Abstract
Introduction
Burnout syndrome has been recently included in the 11th revision of the International Classification of Diseases (ICD-11) as an occupational phenomenon. This syndrome has often been studied in the occupational context, but very little research has been conducted on sex workers. The present study examined the prevalence of burnout in cisgender and transgender women from Colombia for whom no laws regulate their job. It also analyzed the relation of burnout with sociodemographic variables and working conditions: number of working hours/week, monthly income, number of clients, experience as sex workers, and clients’ sex.
Methods
We examined data from 98 sex workers using non probabilistic sampling. Self-reported measures of burnout syndrome were administered.
Results
Our results indicated that a considerable amount of women experience high burnout levels. However, 43.9% of the transgender women reported considerable personal accomplishment. Lower level of education and less income were related to more burnout, while the women who worked fewer years as sex workers reported less personal accomplishment.
Conclusions
These findings shed light on sex workers’ burnout to raise awareness, improve their protection, and move toward regulatory laws that increase their safety and protection.
Policy Implications
Some implications may emerge which comprehends (1) security and safety, (2) whether performing sex work is deliberate or pressured, and (3) protective working conditions.
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References
Alschech, J. (2019). Predictors of violence, traumatic stress, and burnout in sex work (Doctoral dissertation, University of Toronto). Retrieved from https://tspace.library.utoronto.ca/handle/1807/97315
Alschech, J., Regehr, C., Logie, C. H., & Seto, M. C. (2020). Contributors to posttraumatic stress symptoms in women sex workers. American Journal of Orthopsychiatry. https://doi.org/10.1037/ort0000457.
Baratosy, R., & Wendt, S. (2017). “Outdated laws, outspoken whores”: Exploring sex work in a criminalised setting. Women’s Studies International Forum, 62, 32–42. https://doi.org/10.1016/j.wsif.2017.03.002.
Bernstein, E. (2007). Temporarily yours: Intimacy, authenticity and the commerce of sex. Chicago, CA: University of Chicago Press.
Burnette, M. L., Lucas, E., Ilgen, M., Frayne, S. M., Mayo, J., & Weitlauf, J. C. (2008). Prevalence and health correlates of prostitution among patients entering treatment for substance use disorders. Archives of General Psychiatry, 65, 337–344. https://doi.org/10.1001/archpsyc.65.3.337.
Calvillo, C., Sánchez-Fuentes, M., Parrón-Carreño, T., & Sierra, J. C. (2020). Validation of the interpersonal exchange model of sexual satisfaction questionnaire in adults with a same-sex partner. International Journal of Clinical and Health Psychology, 20(2), 140–150. https://doi.org/10.1016/j.ijchp.2019.07.005.
Carline, A. (2011). Criminal justice, extreme pornography and prostitution: Protecting women or promoting morality? Sexualities, 14, 312–333. https://doi.org/10.1177/1363460711400810.
Code of Police and Coexistence from the Republic of Colombia (2016a). Article 43 [Title III]. [Law 1801 from 2016].
Code of Police and Coexistence from the Republic of Colombia (2016b). Article 44 [Title III]. Article 44 [Title III]. [Law 1801 from 2016].
Code of Police and Coexistence from the Republic of Colombia (2016c). Article 45 [Title III]. [Law 1801 from 2016]. Constitutional Court (Plenary Session). Sentence num T-629/2010 from August, 13rd.
Crowhurst, I., Vuolajärvi, N., & Korgan, K. (2019). Sexual commerce: Troubling meanings, policies, and practices. Sexuality Research Social Policy, 16, 135–137. https://doi.org/10.1007/s13178-019-00390-4.
Curtis, M. G., D’Aniello, C., Twist, M. L., Brents, B. G., & Eddy, B. (2019). ‘We are naked waitresses who deliver sex’: A phenomenological study of circumstantial sex workers’ lives. Sexual and Relationship Therapy, 1–27. https://doi.org/10.1080/14681994.2019.1689386.
Decker, M. R., Crago, A. L., Chu, S. K., Sherman, S. G., Seshu, M. S., Buthelezi, K., et al. (2015). Human rights violations against sex workers: Burden and effect on HIV. The Lancet, 385, 186–199. https://doi.org/10.1016/S0140-6736(14)60800-X.
District Secretary of Women (2017). Caracterización de personas que realizan actividades sexuales pagadas en contextos de prostitución en Bogotá-2017 [Characteristics of individuals who perform paid sexual activities in the context of sexual trade in Bogota-2017]. Retrieved from http://omeg.sdmujer.gov.co/OMEG/asp/files/resultados.pdf
Drapeau, A., Marchand, A., & Beaulieu-Prévost, D. (2012). Epidemiology of psychological distress. In L. L’Abate (Ed.), Mental illnesses-understanding, prediction and control (pp. 105–134). Croatia: InTech.
