Benoit, C., Ouellet, N., & Jansson, M. (2016). Unmet health care needs among sex workers in five census metropolitan areas of Canada. Canadian Journal of Public Health, 107, e266–e271. doi:10.17269/ cjph.107.5178
Benoit, C., Ouellet, N., Jansson, M., Magnus, S., & Smith, M. (2017). Would you think about doing sex for money? Structure and agency in deciding to sell sex in Canada. Work, Employment, and Society, 31, 731–747. doi:10.1177/0950017016679331
Bernstein, E. (2007). Temporarily yours: Intimacy, authenticity, and the commerce of sex. Chicago, IL: University of Chicago Press.
Bernstein, E. (2007). Temporarily yours: Intimacy, authenticity, and the commerce of sex. Chicago, IL: University of Chicago Press.
Brockerhoff, M., Biddlecom, A. E., 1999. Migration, Sexual Behaviour and the Risk of HIV in Kenya. International Migration Review 33, 833-856.
Bujra, J. M. (1975). Women “entrepreneurs” of early Nairobi. Canadian Journal of African Studies, 9(2), 213-234.
Bullough, V. & Bullough, B. (1993). Women and Prostitution: A social history. New York: Crown Publishers.
Bungay, V., Kolar, K., Thindal, S., Remple, V., Johnston, C., & Ogilvie, G. (2013). Community-based HIV and STI prevention in women working in indoor sex markets. Health Promotion Practice, 14, 247–255. doi:10.1177/1524839912447189
Central Intelligence Agency (CIA) (2018) https://www.cia.gov/library/readingroom/foia-annual-report
Chipamaunga, S., Muula, A., & Mataya, R. (2010). An assessment of sex work in Swaziland: Barriers to and opportunities for HIV prevention among sex workers. SAHARA-J: Journal of Aspects of HIV/AIDS, 7, 44–50. doi:10.1080/17290376.2010.9724968
Church, S. H., Henderson, M.T., Barnard, M. S., & Hart, G. (2001). Violence by clients towards female prostitutes in different work settings: questionnaire survey. BMJ, 322 7285, 524-525.
Corrigan, P. (2004). How stigma interferes with mental health care. American Psychologist, 59, 614–625.
Corrigan, P., & Matthews, A. (2003). Stigma and disclosure: Implications for coming out of the closet. Journal of Mental Health, 12, 235–248.doi:10.1080/0963823031000118221
Corrigan, P., & Miller, F. E. (2004). Shame, blame, and contamination: A review of the impact of mental illness stigma on family members. Journal of Mental Health, 13, 537–548. doi:10.1080/09638230400017004
Corrigan, P., Kuwabara, S., & O’Shaughnessy, J. (2009). The public stigma of mental illness and drug addiction: findings from a stratified random sample. Journal of Social Work, 9, 139–147. doi:10.1177/1468017308101818
Corrigan, P., Markowitz, F., & Watson, A. (2004). Structural levels of mental illness stigma and discrimination. Schizophrenia Bulletin, 30,481–491. doi:10.1093/oxfordjournals.schbul.a007096
Crocker J, Major B, Steele C. 1998. Social stigma. In The Handbook of Social Psychology, ed. DT Gilbert, ST Fiske, 2:504-53. Boston, MA: McGraw-Hill
Dodsworth, J. (2014). Sex worker and mother: Managing dual and threatened identities. Child and Family Social Work, 19, 99–108. doi:10.1111/j.1365-2206.2012.00889.x
Dovidio, J. F., Major, B., & Crocker, J. (2000). Stigma: Introduction and overview. In T. F. Heatherton, R. E. Kleck, M. R. Hebl, & J. G. Hull (Eds.), The social psychology of stigma (pp. 1–28). New York, NY: Guilford.
FIDA Kenya. (2008). Documenting human rights violation of sex workers in Kenya. Nairobi: Federation of Women Lawyers.
Ganju, D., & Saggurti, N. (2017). Stigma, violence, and HIV vulnerability among transgender persons in sex work in Maharashtra, India. Culture, Health, and Sexuality, 19, 903–917. doi:10.1080/13691058.2016.1271141.
George, A. (2010). Negotiating contradictory expectations: Stories from “secret” sex workers in Andhra Pradesh, India. Wagadu: A Journal of Transnational Women’s and Gender Studies, 8, 258–272.
Goffman, I. (1963) Stigma: Notes on the Management of Spoiled Identity. Englewood Cliffs, NJ:Prentice Hall.
