Hostname: page-component-848d4c4894-sjtt6 Total loading time: 0 Render date: 2024-06-16T05:59:55.509Z Has data issue: false hasContentIssue false

State Control, Female Prostitution and HIV Prevention in China

Published online by Cambridge University Press:  01 April 2011

Susanne Y.P. Choi
Affiliation:
The Chinese University of Hong Kong. Email: choiyp@cuhk.edu.hk

Abstract

By combining analysis of archival documents and data from 245 sex workers interviewed in south-west China between 2003 and 2007, this article argues that the AIDS crisis has prompted a shift in state discourse about prostitution in China from a victim to a victimizer perspective. Concomitant with this discursive shift is the gradual intensification of control over prostitution. Our data show that the victim perspective overlooks the fact that sex workers are agents who actively negotiate their work and lives amid limited options in post-socialist China. The victimizer perspective, on the other hand, misplaces the blame of unsafe sex practices on sex workers, while in reality it is their clients who refuse to use condoms. The data further suggest that repressive measures against prostitution premised on this victim–victimizer dichotomy inhibit the ability of sex workers to negotiate safe sex practices and aggravate their exposure to HIV risk. The repressive measures undermine the supportive professional networks of sex workers, increase economic pressure on the workers and increase their exposure to client-perpetrated violence.

Type
Articles
Copyright
Copyright © The China Quarterly 2011

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1 Foucault, Michel, The History of Sexuality, Vol. 1: An Introduction (New York: Vintage Books, 1990)Google Scholar.

2 Gilfoyle, Timothy J., “Prostitutes in history: from parables of pornography to metaphors of modernity,” The American Historical Review, Vol. 104, No. 1 (1999), pp. 117–41CrossRefGoogle ScholarPubMed; Hershatter, Gail, Dangerous Pleasures: Prostitution and Modernity in Twentieth-Century Shanghai (Berkeley: University of California Press, 1997)Google Scholar; Remick, Elizabeth, “Prostitution taxes and local state building in republican China,” Modern China, Vol. 29, No. 1 (2003), pp. 3870CrossRefGoogle Scholar; Henriot, Christian, Prostitution and Sexuality in Shanghai: A Social History, 1849–1949 (Cambridge: Cambridge University Press, 2001)Google Scholar.

3 In China, women who exchange sex for money are referred to as “prostitutes” (jinü) or simply “women who sell sex” (maiyin funü). In this article, we use the term “prostitute” when discussing state discourse of prostitution and the less derogatory “sex worker” (xing gongzuozhe) when discussing the circumstances of our respondents.

4 UNAIDS, China Country Progress Report (2008), available at http://www.unaids.org/en/CountryResponses/Countries/China.asp.

5 Ibid.

6 UNAIDS, 2005 Update on the HIV/AIDS Epidemic and Response in China (2005)Google Scholar.

7 Good, Mary-Jo D., “Cultural studies of biomedicine: an agenda for research,” Social Science and Medicine, Vol. 41, No. 4 (1995), pp. 461–73CrossRefGoogle ScholarPubMed.

8 Sandra Hyde, Eating Spring Rice: The Cultural Politics of AIDS in Southwest China (Berkeley: University of California Press), pp. 37–39.

9 Anderson, Allen F. and Gil, Vincent F., “Prostitution and public policy in the People's Republic of China: an analysis of the rehabilitative ideal,” International Criminal Justice Review, Vol. 4, No. 1 (1994), pp. 2336CrossRefGoogle Scholar.

10 Ji, Yu, “Gaizao changji chengwei xinrenmin” (“Reform prostitutes into new citizen”), in Shanghai zai gaifang hou de shehui gaizao (The Social Reform of Shanghai after Liberation) (Shanghai: The Party History Research Institute, 1999), pp. 184–85Google Scholar; Gao, Wu Zhang, “Yizhang Shi xiaomie changji yundong de lishi” (“The history of Yizhang Shi's prostitution eradication campaign”), in Hubei de chengshi he shehui gaizao (City and Social Reform: Hubei) (Beijing: Hebei Party History Research Office, 1997), pp. 335–37Google Scholar; Shan, Giangnai, Zhongguo changji: guoqu he xianzai (Prostitution in China: Past and Present) (Beijing: Law Publishing Co., 1995), pp. 736Google Scholar; Hershatter, Dangerous Pleasures, pp. 304–24; Anderson and Gil, “Prostitution and public policy,” pp. 31–33.

