The Intersection of Substance Use and Sex Work: The Usage of Heroin Among Female Sex Workers in Sri Lanka
Keywords:
Drug Addiction, Heroin, Intoxication, Sex workersAbstract
This study examines the patterns of heroin use among female sex workers in Sri Lanka and explores the associated social, economic, and cultural challenges. Substance use, particularly heroin, is a significant issue among female sex workers, increasing their vulnerability to health complications such as HIV/AIDS and Hepatitis C. The study, conducted from August to December 2023, involved thirty female prisoners from Welikada prison, who were selected using snowball sampling. The majority of the sample (62%) were aged between 30 and 40, and 48% had used heroin before entering sex work. Findings reveal that heroin addiction played a critical role in driving individuals into sex work or continuing to engage in sex for compensation. Additionally, 14% of the participants used other synthetic drugs like methamphetamine, and 5% were diagnosed with sexually transmitted diseases (STDs). The study suggests that economic frustration was a major contributing factor to their involvement in sex work. To address these issues, the study advocates for empowerment programs focused on vocational training and education, as well as expanding addiction treatment services tailored specifically to the needs of female sex workers.
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References
Bandura, A. (1977). Social Learning Theory. Englewood Cliffs, NJ: Prentice-Hall.
Bandura, A. (1986). Social Foundations of Thought and Action: A Social Cognitive Theory. Englewood Cliffs, NJ: Prentice-Hall.
Bourgois, P., et al. (2006). "The role of violence in the lives of drug-using sex workers." Social Science & Medicine, 62(8), 1825-1837.
Bronfenbrenner, U. (1979). The Ecology of Human Development: Experiments by Nature and Design. Harvard University Press.
Bronfenbrenner, U. (2005). Making Human Beings Human: Bioecological Perspectives on Human Development. SAGE Publications.
Chambers, C. D., Hinesley, R. K., & Moldestad, M. (1970). Narcotic Addiction in Females: A Race Comparison. International Journal of the Addictions, 5(2), 257–278. https://doi.org/10.3109/10826087009056994
Crenshaw, K. (1989). "Demarginalizing the Intersection of Race and Sex: A Black Feminist Critique of Antidiscrimination Doctrine, Feminist Theory, and Antiracist Politics." University of Chicago Legal Forum, 1989(1), 139–167.
Dissanayake, N. T., & Areesantichai, C. (2018). Sexual risk behaviours and addiction levels of imprisonment heroin users in Colombo, Sri Lanka. International Journal of Collaborative Research on Internal Medicine & Public Health, 12(2), 991–996. https://www.iomcworld.org/articles/sexual-risk-behaviors-and-addiction-levels-of-imprisonment-heroin-users-in-colombo-sri-lanka.pdf
Eldred, C. A., & Washington, M. N. (1975). Female Heroin Addicts in a City Treatment Program: the Forgotten Minority†. Psychiatry, 38(1), 75–85. https://doi.org/10.1080/00332747.1975.11023836
Friedman, S. R., et al. (2010). "The epidemiology of substance use among sex workers." International Journal of Drug Policy, 21(3), 231–233.
Goffman, E. (1963). Stigma: Notes on the Management of Spoiled Identity. Simon and Schuster.
Jenness, V. (1993). Making It Work: The Prostitutes' Rights Movement in Perspective. De Gruyter.
Maheshika, R. (2020). "The Impact of Stigmatization on Female Sex Workers in Sri Lanka." Journal of South Asian Social Sciences, 5(2), 45–58.
Mäkelä, K., et al. (2014). "Health risks associated with drug use among sex workers: A systematic review." International Journal of S.T.D. & AIDS, 25(10), 733-740.
Minkove, J. F. (2022). New Research and Insights into Substance Use Disorder. Johns Hopkins Medicine. https://www.hopkinsmedicine.org/news/articles/2022/06/new-research-and-insights-into-substance-use-disorder
NDDCB. Handbook of Drug Abuse Information Sri Lanka National Dangerous Drugs Control Board Publications, 2023.
Patterson, T. L., et al. (2016). "Drug use and sex work: A qualitative study of the experiences of female sex workers." Substance Use & Misuse, 51(2), 240–249.
Rangamati, R. R., et al. (2018). "Barriers to healthcare access for sex workers: A systematic review." B.M.C. Public Health, 18, 174.
Ratnam, P., & Jayasinghe, T. (2016). "Substance Use and Sex Work: Implications for Health and Policy in Sri Lanka." Sri Lankan Journal of Social Sciences, 34(1), 25-33.
Substance abuse | WHO | Regional Office for Africa. (2024, September 20). WHO | Regional Office for Africa. https://www.afro.who.int/health-topics/substance-abuse
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