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There is often ambiguity regarding consent in these environments. Individuals may agree to sexual advances due to financial desperation or the promise of payment, even when the situations are coercive.
The intersection of gender identity and sex work creates heightened risks, often described in narratives of "extreme" or coercive experiences: ladyboys in extreme sex
Beyond the vulnerabilities, many individuals find empowerment through transition and community: There is often ambiguity regarding consent in these
Studies indicate a high vulnerability to abuse. This includes being forced into sexual acts through physical struggle or threats with weapons. This includes being forced into sexual acts through
Discrimination in mainstream employment often funnels these individuals into specific sectors, most notably the entertainment and sex industries.
Research shows that kathoey sex workers who have experienced family abuse are less likely to use protection, increasing the risk of HIV and other STDs. Specialized "ladyboy bars" can also put workers at risk when customers refuse to use condoms. Identity and Personal Agency
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