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They are drunk, stupid and fighting," she says. When she is at Paddys, it is barely noticeable in the dim light and drunken haze.

Lily is one of more than HIV-positive sex workers in Bali who work out of brothels in Sanur or trawl the clubs of Jalan Legian or Double Six, either as paid waitresses serving drinks or as party girls on the pretence of a night out. In Gatsu, on the edge of town, considered the end of the road for sex workers past their prime, the HIV rate is between 49 and 60 per cent and the girls charge between RP30, and RP50, an hour. Bali's sex workers are based either in brothels in Sanur or "karaoke bars" across the island, small cafes with a karaoke machine, beer and rooms.

Some have a glass window, like a fishbowl, where clients can peer through and see girls by their number. Others work the streets. Then there are the ones in Kuta who blend in with the bar crowd, either as waitresses or "customers" flirting with tourists. Some will be with them for a week and think they're having a relationship.

According to the foundation's statistics, one in four of these girls in Kuta is HIV-positive. It can be quite exhausting for them, especially if the guy is drunk and doesn't want to listen. On the second floor of the clinic, Bunga, a year-old bar girl from Sanur, says she found out she was HIV-positive in But then I realised that was a risk of the job," she said.

She could earn three to five times that in one night if she went home with a tourist. She sends them money every week. With her poor education, the best she could hope for otherwise was a cleaning job worth RP, a month. Not only have our sexual desires changed over the past decade, our wants and needs have also vastly affected the way sex workers conduct business.

A recent monumental study has compared today's sex industry with what it was like in , specifically looking at the health and wellbeing of sex workers in Western Australia. Client requests for unprotected sex is common and while most sex workers said their clients always used condoms for vaginal 67 per cent and anal 59 per cent sex, only one-third of sex workers said their clients wore condoms per cent of the time for oral sex.

While the study associated a rise of pharyngeal gonorrhoea, a throat STD, in Sydney to those statistics, one prominent figure in the sex industry disputed that. Cameron Cox, the CEO of the Sex Workers Outreach Project , said people who don't work in the sex industry are increasingly using less and less condoms.

STIs are skyrocketing at the moment and have been especially over the last five years," Mr Cox told news. A recent report by SBS Radio Thai, that aired on The Feed earlier this month , found the way NSW councils conduct investigations into non-complaint brothels or massage parlours offering sex has been detrimental on sex workers using protection.

NSW private investigators, tasked with proving sex is going on at illegal massage parlours by having sex with the non-compliant workers themselves, generally leave with condoms as "proof" they've received a "full service". This means workers in the massage parlours are rarely provided with condoms, as owners fear they'll be used as proof to close them down. One sex worker told us her owner didn't want them on his premises at all and would leave them in his car glove box instead.

In particular, massage parlours are increasingly offering "bareback" services where sexual acts are performed without a condom. Countless websites advertise exactly where customers can get these services in Australia with the websites even listing reviews of the women. She cried and didn't know what to do. The client didn't care about her at all," Joy told SBS, in regards to a friend she knows that has been abused.

Looking for sex online is easier than ever in as brothels and sex workers take charge of their own business via the internet.

A study from also found sex workers who advertise online are often less at risk than those who are street-based. Mr Cox, who started as a street-based sex worker, moved online when sex work became decriminalised in NSW. A large reason why sex workers moved online Mr Cox says, also has to do with newspapers charging them a premium for their ads. But if I'm a sex worker they'll make me buy a full week of ads and will charge me more than normal. While most sex workers have benefited from advertising online, it has also encouraged clients to push harder and actively seek out places that offer unprotected sex.

But it's not just the clients encouraging sex workers for "bareback" services - the websites even advertise for it. In Western Australia, where most prostitution-related activities are prohibited, sex workers' risk taking has increased. As the state's legislation gets stricter, the sex industry continues to see a downturn which forces workers to accept risky situations like agreeing to unprotected sex or seeing clients they're not sure about.

The study found that of all types of sex work, the biggest increase came from private sex work - of workers visiting clients' homes. There was a decrease in brothel-based and street-based sex work, perhaps because of the increasingly difficult nature of being a "legal" sex worker in Western Australia. Mr Cox, who works as a home-occupied sex worker in New South Wales, has been in the industry for four decades.

His work is completely legal and DA-approved but even with the law behind him, Mr Cox said there's still a stigma around sex work. Another factor of the study found that stigma and discrimination were still major upsets for people that work in the sex industry.

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