11 Ji Yu, “Reform prostitutes,” p.184.

12 Ibid. p. 185.

13 Gao Wu Zhang, “The history of Yizhang Shi's campaign,” p. 337.

14 Hershatter, Dangerous Pleasures, pp. 304–24.

15 Anderson and Gil, “Prostitution and public policy,” pp. 28–29.

16 Leng, Shao-Chuan, Criminal Justice in post-Mao China (Albany, NY: State University of New York Press, 1985)Google Scholar.

17 1979 Criminal Law of the People's Republic of China.

18 Security Administration Punishment Act (promulgated in 1957 and amended in 1987).

19 Public Security Bureau, Gong'anbu guanyu jianjüe zhizhi maiyin huodong de tongzhi (Public Security Bureau Announcement Concerning Sternly Stopping Prostitution) (1981)Google Scholar.

20 Ibid.; Suiming, Pan, Yingying, Huang and Jie, Wang, Chengxian yu biaoding: Zhongguo “xiao jie” shen yan jiu (Performing and Labelling: In-depth Study on Female Sex Workers in China) (Gaoxiong: Wanyou chubanshe, 2005), pp. 207–09Google Scholar.

21 State Council, Jianjue qüdi maiyin he zhizhi xingbing manyan (Announcement to Sternly Uproot Prostitution and Stop the Spread of STI) (1986)Google Scholar.

22 State Council, Guanyu yanli daji, jianjue qüdi maiyin he zhizhi xingbing manyan de baogao (Announcement to Seriously Crack Down and Uproot Prostitution and Stop the Spread of STI) (1987, No.15)Google Scholar.

23 Chengdu, , Chengdushi guanyu jianjue chajin qüdi maiyin piaochang huodong de tonggao (City of Chengdu Announcement about Seriously Uproot Selling and Buying of Sex) (3 July 1991)Google Scholar; Central Committee of the CCP, Zhongguo gongchandang zhongyang weiyuanhui 1992 nian zhengfu gongzuo baogao (The 1992 Government Work Report of the Central Committee of the Communist Party of the People's Republic of China (20 March 1992)Google Scholar; Shi, Pan Zhihua, Panzhihua shi guanyu yange qüdi juminlou nei meironglou nei an'mo wodian de jianyi (Suggestions for Uprooting Massage Parlours within Resident Buildings in Pan Zhihua Shi) (14 August 2006)Google Scholar.

24 Hershatter, Gail, “Chinese sex workers in the reform period,” in Perry, Elizabeth J. (ed.), Putting Class in its Place: Worker Identities in East Asia (Berkeley: Institute of East Asian Studies, 1996), pp. 199224Google Scholar.

25 Choi, Susanne Y.P. and Roman, David, “Law enforcement, public health, and HIV/AIDS in China,” in Harris, Paul and Siplon, Patricia (eds.), The Global Politics of AIDS (London: Lynne Rienner, 2007), pp.137–54Google Scholar.

26 Tanner, Murray S., “Campaign-style policing in China and its critics,” in Bakken, Borge (ed.), Crime, Punishment and Policing in China (New York: Rowman and Littlefield, 2005), pp. 171–88Google Scholar.

27 Anderson, Allen F., and Gil, Vincent F., “China's modernization and the decline of communitarianism: the control of sex crimes and implications for the fate of informal social control,” Journal of Contemporary Criminal Justice, Vol.14, No. 3 (1998), pp. 248–61CrossRefGoogle Scholar.

28 Zhu, Juk Dong, “The problem of prostitution in the reform era: an overview,” Public Security Research, Vol. 4 (2001), pp. 9296Google Scholar.

29 Pan Suiming, Performing and Labelling, pp. 195–263.

30 Ibid.

31 Hyde, Eating Spring Rice, p. 120; Suiming, Pan, Yingying, Huang and Zhenying, Liu, Qingjing yu ganwu: xi'nan zhongguo sange hongdengqu tansuo (Situation and Inspiration: Study on Three Red Light Districts in South-west China) (Gaoxiong: Wanyou chubanshe, 2005), pp. 8082Google Scholar.

32 White, Luise, The Comforts of Home: Prostitution in Colonial Nairobi (Chicago & London: University of Chicago Press, 1990)CrossRefGoogle Scholar; Kempadoo, Kamala and Doezema, Jo. (eds.), Global Sex Workers: Rights, Resistance and Redefinition (New York & London: Routledge, 1989)Google Scholar.

