We interviewed 854 people currently or recently in prostitution in 9 countries (Canada, Colombia, Germany, Mexico, South Africa, Thailand, Turkey, United States, and Zambia), inquiring about current and lifetime history of sexual and physical violence. We found that prostitution was multitraumatic: 71% were physically assaulted in prostitution; 63% were raped; 89% of these respondents wanted to escape prostitution, but did not have other options for survival. A total of 75% had been homeless at some point in their lives; 68% met criteria for PTSD. Severity of PTSD symptoms was strongly associated with the number of different types of lifetime sexual and physical violence. Our findings contradict common myths about prostitution: the assumption that street prostitution is the worst type of prostitution, that prostitution of men and boys is different from prostitution of women and girls, that most of those in prostitution freely consent to it, that most people are in prostitution because of drug addiction, that prostitution is qualitatively different from trafficking, and that legalizing or decriminalizing prostitution would decrease its harm.
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