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This article explores the ways in which gender inequalities are reproduced and reinforced within entertainment establishments, and in turn the ways in which it affects health of the women working in these establishments. Specifically, this article is based on 35 in-depth interviews with women working in entertainment establishments in Kathmandu, Nepal. The findings highlight daily encounters of harassment by customers demanding engagement and acceptance of various sexual advances; strategies of exploitation by employers such as threatening the loss of work and/or salary to coerce the women into engaging in sexual talks and innuendoes to increase sales for the business; and an adverse impact on the physical, emotional, and psychological health of women working in the entertainment establishment. The findings urge us to locate the discussion of health, particularly health of marginalized women, within the context of gender inequalities, labor divisions, and power relations. [ABSTRACT FROM AUTHOR]

Thirty-five in-depth, semi-structured interviews were conducted with female, street-based, commercial sex workers in Kathmandu, Nepal. The framework of structural violence guided this study in identifying the structural context that impacts the female sex workers' lives and may cause harm to their health. Structural violence in health care was revealed through thematic analysis as (a) discrimination, (b) forced choice, and (c) limitations to health information sources. Lived experiences highlight how the sex workers engaged with structural limitations in health care access, services, and utilization. Structural violence conveys a message about who is entitled to health care and what a society emphasizes and expects regarding acceptable health behavior. Examining the structural violence highlighted how the sex workers negotiated, understood, and engaged with structural limitations in health care access, services, and utilization. [ABSTRACT FROM AUTHOR]