Gray, D. E. (2002). “Everybody just freezes. Everybody is just embarrassed”: Felt and enacted stigma among parents of children with high functioning autism. Sociology of Health and Illness, 24, 734–739. doi:10.1111/1467-9566.00316
Green, S. (2003). “What do you mean ‘what’s wrong with her’?”: Stigma and the lives of families of children with disabilities. Social Science and Medicine, 57, 1361–1374. doi:10.1016/S0277-9536(02)00511-7
Green, S., Davis, C., Karshmer, E., Marsh, P., & Straight, B. (2005). Living stigma: The impact of labeling, stereo-typing, separation, status loss, and discrimination in the lives of individuals with disabilities and their families. Sociological Inquiry, 75, 197–215. doi: 10.1111/soin.2005.75.issue-2
Hallgrimsdottir, H., Phillips, R., & Benoit, C. (2006). Fallen women and rescued girls: Social stigma and media narratives of the sex industry in Victoria, B.C., from 1980 to 2005. Canadian Review of Sociology, 43, 265–280. doi:10.1111/j.1755-618X.2006.tb02224.x
Hallgrimsdottir, H., Phillips, R., Benoit, C., & Walby, K. (2008). Sporting girls, streetwalkers, and inmates of houses of ill repute: Media narratives and the historical mutability of prostitution stigmas. Sociological Perspectives, 51, 119–138. doi:10.1525/sop.2008.51.1.119
Hamel, D. (2003). Trying Neaira: The true story of a courtesan's scandalous life in Greece. London: Yale University Press.
Hayes-Smith, R., & Shekarkhar, Z. (2010). Why is prostitution criminalized? An alternative viewpoint on the construction of sex work. Contemporary Justice Review, 13, 43–55. doi:10.1080/10282580903549201
Hebl, M. R., Tickle, J., & Heatherton, T. F. (2000). Awkward moments in interactions between nonstigmatized and stigmatized individuals. In T. F. Heatherton, R. E. Kleck, M. R. Hebl, & J. G. Hull (Eds.), The social psychology of stigma (pp. 275–306). New York, NY: Guilford.
Herek, G. M. (1999). AIDS and stigma. American Behavioral Scientist, 42, 1106–1116.
Herek, G. M. (2007). Confronting sexual stigma and prejudice: Theory and practice. Journal of Social Issues, 63, 905–925.
Izugbara, C. (2011). Hata Watufanyeje, Kazi Itaendelea: Everyday Negotiations of State Regulation Among Female Sex Workers in Nairobi, Kenya. In Policing Pleasure: Sex Work, Policy, and the State in Global Perspective. S. Dewey and P. Kelly, eds. New York and London: New York University Press.
Jeffrey, L., & MacDonald, G. (2006). Sex workers in the Maritimes talk back. Vancouver, Canada: UBC Press.
Jiminez, J., Puig, M., Sala, A., Ramos, J., Castro, E., Morales, M., Zorrilla, C. (2011). Felt stigma in injection drug users and sex workers: Focus group research with HIV-risk populations in Puerto Rico. Qualitative Research in Psychology, 8, 26–39. doi:10.1080/ 14780880903061812
Jones E, Farina A, Hastorf A, Markus H, Miller DT, Scott R. 1984. Social Stigma: The Psychology of Marked Relationships. New York: Freema
Kimani, J., McKinnon, L. R., Wachihi, C., Kusimba, J., Gakii, G., Birir, S., et al. (2013) Enumeration of Sex Workers in the Central Business District of Nairobi, Kenya. PLoS ONE 8(1): e54354. https://doi.org/10.1371/journal.pone.0054354
KNBS (2015). Kenya National Bureau of Statistics. http://www.knbs.go.ke/
KNBS(2009), https://www.knbs.or.ke/
KNBS(2011), https://www.knbs.or.ke/
KNBS(2016) https://www.knbs.or.ke/economic-survey-2016-2/
Koken, J. (2012). Independent female escort’s strategies for coping with sex work related stigma. Sexuality and Culture, 16, 209–229. doi:10.1007/s12119-011-9120-3
Koken, J., Bimbi, D., Parsons, J., & Halkitis, P. (2004). The experience of stigma in the lives of male Internet escorts. Journal of Psychology and Human Sexuality, 16, 13–32. doi:10.1300/J056v16n01_02
Kong, T. (2006). What it feels like for a whore: The body politics of women performing erotic labour in Hong Kong. Gender, Work, and Organization, 13, 409–434. doi:10.1111/gwao.2006.13.issue-5
Kotiswaran, P. (2001). Preparing for Civil Disobedience: Indian Sex Workers and the Law. Boston College Third World Law Journal. 21(2), 161–241
Kurzban, R., & Leary, M. R. (2001). Evolutionary origins of stigmatization: The functions of social exclusion. Psychological Bulletin, 127, 187–208.
