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Prostitution is illegal in the vast majority of the United States as a result of state laws rather than federal laws. It is, however, legal in some rural counties within the state of Nevada. Prostitution nevertheless occurs throughout the country. The regulation of prostitution in the country is not among the enumerated powers of the federal government.
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Persons who exchange sex are at increased risk of getting or transmitting HIV and other sexually transmitted diseases STDs because they are more likely to engage in risky sexual behaviors e. Those who exchange sex more regularly as a source of ongoing income are at higher risk for HIV than those who do so infrequently. Persons who engage in such activities include escorts; people who work in massage parlors, brothels, and the adult film industry; exotic dancers; state-regulated prostitutes in Nevada ; and men, women, and transgender persons who participate in survival sex, i. For any of the above, sex can be consensual or nonconsensual. It is important for people who exchange sex to get tested for HIV regularly and know their status. There is a lack of population-based studies on persons who exchange sex, although some studies have been done in singular settings such as prisons and exotic dance clubs. However, the illegal—and often criminalized—nature of exchange sex makes it difficult to gather population-level data on HIV risk among this population.
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Prostitution in the United States

I've been working in Nevada's legal brothels for almost a year and a half now. In this time I've learned a lot about sexuality, psychology and relationships. My job is a mix of customer service and fantasy fulfillment, and I love it. It suits my needs and allows me financial stability I never had access to before.
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Now, however, Montenegro, who is currently an Intimacy Behaviourist based in Melbourne, Australia, has revealed that she believes that the portrayal of sex work is problematic. The glamorisation of the industry, she says, leads women to believe becoming a sex worker will afford them a life of luxury, when the reality is far from the truth. Speaking to The Independent , Montenegro explains that more needs to be done to ensure women know the truth before embarking on a career as a sex worker. At one extreme there is the sad, human face of the street walker, who is using it to pay the rent, feed a child or possibly save up for their next drug hit.
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