Drückler, S., van Rooijen, M. S., & de Vries, H. J. (2020). Substance use and sexual risk behavior among male and transgender women sex workers at the prostitution outreach center in Amsterdam, the Netherlands. Sexually Transmitted Diseases, 47, 114–121. https://doi.org/10.1097/OLQ.0000000000001096.
Frajerman, A., Morvan, Y., Krebs, M. O., Gorwood, P., & Chaumette, B. (2019). Burnout in medical students before residency: a systematic review and meta-analysis. European Psychiatry, 55, 36–42. https://doi.org/10.1016/j.eurpsy.2018.08.006.
Fraser, N. (2009). Scales of justice: Reimagining political space in a globalizing world. New York, NY: Columbia University Press.
García-Carmona, M., Marín, M. D., & Aguayo, R. (2019). Burnout syndrome in secondary school teachers: A systematic review and meta-analysis. Social Psychology of Education, 22, 189–208. https://doi.org/10.1007/s11218-018-9471-9.
Gil-Monte, P. R. (2005). Factorial validity of the Maslach Burnout Inventory (MBI-HSS) among Spanish professionals. Revista de Saúde Pública, 39, 1–8.
International Amnesty. (2015). Sex workers’ rights are human rights. Retrieved from https://www.amnesty.org/en/latest/news/2015/08/sex-workers-rights-are-human-rights/
International Amnesty (2016). Q & A. Policy to protect the human rights of sex workers. Retrieved from https://www.amnesty.org/en/qa-policy-to-protect-the-human-rights-of-sex-workers/
Jiang, L., & Probst, T. M. (2017). The rich get richer and the poor get poorer: Country- and state-level income inequality moderates the job insecurity-burnout relationship. Journal of Applied Psychology, 102, 672–681. https://doi.org/10.1037/apl0000179.
Kim, L. E., Jörg, V., & Klassen, R. M. (2019). A meta-analysis of the effects of teacher personality on teacher effectiveness and burnout. Educational Psychology Review, 31, 163–195. https://doi.org/10.1007/s10648-018-9458-2.
Kulakova, O., Moreno Jiménez, B., Garrosa, E., Hernández, S., Ocalin, M., & Aragón, A. (2017). Universalidad del constructo del Maslach Burnout Inventory en un contexto latinoamericano [Universality of the construct from the Maslach Burnout Inventory in a Latinamerican context]. Acta de Investigación Psicológica, 7(2), 2679–2690. https://doi.org/10.1016/j.aipprr.2017.05.001.
Leiter, M. P., & Maslach, C. (1998). Burnout. In H. S. Friedman (Ed.), Encyclopedia of mental health (Vol. 1, pp. 347–357). New York, NY: Academic Press.
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. https://doi.org/10.1177/1748895814528926.
López-López, I. M., Gómez-Urquiza, J. L., Cañadas, G. R., De la Fuente, E. I., Albendín-García, L., & Cañadas-De la Fuente, G. A. (2019). Prevalence of burnout in mental health nurses and related factors: A systematic review and meta-analysis. International Journal of Mental Health Nursing, 28, 1035–1044. https://doi.org/10.1111/inm.12606.
Macioti, P. G., Grenfell, P., & Platt, L. (2017). Sex work and mental health. Leicester: University of Leicester.
Maslach, C. (2017). Burnout: A multidimensional perspective. In Professional burnout (pp. 19–32). Abingdon: Routledge.
Maslach, C., Jackson, S. E., & Leiter, M. P. (1996). Maslach Burnout Inventory Manual (3th ed.). Palo Alto, California: Consulting Psychologists Press.
Maslach, C., & Leiter, M. P. (2016). Burnout. In Stress: Concepts, cognition, emotion, and behavior (pp. 351–357). Cambridge: Academic Press.
Maslach, C., Schaufeli, W. B., & Leiter, M. P. (2001). Job burnout. Annual Review of Psychology, 52(1), 397–422.
McCarthy, B., Benoit, C., Jansson, M., & Kolar, K. (2012). Regulating sex work: Heterogeneity in legal strategies. Annual Review of Law and Social Science, 8, 255–271. https://doi.org/10.1146/annurev-lawsocsci-102811-173915.
McMillan, K., Worth, H., & Rawstorne, P. (2018). Usage of the terms prostitution, sex work, transactional sex, and survival sex: Their utility in HIV prevention research. Archives of Sexual Behavior, 47, 1517–1527. https://doi.org/10.1007/s10508-017-1140-0.