Lazarus, L., Deering, K., Nabess, R., Gibson, K., Tyndall, M., & Shannon, K. (2012). Occupational stigma as a primary barrier to health care for street-based sex workers in Canada. Culture, Health, and Sexuality, 14, 139–150. doi:10.1080/13691058.2011.628411
Levy, J., & Jakobsson, P. (2014). Sweden’s abolitionist discourse and law: Effects on the dynamics of Swedish sex work and on the lives of Sweden’s sex workers. Criminology and Criminal Justice. 14, 593–607. doi: 10.1177/1748895814528926.
Lewis, J., Maticka-Tyndale, E., Shaver, F., & Schramm, H. (2005). Managing risk and safety on the job. Journal of Psychology and Human Sexuality, 17, 147–167. doi:10.1300/J056v17n01_09
Link, B., & Phelan, J. (2001). Conceptualizing stigma. Annual Review of Sociology, 27, 363–385. doi: 10.1146/annurev.soc.27.1.363
Link, B., & Phelan, J. (2006). Stigma and its public health implications. Lancet, 367, 528–529. doi:10.1016/S0140-6736(06)68184-1
Link, B., & Phelan, J. (2014). Stigma power. Social Science and Medicine, 103, 24–32. doi:10.1016/j.socscimed.2013.07.035
Livingston, J., & Boyd, J. (2010). Correlates and consequences of internalized stigma for people living with mental illness: A systematic review and meta-analysis. Social Science and Medicine, 71, 2150–2161. doi:10.1016/j.socscimed.2010.09.030
Murphy, H., Dunk-West, P., & Chonody, J. (2015). Emotion work and the management of stigma in female sex workers’ long-term intimate relationships. Journal of Sociology, 51, 1103–1116. doi:10.1177/ 1440783315614085
Nairobi General Nuisance By-Laws of 2007.
National AIDS and STI Control Programme (NASCOP) Kenya AIDS Indicator Survey 2012: Preliminary Report. Nairobi, Kenya: NASCOP; 2013.
Nyblade, L., Mbote, D.K., Barker, C., Morla, J., Mwai, D., et al. 2015. Impact of Stigma on Utilization of Health Services among Sex Workers in Kenya. Washington, DC: Futures Group, Health Policy Project.
Parent,C., Bruckert,C., Corriveau, P.,NengehMensah,M.,&Toupin, L. (2013). Sex work: Rethinking the job, respecting the workers (K. Roth, Trans.). Vancouver, Canada: UBC Press. (Original work published 2010)
Pescosolido, B. A., Martin, J. K., Lang, A., & Olafsdottir, S. (2008). Rethinking theoretical approaches to stigma: A framework integrating normative influences on stigma (FINIS). Social Science and Medicine, 67, 431–440. doi:10.1016/j.socscimed.2008.03.018
Phelan, J. C., Link, B. G., & Dovidio, J. F. (2008). Stigma and prejudice: One animal or two? Social Science and Medicine, 67, 358–367
Phillips, R., Benoit, C., Vallance, K., & Hallgrimsdottir, H. (2012). Courtesy stigma: A hidden health concern among frontline service providers to sex workers. Sociology of Health and Illness, 34, 681–696. doi:10.1111/j.1467-9566.2011.01410.x
Phillips, R., Benoit, C., Vallance, K., & Hallgrimsdottir, H. (2012). Courtesy stigma: A hidden health concern among frontline service providers to sex workers. Sociology of Health and Illness, 34, 681–696. doi:10.1111/j.1467-9566.2011.01410.x
Pryor, J. B., & Reeder, G. D. (2011). HIV-related stigma. In J. C. Hall, B. J. Hall & C. J. Cockerell (Eds.), HIV/AIDS in the Post-HAART Era: manifestations, treatment, and Epidemiology (pp. 790–806). Shelton, CT: PMPH-USA
Rael, C. T. (2015). Perceptions of sex work–related stigma in female sex workers from the Dominican Republic: Implications for HIV interventions. Sexuality and Culture, 19, 674–684. doi:10.1007/s12119-015-9284-3
Rivers-Moore, M. (2010). But the kids are okay: Motherhood, consumption, and sex work in neo-liberal Latin America. British Journal of Sociology, 61, 716–736. doi:10.1111/bjos.2010.61.issue-4
Roche, K., & Keith, C. (2014). How stigma affects healthcare access for transgender sex workers. British Journal of Nursing, 23, 1147–1152. doi:10.12968/bjon.2014.23.21.1147
Royalle, C. (1993). Porn in the USA. Social Text, 37, 23–32. doi:10.2307/466257
Sanders Teela, (August 2004). The Risks of Street Prostitution: Punters, Police and Protesters, Urban Studies. Urban Studies Journal Limited, 41(9), 1703-1717,.