33 Sanders, Teela, Sex Work: A Risky Business (Devon: Willan Publishing, 2005)Google Scholar; Davidson, J. O'Connell, Prostitution, Power and Freedom (Ann Arbor: The University of Michigan Press, 1998)Google Scholar; Chapkis, Wendy, Live Sex Acts: Women Performing Erotic Labor (New York: Rouledge, 1997)Google Scholar; Scambler, Graham and Scambler, Annette (eds.), Rethinking Prostitution (London: Routledge, 1997)Google Scholar; Jenness, Valerie, Making it Work: The Prostitutes’ Rights Movement in Perspective (New York: Aldine De Gruyter, 1993)Google Scholar; Brewis, Joanna and Linstead, Stephen, “‘The worst thing is the screwing’: Consumption and the management of identity in sex work,” Gender, Work & Organization, Vol. 7, No. 2 (2000), pp. 8497CrossRefGoogle Scholar; Choi, Susanne Y.P., Wah, Cheung Yuet, and Chen, Kanglin, “Gender and HIV risk behaviour among intravenous drug users in Sichuan Province, China,” Social Science and Medicine, Vol. 62 (2006), pp. 1672–84CrossRefGoogle ScholarPubMed; Wawer, Mariaet al., “Origins and working conditions of female sex workers in urban Thailand: Consequences of social context for HIV transmission,” Social Science & Medicine, Vol. 42 (1996), pp. 453–62CrossRefGoogle ScholarPubMed.

34 Participation of women in this study was voluntary with informed consent gained from all participants. Interviews were conducted mostly in private and on a one-to-one basis to ensure confidentiality. All in-depth interviews were tape-recorded and transcribed verbatim. A little monetary compensation (approximately US$6) was given to participants after completion of the interview or survey.

35 Davis, Deborah S. and Feng, Wang (eds.), Creating Wealth and Poverty in Postsocialist China (Stanford, CA: Stanford University Press, 2009)Google Scholar; Davis, Deborah and Harrell, Steven (eds.), Chinese Families in the Post-Mao Era (Berkeley: University of California Press, 1993)CrossRefGoogle Scholar.

36 Choi, S.Y.P., Cheung, Y.W. and Jiang, Z.Q., “Ethnicity and risk factors in needle sharing among intravenous drug users in Sichuan Province, China,” AIDS Care, Vol.19, No. 1 (2007), pp. 18CrossRefGoogle ScholarPubMed.

37 Suiming, Pan, Cun zai yu huang miu : Zhongguo di xia “xing chan ye” kao cha (Existence and Ridicule: A Survey of Underground Sex Industry in China) (Beijing: Qunyan chubanshe, 1999), pp. 168–69Google Scholar.

38 Although 43% might sound low compared to rates of consistent condom use in the West (see e.g. Sanders, Sex Work, p. 160), it is relatively high compared to studies conducted in other parts of China, which reported between 15 and 58% (see Yuhua, Ruanet al., “Syphilis among female sex workers in southwestern China: Potential for HIV transmission,” Sexually Transmitted Diseases, Vol. 33, No. 12 (2006), pp. 724–25Google Scholar; Choi, Susanne Y.P., Chen, Kan-lin and Jiang, Zen-qing, “Client perpetrated violence and condom failure among female sex workers in south western China,” Sexually Transmitted Diseases, Vol. 35, No. 2 (2008), pp. 141–46CrossRefGoogle Scholar.

39 The Chinese like to use eating rice (chifan) as a metaphor of survival and livelihood. See Hyde, Eating Spring Rice, pp. 33–34.