Munro, V., & Scoular, J. (2012). Abusing vulnerability? Contemporary law and policy responses to sex work in the UK. Feminist Legal Studies, 20, 189–206. https://doi.org/10.1007/s10691-012-9213-x.
Nadal, K. L., Vargas, V., Meterko, V., Hamit, S., & McLean, K. (2012). Transgender female sex workers: Personal perspectives, gender identity development, and psychological processes. In M. A. Paludi (Ed.), Managing diversity in today’s workplace: Strategies for employees and employers, Gender, race, sexual orientation, ethnicity, and power (Vol. 1, pp. 123–153). Santa Barbara, CA: Praeger.
National Center for Transgender Equality and the National Gay and Lesbian Task Force. (2009). National Transgender Discrimination Survey: Preliminary findings. Retrieved from http://transequality.org/Resources/ NCTE_prelim_survey_econ.pdf.
Network for the Recognition of Sexual Work (2012). Documento de la Red por el Reconocimiento del Trabajo Sexual [Document from the Network for the Recognition of Sexual Work]. Retrieved from http://www.nswp.org/sites/nswp.org/files/documento_de_politica_trabajo_sexual_como_trabajo_nswp_-_2017.pdf
Peitzmeier, S. M., Wirtz, A. L., Peryshkina, A., Sherman, S., Colantuoni, E., Beyrer, C., et al. (2020). Associations between violence and HIV risk behaviors differ by perpetrator among Russian sex workers. AIDS and Behavior, 24, 812–822. https://doi.org/10.1007/s10461-019-02668-5.
Penal Code from the Republic of Colombia (2004). Law 906/2004, from August 31st. Official Bulletin.
Perkins, R., & Lovejoy, F. (2007). Call girls: Private sex workers in Australia. Crawley: University of Western Australia Press.
Phrasisombath, K., Faxelid, E., Sychareun, V., & Thomsen, S. (2012). Risks, benefits and survival strategies-views from female sex workers in Savannakhet, Laos. BMC Public Health, 12, 1004. https://doi.org/10.1186/1471-2458-12-1004.
Pitcher, J. (2019). Intimate labour and the state: Contrasting policy discourses with the working experiences of indoor sex workers. Sexuality Research Social Policy, 16, 138–150. https://doi.org/10.1007/s13178-018-0323-3.
Preble, K., Magruder, K., & Cimino, A. N. (2019). “It’s like being an electrician, you’re gonna get shocked”: Differences in the perceived risks of indoor and outdoor sex work and its impact on exiting. Victims & Offenders, 14(5), 625–646. https://doi.org/10.1080/15564886.2019.1630043.
Puri, N., Shannon, K., Nguyen, P., & Goldenberg, S. M. (2017). Burden and correlates of mental health diagnoses among sex workers in an urban setting. BMC Women’s Health, 17, 133. https://doi.org/10.1186/s12905-017-0491-y.
Rule, R., & Twinley, R. (2020). Developing an occupational perspective of women involved in sex work: A discussion paper. Journal of Occupational Science, 1–11. https://doi.org/10.1080/14427591.2020.1739552.
Saijo, Y., Yoshioka, E., Hanley, S. J., Kitaoka, K., & Yoshida, T. (2018). Job stress factors affect workplace resignation and burnout among Japanese rural physicians. The Tohoku Journal of Experimental Medicine, 245, 167–177. https://doi.org/10.1620/tjem.245.167.
Salazar, M., Brouwer, K. C., Rocha-Jimenez, T., Boyce, S. C., Staines-Orozco, H., & Silverman, J. G. (2019). Substance use among female sex workers in two US-Mexico border cities: Associations with age of entry. Substance Use & Misuse, 54, 868–871. https://doi.org/10.1080/10826084.2018.1517367.
Samudzi, Z., & Mannell, J. (2016). Cisgender male and transgender female sex workers in South Africa: Gender variant identities and narratives of exclusion. Culture, Health & Sexuality, 18, 1–14. https://doi.org/10.1080/13691058.2015.1062558.
Sanders, T., Scoular, J., Campbell, R., Pitcher, J., & Cunningham, S. (2018). Internet sex work: Beyond the gaze. London: Palgrave Macmillan.
Schaufeli, W. B., & Van Dierendonck, D. (1995). A cautionary note about the cross-national and clinical validity of cut-off points for the Maslach Burnout Inventory. Psychological Reports, 76, 1083–1090. https://doi.org/10.2466/pr0.1995.76.3c.1083.
Scoular, J., & Carline, A. (2014). A critical account of a “creeping neo-abolitionism”: Regulating prostitution in England and Wales. Criminology and Criminal Justice, 14, 608–626. https://doi.org/10.1177/1748895814543534.
