Police violence and sexual risk among female and transvestite sex workers in Serbia: qualitative study

BMJ 2008; 337 doi: 10.1136/bmj.a811 (Published 30 July 2008)
Cite this as: BMJ 2008;337:a811
  1. Tim Rhodes, professor and director1,
  2. Milena Simić, researcher1,
  3. Sladjana Baroš, researcher2,
  4. Lucy Platt, lecturer1,
  5. Bojan Žikić, lecturer2
  1. 1Centre for Research on Drugs and Health Behaviour, London School of Hygiene and Tropical Medicine, University of London, London WC1E 7HT
  2. 2Department of Ethnology and Anthropology, University of Belgrade, Serbia
  1. Correspondence to: T Rhodes tim.rhodes{at}lshtm.ac.uk
  • Accepted 24 June 2008

Abstract

Objective To explore female and transvestite sex workers’ perceptions of risk in the sex work environment in Serbia.

Design Qualitative interview study.

Setting Street based locations for sex work in Belgrade and Pancevo, Serbia.

Participants 31 female and transvestite sex workers.

Results Violence, including police violence, was reported as a primary concern in relation to risk. Violence was linked to unprotected sex and the reduced capacity for avoiding sexual risk. Participants reported that coerced sex was routinely provided to the police in exchange for freedom from detainment, arrest, or fine, and was enforced by the perceived threat of violence, sometimes realised. Accounts contained multiple instances of physical and sexual assault, presented as abuses of police authority, and described policing as a form of moral punishment. This was largely through non-physical means but was also enforced through physical violence, especially towards transvestite and Roma sex workers, whose experience of police violence was reported as relentless and brutal and connected with broader social forces of discrimination in this setting, especially towards Roma.

Conclusion Preventing violence towards sex workers, which can link with vulnerability to sexually transmitted infections, is a priority in Serbia. This requires monitoring perpetrators of violence, providing legal support to sex workers, and creating safer environments for sex work.

Footnotes

  • We thank those who participated in interviews or who helped by referring us to others, especially JAZAS, a non-government organisation working in HIV prevention. The views expressed here are those of the authors and do not necessarily represent the views of their institutions or those of the Republican AIDS Commission of Serbia who supported the study.

  • Contributors: TR designed and coordinated the study, did the analyses, and wrote the paper. He is guarantor. MS and SB undertook the interviews and their coding for analysis. LP assisted with analysis. BZ oversaw local coordination of the study.

  • Funding: Department for International Development (UK). The Department of Health (UK) provide core funding to the Centre for Research on Drugs and Health Behaviour at the London School of Hygiene and Tropical Medicine, UK. All authors declare independence from these funding agencies.

  • Competing interests: None declared.

  • Ethical approval: Riverside ethics committee (UK), with additional support from the Republican AIDS Commission of Serbia.

  • Provenance and peer review: Not commissioned; externally peer reviewed.

This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

THIS WEEK'S POLL