Thesis advisor: Lisa Dodson / In the United States, the majority of youth who become victims of sex trafficking are U.S. citizens. Most "at-risk" are those involved in the foster care system, the sexually abused and/or those surviving without stable housing- otherwise known as the homeless. Through in depth interviews with homeless teenage mothers, this study analyzed the connection between housing vulnerability and sex trafficking. The major finding of this study suggests that young girls are pushed into homelessness and sexually exploitative situations when they experience a loss of familial support. Without familial support, young, homeless girls are forced into a patriarchal street economy that limits their options for economic opportunity: men sell drugs, women sell their body. Participants also discussed the perceived effectiveness of structural interventions, including welfare, housing shelters and educational programs. By exploring the intersection of homeless teenage mothers and domestic sex trafficking, this study adds to a stronger dialogue between the homeless and human trafficking fields. Additionally, this study brings attention to the fact that young, American girls are just as vulnerable to sex trafficking as the international victims highlighted in most of the popular media and literary scholarship. Lastly, several interventions are proposed for working at the intersection of homeless youth and sex trafficking. / Thesis (MA) — Boston College, 2011. / Submitted to: Boston College. Graduate School of Arts and Sciences. / Discipline: Sociology.

This thesis examines how efforts regarding the commercial sex industry in Thailand can be positioned in relation to an agent-victim framework. In the context of the expanding sex industry in Thailand, it becomes relevant to look at how efforts regarding it risks reproducing notions of ‘the prostitute’ as the victimised Other, and thus reinforcing neo-colonialism. However, the response in the form of an agent narrative has also been criticised for not taking into account intersecting forms of oppression. Here, a model coming from an emerging literature on the ‘third way feminist approach’ is used to illustrate how these instead can be combined. Using critical discourse analysis, this study draws on postcolonial feminist theory to scrutinise the ways in which non-governmental organisations imagine women as either agents or victims, or rather a combination of the two. The starting point has been that this binary definition might not be sufficient, neither for theoretically addressing the issue, nor for describing discourse. Two ideal types based on the agent-victim framework has been used to study to what extent the discursive practice of the organisations NightLight and Asia Pacific Network of Sex Workers can be placed neatly into one of these ideal types, or whether a third perspective is indeed needed to account for their perception of the women they work with. The analysis has been conducted using different forms of information gathered from the official websites of the organisations, in order to understand they ways in which the organisations themselves choose to communicate their work. The results show that the discursive practices of these organisations to some extent can be accounted for using this framework, yet that in order to fully understand them, one should consider the third way which combines the strengths of both.

The main goal of this diploma thesis Solution Designs for Each Type of Prostitution is to design particular public policy solution which would be able to regulate prostitution in the area of the Czech Republic, considering different types of prostitution. At first each type of prostitution is described together with typical problems and risks attached to it. Accordingly three approaches to prostitution from legal point of view are compared, including their advantages and disadvantages. Consequently three countries - Germany, Netherlands and Sweden - are described and mutually compared in detail from a perspective of their attitude towards commercial sexual services. Later on, the most important international treaties, current progress of prostitution legal framework and the most relevant actors with their attitudes are introduced. In the main part of this thesis particular solution for each type of prostitution is designed, based on previous findings and knowledge. Purpose of this solution design is to reflect needs of both society and sex workers in such a way that is able to improve the current unsatisfactory situation and maybe to even become a springboard for further regulative measures.

