I understand that some of the criticism comes from conservatives but the sentiment seems to extend far beyond thst. Of course, I understand it when it’s forced or when someone only does it to survive against their will. But if people genuinely want to do it, why do people hate on them?
Sex workers face mortality rates from overdose that dwarf the general population. We’re talking about an external-cause mortality risk roughly 8-12 times higher for these marginalized groups. The direct link is undeniable: studies show a significant history of substance dependence (100% in one cohort) with opioids involved in ~90% of those fatal events. It’s crucial to note these are likely “conservative estimates” because many records don’t capture sex work status.
https://pmc.ncbi.nlm.nih.gov/articles/PMC12405828/
The driving factor isn’t the work itself, but the trauma surrounding it. You see a high burden of PTSD, anxiety, and depression that predates or coincides with substance use. For many, the drug use, especially “polysubstance” mixing of opioids and benzos, is a form of self-medication to numb the violence and stigma
https://onlinelibrary.wiley.com/doi/10.1111/acps.13559
The overdose is often a direct consequence of criminalization and policing. Research shows that when police target sex workers or create barriers to safe consumption sites, the odds of a fatal overdose more than double (AOR 2.15)
https://www.sciencedirect.com/science/article/abs/pii/S0955395922003668?fr=RR-2&ref=pdf_download&rr=9d06bca97a56066e