transgender women sex workers have a higher risk of contracting HIV than cisgender male and female sex workers and transgender women who are not sex workers. The reason transgender women are at higher risk for developing HIV is their combination of risk factors. They face biological, personal, relational, and structural risks that all increase their chances of getting HIV. Biological factors include incorrect condom usage because of erectile dysfunction from hormones taken to become more feminine and receptive anal intercourse without a condom which is a high risk for developing HIV. Personal factors include mental health issues that lead to increased sexual risk, such as anxiety, depression, and substance abuse provoked through lack of support, violence, etc. Structural risks include involvement in sex work being linked to poverty, substance abuse, and other factors that are more prevalent in transgender women based on their tendency to be socially marginalized and not accepted for challenging gender norms. The largest risk for HIV is unprotected sex with male partners, and studies have been emerging that show men who have sex with transgender women are more likely to use drugs than men that do not. Condom use is one way to mitigate the risk of contracting an STI. However, negotiating condom use with one's clients and partners is often an obstacle to practicing safer sex. While there is not much data on rates of violence against sex workers, many sex workers do not use condoms due to the fear of resistance and violence from clients. Some countries also have laws prohibiting condom possession; this reduces the likelihood that sex workers will use condoms. Increased organization and networking among sex workers has been shown to increase condom use by increasing access to and education about STI prevention. Brothels with strong workplace health practices, including the availability of condoms, have also increased condom use among their workers. Health concerns of exotic dancers In order to protect themselves from the stigma of sex work, many dancers resort to othering themselves. Othering involves constructing oneself as superior to one's peers, and the dancer persona provides an internal boundary that separates the "authentic" from the stripper self. This practice creates a lot of stress for the dancers, in turn leading many to resort to using drugs and alcohol to cope. Since it is so widespread, the use of drugs has become normalized in the exotic dance scene.Despite this normalization,