Since the human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS) was first reported in Sierra Leone in 1987, its prevalence rate has stabilized at 1.5% in the nation's general population. However, concerns exist regarding the potential increase in high-risk populations, particularly among mineworkers and commercial sex workers. The potential spread of HIV/AIDS as a result of labor migration may threaten the mining sector, which has been identified as a critical driver of recent economic growth and development. A gap remains in the literature regarding the contextual factors in mining communities that lead to high rates of HIV/AIDS. Therefore, the purpose of this study was to quantitatively examine the association between labor migration and of sexual risk behaviors among mineworkers in the Marampa Mines in Lunsar, Sierra Leone. Grounded in the ecological model and using a cross-sectional design, 296 mineworkers from the Marampa mining communities were surveyed using a standardized survey questionnaire. Research questions were answered using simple linear and binary logistic regression analyses. Analyses of the results indicated a significant relationship between labor migration and condom self-efficacy, where migrants were predicted to have condom self-efficacy scores 7 times higher than nonmigrants. However, the results showed no statistically significant relationship between labor migration and engagement in multiple sexual partnerships and commercial sex among the mineworkers. These findings will provide important implications for positive social change in the development of multilevel HIV intervention programs to reduce sexual risk behaviors that transmit HIV, thereby improving the health and wellbeing of miners and that of their partners and families in the mining communities.

<p>This thesis presents the findings of a study carried out in brothels in Khon Kaen, Thailand. The study examined efforts of the "voiceless" sex workers to organize in order to increase their control over decision-making processes. It also analyzed the difficulties, social forces, structures and ideologies which maintain an inequitable distribution of power. The broader aim was to clarify the notion of people's participation in order to make it operationally more useful with respect to AIDS prevention intervention to sex workers. A technocratic approach to issues of AIDS prevention and control among sex workers was rejected. The study embraced a number of complementary activities including: situation analysis of AIDS in the Thai context, specifically in the northeast, ethnographic study of the sex industry, and participatory action research.</p> <p>This study was initiated in late 1991 and completed in 1993. It was carried out in six brothels in downtown Khon Kaen. The study occurred in 4 phases: 1) situation assessment in which historical and documentary analysis were utilized ethnographic research on sex workers which served as a basis for constructing culturally appropriate interventions, 3) participatory action research emphasizing self determination of sex workers on AIDS prevention and control, and 4) evaluation of this "experiment." The research attempts to balance "classic ethnography" and "applied participatory research" to an AIDS prevention program for sex workers in Thailand. It was carried in collaboration with health professionals, landlords, pimps, and sex workers. Groups met and worked together in brothels to discuss the findings. Results were also presented to local health authorities.</p> <p>This study illustrates the opportunities for and the formidable difficulties of participation by sex workers in Thailand. Without strong support for non-formal AIDS education and self determination by sex workers, there is little chance that they can negotiate safe sex and make decisions concerning AIDS prevention.</p> / Doctor of Philosophy (PhD)

