Once Again, Guilty of Having HIV

by Cynthia Fernandez
CHLP Intern

Last week, the Knoxville News Sentinel reported a case of a young woman arrested for prostitution in Knoxville, Tennessee, who faces a three-to-fifteen-year prison term for “aggravated prostitution” solely because she is HIV-positive. While individuals convicted of prostitution in Tennessee who do not have HIV face misdemeanor charges that usually amount to a fine and probation, those living with HIV face a felony charge and an additional three to fifteen years due to their health status. Because the woman is a repeat offender, she will also have to register as a sex offender and will face the same restrictions as child molesters and rapists.

State officials cite public health and safety as the rationale for the aggravated prostitution law, but their efforts are severely misguided. Not only is the law discriminatory, it also has shown no deterrent effect. The woman has been arrested at least eight times for prostitution, and this recent arrest was her third arrest for aggravated prostitution. Furthermore, the law further stigmatizes HIV infection and women who rely on consensual sex in exchange for money to make a living. A more effective way to treat this woman, who dropped out of high school in the ninth grade due to drug addiction and has been a sex worker since age 19, would be to offer her drug rehabilitation and access to medical care and educational services to at least increase the odds that she has alternatives to sex work in order to survive. Instead, in their infinite wisdom, Tennessee legislators and prosecutors, by making her a registered sex offender, have effectively ensured that she will not have access to many residential drug treatment programs available to other addicts because she will not be allowed to live anywhere that houses juveniles. She faces these severe restrictions even though she has no history of committing any kind of sexual assault. Incarcerating and then branding someone like this woman a sex offender will only serve to further marginalize her and prevent her from receiving the care she needs.

Adding insult to injury, Knoxville Police Department Sgt. Chris Baldwin defended the law in the article and expressed concern for the male customers’ “moral and physical well-being.” Why should society place more value on the well-being of the man who solicits sex for money than on the woman who provides it? Baldwin’s statements and selective concern show the ignorance, the sexist double standard, and the misguided policy choices that serve as rationales for criminalizing HIV status. He is quoted as saying, “when a customer is exposed, then everybody he comes into contact with are at risk as well.” Yes, HIV can be transmitted through condomless sex, but this would place at further risk only those who in turn have condomless sex with that person who has become infected. Casual transmission to household members is a scientific impossibility and it is dangerous, if depressingly predictable, that someone in a position of power could be so ill-informed about basic modes of HIV transmission.

The Knoxville News Sentinel article reporting on the case also uses incredibly derogatory language, referring to the woman as a “hooker” and discussing her “turning tricks” for a living. The article also published several mug shots of the woman; for effect, I suppose? Her eyes are glazed over in every shot and if anything, they elicit a feeling of deep sympathy, which I am assuming was not the effect the article’s author intended.

While this law is intended to prevent those with HIV from acting as sex workers, in reality it does nothing to remedy the public health problem. Its enforcement prevents those most in need from receiving services and only exacerbates their marginalization by incarcerating and then branding them sexual predators. The continued prosecution of consensual sex, particularly while looking the other way at the man soliciting the service, is hateful and wrongheaded, and the sensational reporting that accompanies the criminalization of HIV further fuels HIV-related stigma and contributes to the perception that society needs to be protected from those living with HIV.