Stigma Puts Sex Workers at Higher Risk of HIV

Sex workers and other marginalized demographics have always bore the brunt of cultural stigma around HIV. More than thirty years after the onset of the AIDS epidemic, the disease persists, with real people paying the price.

Like any other industry, sex work comes with its own job-related risks. The possibility of acquiring an STI, like HIV, is a concern, as are threats to physical and mental health; however, unlike other professions where risk is curbed through standard health and safety regulations, society has made sex work unnecessarily dangerous. Stigmatization-which ranges from the public perception of sex workers as morally corrupt and socially unproductive, to laws that criminalize their profession-is central to that. While stigma itself can easily marginalize and alienate a demographic, a series of intersecting stereotypes and inequities coalesce for sex workers

Earlier this year, sex worker and advocate Grace Bellavue died by suicide; before her passing, she had been a fierce advocate for decriminalization. The note she left on her Facebook page before taking her own life account spoke to the harrowing, horrifying reality she endured as a sex worker: “It isn’t the industry per say, it’s just accumulated PTSD and constantly guarding your back or screening… I’ve had guns put to my head, yelled at too many people, removed people from clubhouses, been approached by lawyers from all sides of the fence, approached to run parlours [sic], watched a lot of people slip and fall in a bath with the their throat slit,” she wrote.

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During the Canada Post strike announced September 25, 2025, the following measures will be undertaken to minimize service disruption to BC-CfE clients and providers.

  • The BC-CfE Laboratory has transitioned to private courier for delivery of outgoing reports and documents. Results required urgently can be faxed upon request. (Lab Contact Information: Phone 604-806-8775; FAX 604-806-9463)
  • The BC-CfE Drug Treatment Program (DTP) will fax outgoing forms and documents to the provider’s office. (DTP Contact Information: Phone 604-806-8515; FAX 604-806-9044)
  • St. Paul’s Hospital Ambulatory Pharmacy has transitioned to private courier for delivery of medications. We recommend requesting medication at least 2 weeks in advance in case of delivery delays, particularly to rural/remote parts of BC. (Contact Information: Phone 1-800-547-3622; FAX 604-806-8675)

During the Canada Post strike, we recommend that documents be faxed or couriered to our sites, versus utilization of regular mail service

The BC-CfE Laboratory is streamlining reporting processes for certain tests in order to simplify distribution and record-keeping, and to ensure completeness of results. Beginning September 2, 2025, results for the ‘Resistance Analysis of HIV-1 Protease and Reverse Transcriptase’ (Protease-RT) and ‘HIV-1 Integrase Resistance Genotype’ tests will be combined into a single ‘HIV-1 Resistance Genotype Report’.
For more details and example reports, please click on the button below