L’infection au VIH s’accompagne souvent de dérégulations du compartiment des lymphocytes B qui nuisent à la génération de réponses efficaces. En effet, détectées tôt après l’infection, ces dérégulations perdurent, ne sont pas totalement restaurées par la thérapie, et mènent souvent à des manifestations auto-immunes et lymphomes. Une étude longitudinale de notre groupe, effectuée avec des cellules mononucléées du sang circulant provenant de patients VIH+ avec différents types de progression clinique, a démontré qu’un niveau élevé de BLyS chez des individus VIH+ progresseurs était associé à une dérégulation des fréquences de populations de cellules B avec augmentation de cellules innées de la zone marginale (MZ) présentant des caractéristiques d’immaturité et d’activation. Au contraire, chez des individus VIH+ non-progresseurs avirémiques ou contrôleurs d’élite, les niveaux de BLyS étaient dans la normale et ce sont les fréquences de cellules B MZ plus matures qui étaient diminuées. La résistance au VIH pourrait aussi impliquer le contrôle de BLyS et son impact sur les cellules B. De ce fait, nous avons préalablement recruté une cohorte de travailleuses du sexe (TS) à Cotonou (Bénin) dans laquelle nous avons identifié des femmes qui demeurent séronégatives malgré une exposition soutenue au virus. Nous avons mesuré les niveaux de BLyS dans le sang et dans les lavages cervico-vaginaux (CVL) de TS VIH- et les avons comparés à ceux mesurés chez des TS VIH+ et un groupe contrôle de non-TS VIH- . Nous avons trouvé que les niveaux de BLyS dans le sang et le CVL des TS VIH- étaient inférieurs à ceux des TS VIH+ et des non-TS VIH-. Le niveau d’expression de BLyS à la surface des lymphocytes T, monocytes et cellules dendritiques de TS VIH- était augmenté, mais à un niveau moindre que les TS VIH+. Chez les TS VIH+, les hauts niveaux de BLyS étaient concomitants avec une dérégulation du compartiment B caractérisée par une hyperglobulinémie, une augmentation de la fréquence de populations avec un profil immature/inné et une plus grande proportion de plasmablastes IgG vs IgA. Au contraire, les niveaux inférieurs de BLyS dans le sang des TS VIH- coïncident avec un compartiment B préservé, révélant que les lymphocytes B MZ peuvent être impliqués dans l’immunité naturelle au VIH. Ces résultats démontrent l’importance du contrôle des niveaux de BLyS et du maintien de l’intégrité du compartiment B dans la résistance au VIH. / HIV infection leads to B cell dysregulations that disrupt efficient immune responses. Detected early after infection, these dysregulations are lasting, are not totally resolved by therapy and often lead to auto-immune defects. We have shown that excess BLyS in plasma and on the surface of blood dendritic cells (DC) of HIV-infected progressors coincides with B cell dysregulation and increased frequency of “precursor” innate marginal zone (MZ)-like B cells. In contrast, BLyS levels were normal in elite-controllers and frequency of precursor MZ-like B cells was unaltered. Instead, percentages of MZ-like B-cells presenting a more “mature” profile were decreased in the blood of these individuals, suggesting peripheral recruitment of these cells could be beneficial to the control of disease progression. Based on this, we hypothesize that control of BLyS status and innate B cells could be relevant to the understanding of natural immunity to HIV. We previously established an ongoing cohort of heavily HIV-exposed female commercial sex workers (CSWs) in Cotonou (Benin) and identified individuals who remain HIV-uninfected after several years of active prostitution. Herein, we have measured BLyS levels in the blood and cervico-vaginal lavages (CVLs) of HIV-uninfected CSWs and have compared them to those of HIV-infected CSWs and control uninfected non-CSWs. We found that BLyS levels in the blood and CVLs of HIV-uninfected CSWs were lower when compared to HIV-infected CSWs and even to controls. BLyS surface expression on T-cells, monocytes, and DC of HIV-uninfected CSWs was increased, but to a significantly lower extent than those measured in HIV-infected CSWs, albeit higher than controls. In HIV-infected CSWs, high BLyS levels were concomitant with a dysregulated blood B-cell compartment, characterized by hyperglobulinemia, increased frequency of populations presenting immature and/or innate profiles and a higher proportion of IgG+ than IgA+ plasmablasts. In contrast, contained BLyS levels in the blood of HIV-uninfected CSWs coincided with a rather preserved B-cell compartment, which reveals that “mature” MZ-like B-cells could be involved in natural immunity against HIV. These results highlight the importance of a better understanding of B cell populations and BLyS in the context of HIV resistance.

