title: Prostitution in Vancouver: violence and the colonization of First Nations women.
abstract: We interviewed 100 women prostituting in Vancouver, Canada. We found an extremely high prevalence of lifetime violence and post-traumatic stress disorder (PTSD). Fifty-two percent of our interviewees were women from Canada's First Nations, a significant overrepresentation in prostitution compared with their representation in Vancouver generally (1.7-7%). Eighty-two percent reported a history of childhood sexual abuse, by an average of four perpetrators. Seventy-two percent reported childhood physical abuse, 90% had been physically assaulted in prostitution, 78% had been raped in prostitution. Seventy-two percent met DSM-IV criteria for PTSD. Ninety-five percent said that they wanted to leave prostitution. Eighty-six percent reported current or past homelessness with housing as one of their most urgent needs. Eighty-two percent expressed a need for treatment for drug or alcohol addictions. Findings are discussed in terms of the legacy of colonialism, the intrinsically traumatizing nature of prostitution and prostitution's violations of basic human rights.
authors.affiliation: Prostitution Research and Education, San Francisco Ca 94116-0254, USA. mfarley@prostitutionresearch.com
authors.forename: Melissa
authors.initials: M
authors.lastname: Farley
authors.forename: Jacqueline
authors.initials: J
authors.lastname: Lynne
authors.forename: Ann J
authors.initials: AJ
authors.lastname: Cotton
mesh_terms: D000293:Adolescent; D000328:Adult; D000437:Alcoholism / Q000453:epidemiology / Q000523:psychology; D001955:British Columbia; D002648:Child; D002649:Child Abuse / Q000706:statistics & numerical data; D002650:Child Abuse, Sexual / Q000523:psychology / Q000706:statistics & numerical data; D018595:Colonialism; D003430:Cross-Sectional Studies; D005260:Female; D006306:Health Surveys; D006703:Ill-Housed Persons / Q000523:psychology / Q000706:statistics & numerical data; D006801:Humans; D007198:Indians, North American / Q000523:psychology* / Q000706:statistics & numerical data; D008875:Middle Aged; D011902:Rape / Q000523:psychology / Q000706:statistics & numerical data; D011477:Sex Work / Q000523:psychology* / Q000706:statistics & numerical data; D013313:Stress Disorders, Post-Traumatic / Q000453:epidemiology / Q000523:psychology; D019966:Substance-Related Disorders / Q000453:epidemiology / Q000523:psychology; D014754:Violence / Q000523:psychology* / Q000706:statistics & numerical data