In addition, finding a representative sample of sex workers in a given city can be nearly impossible because the size of the population itself is unknown.
Maintaining privacy and confidentiality in research is also difficult because many sex workers may face prosecution and other consequences if their identities are revealed.
The motives of sex workers vary widely and can include debt, coercion, survival, or simply as a way to earn a living.
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Sexual surrogates often engage in sexual activity as part of therapy with their clients.
Thus, although the term sex worker is sometimes viewed as a synonym or euphemism for "prostitute", it is more general.
Other sex workers are paid to engage in live sexual performance, such as web cam sex and performers in live sex shows.