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It is important to note, however, that sex work is different from sexual exploitation, or the forcing of a person to commit sexual acts, in that sex work is voluntary "…and is seen as the commercial exchange of sex for money or goods" In an attempt to further clarify the broad term that "sex work" is, John E.Exner, an American psychologist, worked with his fellow colleagues to create five distinct classes for categorizing sex workers.The term is strongly opposed, however, by many who are morally opposed to the sex industry, such as social conservatives, anti-prostitution feminists, and other prohibitionists.Such groups view prostitution variously as a crime or as victimization, and see the term "sex work" as legitimizing criminal activity or exploitation as a type of labor.Maintaining privacy and confidentiality in research is also difficult because many sex workers may face prosecution and other consequences if their identities are revealed.

Many studies struggle to gain demographic information about the prevalence of sex work, as many countries or cities have laws prohibiting prostitution or other sex work.These are just a few examples of sex workers that do not directly partake in prostitution, showing that the term sex worker does not always refer to individuals who directly exchange sexual services for goods.Some people use the term sex worker to avoid invoking the stigma associated with the word "prostitute".Sex workers can act independently as individuals, work for a company or corporation, or work as part of a brothel.All of the above can be undertaken either by free choice or by coercion.

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