MA (Youth in Development) / Institute for Gender and Youth Studies / Commercial sex work (CSW) has turned out to be a subject of concern in most societies. CSW occurs in most countries of the world, and has existed since ancient times. Different nations have different viewpoints with regards to prostitution. In some nations it is illegal while in others it is legal. Prostitution is regarded as a social problem that offends culture, societal morals and values and leads to the spread of Sexually Transmitted Infections (STIs). In most studies about sex work, male counterparts receive little attention but they play a role in the industry. In light of the profiled background context of the problem, this study explored the experiences of female sex workers (FSWs) at Ngundu Growth Point in Zimbabwe. This study endeavored to examine the circumstances that drive women into CSW and the impact of prostitution on the wellbeing of FSWs. The study further examined the role played by government, Non-Governmental Organizations (NGOs) and health professionals towards service delivery to CSWs. In order to understand the experiences of sex worker intersectionality and feminist standpoint theories were deployed. A case study approach involving Ngundu growth point in Masvingo was utilized. The choice of Ngundu emanated from the fact that it is located along the highway that connects South Africa with Zimbabwe, Zambia and Democratic Republic of Congo and as a result, it experiences varying prostitution encounters. Methodologically, the study followed a qualitative research path involving the use of open-ended interviews as data collection methods. A total of nine participants were interviewed that includes sex workers as well as the key informants. Data analysis was done using thematic analysis. The overall study finding was that prostitution at Ngundu is proliferating due to economic hardships where most people are unemployed and living in poverty. From the field interviews with those involved in the prostitution business, it emerged that the socioeconomic situation in the country is forcing women to be in the sex industry. The recommendation proffered is that is that the government should create employment opportunities for the people, open vocational training centres and there should be awareness campaigns targeting sex workers. / NRF

La majorité des infections par le VIH sont acquises hétérosexuellement surtout chez les femmes en Afrique subsaharienne. Le tractus génital féminin (TGF) est la principale porte d’entrée pour le VIH et joue un rôle important dans la défense de l’organisme. De concert avec les cellules épithéliales, les cellules dendritiques (DC) aident à maintenir une balance immunitaire entre tolérance et inflammation. Dans un groupe de travailleuses du sexe (CSW) à Cotonou, au Bénin, des femmes (CSW ≥ 8 ans) ont été identifiées comme hautement exposées séronégatives (HESN). La fréquence de populations cellulaires myéloïdes de type Monocytes-Derived Dendritic Cells (MoDC) présentant un potentiel antiviral et « tolérogénique/régulateur » est augmentée au niveau du TGF des HESNs et les monocytes pourraient être impliqués dans leur génération. Les résultats de RNA-seq sur les monocytes totaux permettent de constater une augmentation de gènes associés à des fonctions effectrices, de protection/contrôle de l’infection et de régulation chez les HESNs comparé aux contrôles (2,5-5 années CSWs HIV- « early HESN », CSWs HIV+ et des femmes de la population générale Non CSWs HIV-). Les résultats de cytométrie en flux (FACS) démontrent une proportion élevée de non-classiques comparé aux autres sous-populations de monocytes sanguins, exprimant davantage de molécules effectrices et régulatrices, suggérant un lien avec les MoDCs tolérogéniques observées. Cinq individus ont séroconverti et ont présenté des modifications bien avant la séroconversion, soit une diminution de β-chimiokines et des IgG anti-gp41 dans le compartiment sanguin et mucosal du TGF. Un bris du profil « tolérogénique/régulateur » pourrait donc favoriser la séroconversion. / Most HIV infection are acquired through heterosexual intercourse, mostly in women in subsaharian Africa. The female genital tract (FGT) is the principal portal of entry for HIV and plays a critical role in host defense. Together, epithelial cells and dendritic cells (DC) help maintain immunological balance between inflammation and tolerance. In a group of commercial sex worker (CSW) from Cotonou, in Benin, women (CSW 8 ≥ years) have been identified as HIV-1 highly exposed seronegative (HESN). The frequency of myeloid cell populations alike to Monocytes-Derived Dendritic Cells (MoDC) presenting an antiviral potential and a tolerogenic/regulating profile were increased in FGT of HESNs and their monocytes could be implied in their generation. The RNA-seq results on total blood monocytes show an increase expression of genes associated with effector, protection/control of HIV infection and regulation functions in HESNs compared with control groups (2,5-5 years CSWs HIV- « early HESN », CSWs HIV+ and women from general population Non CSWs HIV-). Our flow cytometry (FACS) results show an elevated frequency of non-classical compared with other sub-populations in blood monocytes, expressing more effector and regulator molecules, suggesting a link with observed tolerogenic MoDCs. Moreover, five individuals have seroconverted and presented modifications before seroconversion such as lower levels of β-chemokines and anti-gp41 IgG in blood and mucosal compartments in the FGT. A break of this “tolerogenic/regulating” profile could favor seroconversion.