Shannon, K., Strathdee, S. A., Goldenberg, S. M., Duff, P., Mwangi, P., Rusakova, M., & Boily, M. C. (2015). Global epidemiology of HIV among female sex workers: Influence of structural determinants. The Lancet, 385, 55–71. https://doi.org/10.1016/S0140-6736(14)60931-4.
Štulhofer, A., Sinković, M., Božić, J., & Baćak, V. (2017). Victimization and HIV risks among Croatian female sex workers: Exploring the mediation role of depressiveness and the moderation role of social support. Violence Against Women, 23, 67–88. https://doi.org/10.1177/1077801216636241.
Suleiman-Martos, N., Albendín-García, L., Gómez-Urquiza, J. L., Vargas-Román, K., Ramirez-Baena, L., Ortega-Campos, E., ... & Emilia, I. (2020). Prevalence and predictors of burnout in midwives: A systematic review and meta-Analysis. International Journal of Environmental Research and Public Health, 17(2), 641. https://doi.org/10.3390/ijerph17020641.
Surratt, H. L., Kurtz, S. P., Chen, M., & Mooss, A. (2012). HIV risk among female sex workers in Miami: The impact of violent victimization and untreated mental illness. AIDS Care, 24, 553–561. https://doi.org/10.1080/09540121.2011.630342.
Tawfik, D. S., Scheid, A., Profit, J., Shanafelt, T., Trockel, M., Adair, K. C., et al. (2019). Evidence relating health care provider burnout and quality of care: A systematic review and meta-analysis. Annals of Internal Medicine, 171, 555–567. https://doi.org/10.7326/M19-1152.
van Stapele, N., Nencel, L., & Sabelis, I. (2019). On tensions and opportunities: Building partnerships between government and sex worker-led organizations in Kenya in the fight against HIV/AIDS. Sexuality Research and Social Policy, 16, 190–200. https://doi.org/10.1007/s13178-018-0337-x.
Vanwesenbeeck, I. (2005). Burnout among female indoor sex workers. Archives of Sexual Behavior, 34, 627–639. https://doi.org/10.1007/s10508-005-7912-y.
Vanwesenbeeck, I., De Graaf, R., Van Zessen, G., Straver, C. J., & Visser, J. H. (1995). Professional HIV risk taking, levels of victimization, and well-being in female prostitutes in the Netherlands. Archives of Sexual Behavior, 24, 503–515. https://doi.org/10.1007/BF01541831.
Vidotti, V., Ribeiro, R. P., Galdino, M. J. Q., & Martins, J. T. (2018). Burnout syndrome and shift work among the nursing staff. Revista Latino-Americana de Enfermagem, 26, e3022. https://doi.org/10.1590/1518-8345.2550.3022.
Wagenaar, H., & Altink, S. (2012). Prostitution as morality politics or why it is exceedingly difficult to design and sustain effective prostitution policy. Sexuality Research and Social Policy, 9, 279–292. https://doi.org/10.1007/s13178-012-0095-0.
Weitzer, R. (2009). Sociology of sex work. Annual Review of Sociology, 35, 213–234. https://doi.org/10.1146/annurev-soc-070308-120025.
World Health Organization (2019). Burnout an “occupational phenomenon”: International Classification of Diseases. Retrieved from https://www.who.int/mental_health/evidence/burn-out/en/
Zehnder, M., Mutschler, J., Rössler, W., Rufer, M., & Rüsch, N. (2019). Stigma as a barrier to mental health service use among female sex workers in Switzerland. Frontiers in Psychiatry, 10, 32. https://doi.org/10.3389/fpsyt.2019.00032.
Zhang, H., Hsieh, E., Wang, L., & Liao, S. (2020). HIV/AIDS among female sex workers in China: Epidemiology and recent prevention strategies. Current HIV/AIDS Reports, 17, 151–160. https://doi.org/10.1007/s11904-019-00477-y.
Zhang, L., Li, X., Wang, B., Shen, Z., Zhou, Y., Xu, J., Tang, Z., & Stanton, B. (2017). Violence, stigma and mental health among female sex workers in China: A structural equation modeling. Women & Health, 57, 685–704. https://doi.org/10.1080/03630242.2016.1186781.
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del Mar Sánchez-Fuentes, M., Parra-Barrera, S.M. & Moyano, N. Cisgender and Transgender Sex Workers from Colombia: The Relation Between Burnout Syndrome and Working Conditions in a Prohibitionist-Regulatory Law. Sex Res Soc Policy 18, 507–515 (2021). https://doi.org/10.1007/s13178-020-00475-5
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DOI: https://doi.org/10.1007/s13178-020-00475-5