Sanders, T. (2005), It's Just Acting: Sex Workers’ Strategies for Capitalizing on Sexuality. Gender, Work & Organization, 12, 319-342. doi:10.1111/j.1468-0432.2005.00276.x
Scambler, G. (2007) Sex work stigma: opportunist migrants in London. Sociology, 41(6), 1079–1096. doi:10.1177/0038038507082316
Scambler, G. (2009) Health-related stigma, Sociology of Health and Illness, 31, 3, 441–55.
Scambler, G., & Hopkins, A. (1986). Being epileptic: Coming to terms with stigma. Sociology of Health and Illness, 8, 26–43. doi:10.1111/shil.1986.8.issue-1
Scorgie, F., Vasey, K., Harper, E., Richter, M., Nare, P., Maseko, S., & Chersich, M. (2013). Human rights abuses and collective resilience among sex workers in four African countries. A qualitative study. Globalization and Health, 9, 1–13. doi:10.1186/1744-8603-9-33
Seib, C. (2007) Health, well-being and sexual violence among female sex workers: a comparative study. PhD thesis, Queensland University of Technology.
Smith, N. (2012). Body issues: The political economy of male sex work. Sexualities, 15, 586–603. doi:10.1177/1363460712445983
Stafford MC, Scott RR. 1986. Stigma deviance and social control: some conceptual issues. In The Dilemma of Difference, ed. SC Ainlay, G Becker, LM Coleman. New York: Plenum
Stuber, J., Meyer, I., & Link, B. (2008). Stigma, prejudice, discrimination, and health. Social Science and Medicine, 67, 351–357. doi:10.1016/j.socscimed.2008.03.023
Swendeman, D., Fehrenbacher, A., Ali, S., George, S., Mindry, D., Collins, M., & Dey, B. (2015). Whatever I have, I have made by coming into this profession: The intersection of resources, agency, and achievements in pathways to sex work in Kolkata, India. Archives of Sexual Behavior, 44, 1011–1023. doi:10.1007/s10508-014-0404-1
Symanski, R. (1974). Prostitution in Nevada. Annals of the Association of American Geographers, 64, 357–377. doi:10.1111/j.1467-8306.1974.tb00985.x
Trautner, M., & Collett, J. (2010). Students who strip: The benefits of alternate identities for managing stigma. Symbolic Interaction, 33,257–279. doi:10.1525/si.2010.33.2.257
Un Habitat 2006, https://sustainabledevelopment.un.org/content/documents/11292101_alt.pdf
Van Der Meulen, E., Durisin, E., & Love, V. (Eds.). (2013). Selling sex: Experience, advocacy, and research on sex work in Canada.Vancouver, Canada: UBC Press.
Weinberg, M. S., Shaver, F. M., & Williams, C. J. (1999). Gendered sex work in the San Francisco tenderloin. Archives of Sexual Behavior, 28,503–521. doi:10.1023/A:1018765132704
Weitzer, R. (2010). The mythology of prostitution: Advocacy research and public policy. Sexuality Research and Social Policy, 7, 15–29. doi:10.1007/s13178-010-0002-5
Weitzer, R. (2017). Resistance to sex work stigma. Sexualities. Advance online publication. doi:10.1177/1363460716684509
White, L. (1986). Prostitution, identity, and class consciousness in Nairobi during World war II. Signs, 11(2), 255-273.
White, L. (1990). The comforts of home: Prostitution in colonial Nairobi. Chicago, IL: University of Chicago Press.
Wojcicki, J., & Malala, J. (2001). Condom use, power, and HIV/AIDS risk: Sex-workers bargain for survival in Hillbrow/Joubert Park/Berea,Johannesburg. Social Science and Medicine, 53, 99–121.doi:10.1016/S0277-9536(00)00315-4
Wong, W. C., Holroyd, E., & Bingham, A. L. (2011). Stigma and sex work from the perspective of female sex workers in Hong Kong. Sociology of health & illness, 33(1), 50-65 . doi:10.1111/j.1467- 9566.2010.01276.x
Zalwango, F., Eriksson, L., Seeley, J., Nakamanya, S., Vandepitte, J., & Grosskurth, H. (2010). Parenting and money making: Sex work and women’s choices in urban Uganda. Wagadu, 8, 71–92

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2020-07-26

How to Cite

MUTISO, M. M., MASESE, E., & MASINDE, J. (2020). SEX WORKERS LIVED EXPERIENCES OF STIGMA IN NAIROBI, KENYA. Advances in Social Sciences Research Journal, 7(7), 319–337. https://doi.org/10.14738/assrj.77.7348