This thesis sought to develop an agent-based model that replicates the formation of social and sexual partnerships in real-world settings with an eventual aim of revealing the main drivers of the HIV pandemic in a closed mixed society. Agent-based modelling is a computational modelling approach that allows for the simulation of the actions and interactions of autonomous agents, with the eventual objective of disovering global effects on the system. This modelling technique is less dependent on generalisations and does not average out the behaviour of individuals. Sexual partnerships formed in the model goes through the process of dating, courting and has a chance of developing into marriage as well as the possibility of breaking up or undergo divorce. Sexual partnership formation is based on a likeability index calculated using aspiration, attractiveness and age. Over and above the the sexual relationships we include commercial sex work. Commercial sex work depends mainly on the availability of female sex workers and their clients. We superimpose the spread of HIV on the social and sexual network model. Results from the model reveal that saturation of HIV prevalence is driven by the social and sexual network structure, behaviour change as well as biologic factors. Excluding commercial sex work in the model resulted in a decrease in HIV prevalence and incidence. Dense social networks resulted in a dense sexual network which consequently increased HIV incidence. A change in the infection probability per coital act contributed significantly to a change in incidence and prevalence levels. Model results also show that enrolling all HIV positive agents on antiretroviral therapy (ART) as from 2016 simulation year will help in curbing HIV transmission if zero dropout rate from ART is assumed. Therefore, on concomitant action to avoid dropouts from ART is necessary if full benefits of introducing ART to all HIV positive individuals are to be realised. / Operations Management / D.Phil. (Operations Research)

My objective with this thesis is to understand how racist stereotypes and myths compounded the sale of fair-skinned black women during and after the slave trade in New Orleans, Louisiana. This commodification of black women's bodies continued well into the twentieth century, notably in New Orleans' vice district of Storyville. Called "quadroons" (a person with ¼ African ancestry) and "octoroons" (1/8 African ancestry), these women were known for their "sexual prowess" and drew in a large number of patrons. The existence of "white passing" black women complicated ideas about race and racial purity in the South. Race as a myth and social construct, or as Evelyn Brooks Higginbotham explains in her essay, African-American Women's History and the Metalanguage of Race, a "metalanguage" exposes race not as a genetic fact, but rather a physical appearance through which power relations and status were to be conferred. My methodology uses race and gender theory to analyze primary and secondary sources to understand and contextualize how population demographics, myths, and liberal 18th century colonial laws contributed to the sale of black women's bodies. The works of Emily Clark, Walter Johnson, Gwendolyn Midlo Hall and other historians who utilize Atlantic history have been paramount in my research. Emily Clark has transformed the "white-black" women from a tragic, sexualized trope into a fully actualized human being, while Hall has tackled the racist underpinnings inherent in the neglect of black women's history. The writings of bell hooks, particularly her essay Eating the Other, establishes the modern day commodification of black women vis-à -vis their representation in media, as well as through the fetishism of their bodies by a white patriarchal system. During slavery plantation owners could do virtually anything they wanted with their property, including engaging in sexual intercourse. By depicting black women as hypersexual jezebels, they could justify their rape, while establishing their dominance and place in the white male hegemony of that time period. For the right price a white male of a lesser class could achieve the same thing at a brothel down in Storyville at the turn of the twentieth century, for as Emily Clark argues in her book, The Strange History of the American Quadroon, these brothels were a great equalizer, allowing all white men to experience "…sexual mastery enjoyed only by elite planters before the Civil War." By democratizing white supremacy, the quadroon and others like her forged solidarity that bridge across all classes, while upholding whiteness and oppressing people of color at the same time.