Sex work and substance abuse have been independently observed to compound the dangers of risky sexual behaviors, with the combined abuse of substance and sex work further protracting the dangers of risky sexual behaviors. Substances are regarded as inhibitors of consistence and correct condom use and are associated with multiple sexual partners. Substance abuse among sex workers is generally high because of the risky environments and the need to deal with psychological trauma of sex work. This paper explores the risky sexual behaviors among substance abusing sex workers in Musina Border Town of Limpopo Province, South Africa. A qualitative research approach was used, with ten participants interviewed. Sex workers by virtue of their work have multiple sex partners and the dangers of sexual partners are made worse by abusing substances which results in inconsistent use of protection, multiple sexual partners, anal and oral sex, sexual violence, etc. The paper concludes by arguing that there should be a comprehensive awareness programs on the risks of substance abuse and sex work, a harm reduction framework should be developed to minimize the risks and sex work should be legalized to protect sex workers.
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