40 Pan Suiming, Situation and Inspiration, pp. 163–214; Xia, Guomei, and Yang, Xiushi, “Risky sexual behavior among female entertainment workers in China: implications for HIV/STD prevention intervention,” AIDS Education and Prevention, Vol. 17, No. 2 (2005), pp. 143–56CrossRefGoogle ScholarPubMed; Hyde, Sandra T., “Selling sex and sidestepping the state: prostitutes, condoms, and HIV/AIDS prevention in southwest China,” East Asia: An International Quarterly, Vol. 18, No. 4 (2000), pp. 108–36CrossRefGoogle Scholar; Choi, Susanne Y. P. and Holroyd, Eleanor, “The influences of power, poverty and agency in the negotiation of condom use for female sex workers in mainland China,” Culture, Health and Sexuality, Vol. 9, No. 4 (2007), pp. 489504CrossRefGoogle Scholar; Zheng, Tiantian, “Cool masculinity: male client's sex consumption and business alliance in urban China's sex industry,” Journal of Contemporary China, Vol. 15, No. 46 (2006), pp.161–82CrossRefGoogle Scholar; Elanah, Uretsky, “Mobile men with money”: the socio-cultural and politico-economic context of ‘high-risk’ behavior among wealthy businessmen and government officials in urban China,” Culture, Health and Sexuality, Vol. 10, No. 8 (2008), pp. 801–14Google Scholar; Campbell, Carole, “Male gender roles and sexuality: implications for women's AIDS risk and prevention,” Social Science & Medicine, Vol. 41 (1995), pp. 197210CrossRefGoogle ScholarPubMed; Gilbert, Leah and Walker, Liz, “Treading the path of least resistance: HIV/AIDS and social inequalities – a South African case study,” Social Science and Medicine, Vol. 54, No. 7 (2002), pp. 1093–110CrossRefGoogle ScholarPubMed; Karim, Quarraisha A., Karim, Abdool S.S., Soldan, K. and Zondi, M., “Reducing the risk of HIV infection among South African sex workers: socio-economic and gender barriers,” American Journal of Public Health, Vol. 85, No. 11 (1995), pp. 1521–25CrossRefGoogle Scholar.

41 Ghose, T., Swendemna, D., George, S. and Chowdhury, D., “Mobilizing collective identity to reduce HIV risk among sex workers in Sonagachi, India: the boundaries, consciousness, negotiation framework,” Social Science and Medicine, Vol. 67, No. 2 (2008), pp. 311–20CrossRefGoogle ScholarPubMed.

42 Sanders, Sex Work, pp.158–74.

43 Choi, Chen and Jiang, “Client perpetrated violence,” pp. 141–46.

44 Rojanapithayakorn, Wiwat, “The 100% condom use programme in Asia,” Reproductive Health Matters, Vol.14, No. 28 (2006), pp. 4152CrossRefGoogle Scholar.

45 Sanders, Sex Work, pp. 158–74.

46 Ibid.

47 The lack of a local residence permit among our respondents is not a major reason for their mobility because, unlike in major cities in the coast, respondents in this small city in south-west China reported that police did not really enforce the residence regulation. See also Hyde, Eating Spring Rice, p.180.

48 Pan, Situation and Inspiration, pp. 82–86; Hyde, Eating Spring Rice, pp. 146–49; Jeffreys, Elaine, “Debating the legal regulation of sex-related bribery and corruption in the People's Republic of China,” in Jeffreys, Elaine (ed.), Sex and Sexuality in China (London & New York: RoutledgeCurzon, 2006), pp. 159–78Google Scholar.

49 He, Y.X.et al., “Community-based survey of drug use and behaviour among female injection drug users,” Chinese Journal of AIDS & STD, Vol. 9, No. 6 (2003), pp. 343–46Google Scholar.

50 Nixon, Kendra, Tutty, Leslie, Downe, Pamela, Gorkoff, Kelly and Ursel, Jane, “The everyday occurrence: violence in the lives of girls exploited through prostitution,” Violence Against Women, Vol. 8 (2002), pp. 1016–43CrossRefGoogle Scholar.

51 Ibid. pp. 1016–43.

52 Gilfoyle, “Prostitutes in history,” pp. 117–41; Hershatter, Dangerous Pleasures.

53 See also Pan Suiming, Situation and Inspiration, pp. 199–200; Hyde, Eating Spring Rice, pp. 204–06; Shannon, K.et al., “Mapping violence and policing as an environmental–structural barrier to health service and syringe availability among substance-using women in street-level sex work,” International Journal of Drug Policy, Vol. 19, No. 2 (2008), pp. 140–47CrossRefGoogle ScholarPubMed; Larsen, E. Nick, “The effect of different police enforcement policies on the control of prostitution,” Canadian Public Policy, Vol. 22, No. 1 (1996), pp. 4055CrossRefGoogle Scholar; Wolffers, Ivan and van Beelen, Nel, “Public health and the human rights of sex workers,” Lancet, Vol. 361 (2003), p. 1981CrossRefGoogle ScholarPubMed.

54 Kerrigan, D. et al. , Community Approaches and Government Policy to Reduce HIV Risk in the Dominican Republic. Horizons Research Summary (Washington, DC: Population Council, 2004), pp. 149Google Scholar; Biradavolu, Monica R.et al., “Can sex workers regulate police? Learning from an HIV prevention project for sex workers in southern India,” Social Science and Medicine, Vol. 68 (2009), pp. 1541–47CrossRefGoogle ScholarPubMed.