title: The Impact of Sex Work on Women's Personal Romantic Relationships and the Mental Separation of Their Work and Personal Lives: A Mixed-Methods Study.
abstract: BACKGROUND
  Very limited research has been undertaken on sex workers' personal romantic relationships and the impact the nature of their work has on their relationships. This exploratory study aimed to explore the impact sex work has on women's personal romantic relationships and the use of mental separation as a coping mechanism to balance the two aspects of their lives.
  
  
  METHODS
  Fifty-five women working in the indoor sex industry in Melbourne, Australia, were recruited to complete a self-report questionnaire about various aspects of their work, including the impact of sex work on their personal relationships. Questionnaires were completed anonymously and included both closed and open-ended questions. A further six women were interviewed to 'member check' the accuracy of the questionnaire findings.
  
  
  RESULTS
  Most women (78%) reported that, overall, sex work affected their personal romantic relationships in predominantly negative ways, mainly relating to issues stemming from lying, trust, guilt and jealousy. A small number of women reported positive impacts from sex work including improved sexual self-esteem and confidence. Just under half of women were in a relationship at the time of the study and, of these, 51% reported their partner was aware of the nature of their work. Seventy-seven percent of single women chose to remain single due to the nature of their work. Many women used mental separation as a coping mechanism to manage the tensions between sex work and their personal relationships. Member checking validated the accuracy of the questionnaire data.
  
  
  CONCLUSIONS
  This exploratory study identified a number of ways in which sex work impacts negatively on women's personal romantic relationships. The findings of this study support the need for further studies to be undertaken to determine if the findings are reflected in a larger, more representative sample of Australian sex workers and should be considered in the context of any future intervention and support programs aimed at addressing the tensions sex workers experience between their work and personal relationships. Greater public awareness and education programs aimed at addressing the negative stigma associated with the sex industry may go some way towards easing the issues faced by women in their personal relationships.
authors.affiliation: Melbourne Sexual Health Centre, Alfred Health, Melbourne, Victoria, Australia; School of Health Science and Psychology, Federation University, Ballarat, Victoria, Australia; Central Clinical School, Monash University, Melbourne, Victoria, Australia.
authors.forename: Clare
authors.initials: C
authors.lastname: Bellhouse
authors.affiliation: School of Health Science and Psychology, Federation University, Ballarat, Victoria, Australia; Nexus Primary Health, Melbourne, Victoria, Australia.
authors.forename: Susan
authors.initials: S
authors.lastname: Crebbin
authors.affiliation: Melbourne Sexual Health Centre, Alfred Health, Melbourne, Victoria, Australia; Central Clinical School, Monash University, Melbourne, Victoria, Australia.
authors.forename: Christopher K
authors.initials: CK
authors.lastname: Fairley
authors.affiliation: Melbourne Sexual Health Centre, Alfred Health, Melbourne, Victoria, Australia; Central Clinical School, Monash University, Melbourne, Victoria, Australia.
authors.forename: Jade E
authors.initials: JE
authors.lastname: Bilardi
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D001315:Australia; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D008875:Middle Aged; D060386:Sex Workers / Q000523:psychology*; D011795:Surveys and Questionnaires; D016387:Women's Health; D055815:Young Adult