Resum

Purpose: PrEP, bareback, chemsex, are now firmly part of strategies gay and MSM men use in their sexual interactions/socialization in much of Europe.This was an exploratory study to assess the impact on working practices that bareback, chemsex, PrEP, have had on MSM sex workers, utilizing websites (such Hunqz, Rent.men, etc.) and mobile applications (Grindr, Scruff, etc.) to contact and interact with clients. Method: Between February 2017/ March 2019 these issues were discussed with 600 plus sex workers. This involved four face to face interviews with 10 different persons, 2 sex worker facebook groups (one of 536 and one of 71 people) created by and for sex workers. Issues explored were sex workers perception and using of PrEP, the frequency of requests for bareback services, and chemsex, as well as more generally how sex workers viewed. The use of mobile and internet platforms as good ways to offer services. Results: Almost all of the sex workers participating in the research had experienced impacts upon their ability to successfully negotiate, maintain, and control the services they provided to clients.Often clients knowledge of PrEP and its availability was used to pressurize the workers into barebacking when they were not comfortable with this . The availability and offers of 'chemsex' being provided by clients was also used to pressurize workers into sessions were it was difficult for workers to maintain the boundaries they felt were appropriate. Conclusion: Specific interventions need to be in place for those using mobile and internet based platforms for sex work - to improve negotiation skills for sex workers , as well as to educate (as is always necessary) clients about the rights of sex workers in deciding upon the services they offer free from coercion.