Violence prevention and survivor support for and by sex workers Other
Conditions
Interventions
National Ugly Mugs (NUM) is a violence prevention and survivor support for and by sex workers. NUM aims to improve rights, safety and inclusion of sex workers by facilitating sex workers to make decis
(2) community-based violence reporting system
(3) NUMchecker tool allowing sex workers to screen clients (by contact details, profile names and vehicle registration) against national database
and (4) casework for survivors of violence and linked engagement with referral services.
We will use a participatory mixed-method, quasi-experimental design, informed by realist evaluation principle
(B) qualitative and quantitative process evaluation
(C) impact evaluation (pre and post cohort study with non-equivalent comparison group) measuring self-reported data on violence and mental health
(D) economic evaluation comprising costing of interventions and cost-effectiveness analysis
and (E) second dialogues and research into action
Sponsors
London School of Hygiene & Tropical Medicine
Eligibility
Sex/Gender
All
Age
18 Years to 70 Years
Inclusion criteria
Inclusion criteria: 1. Be aged 18 years of age or older 2. Have sold sex in the last 6 months defined as received money in exchange for in person sexual service 3. Have sold sex in a city in the last 6 months (for example, Birmingham, Bristol, Brighton, Manchester, London, Glasgow, Hull) 4. Have capacity to consent 5. Be a new NUM member (defined as registered into NUM within the past 7 days) 6. Provide in-person sexual services 7. Work predominantly as an indoor sex worker
Exclusion criteria
Exclusion criteria: 1. Under 18 years 2. In secure services 3. Lack capacity to consent 4. Who do have not recent experience of selling in-person sexual services
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome for evaluating the impact of violence prevention interventions (alerts and NUMchecker) is self-reported violence in the last 6 months (enacted, threatened or attempted) by clients, other parties at work, police. This is defined as physical, including sexual, and emotional violence. Physical violence encompasses direct attack (being hit, attacked with a weapon or kidnapped) as well as theft, spiking (e.g. drugs put into drink), damage to personal property. Emotional violence includes verbal abuse (being belittled, humiliated, having abusive or insulting language such as racist remarks directed at you), being outed as a sex worker, stalking (online or in person). Sexual violence includes forced sex; touched against one’s will, removal of condom, and forced/tricked into providing a sexual service (e.g. unprotected sex) without consent or payment. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcomes include intermediate outcomes such as fear of violence, adapted working strategies (cancellation and/or avoidance of clients; client screening, working with others, use of CCTV/security); awareness of reporting systems/support services, contact with services (sex worker specific/mental health/housing, drug treatment, welfare services). Longer-term outcomes include mental health - depression and anxiety and self-rated health measures (e.g. PHQ4, EQ5D-5L) that have been well validated in UK primary care and among sex workers and homeless populations including by our team. | — |
Countries
England, Scotland, United Kingdom, Wales
Contacts
Public ContactLucy;Pippa Platt;Grenfell
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Outcome results
None listed