Addressing the Underbelly of Legalized Prostitution: Primary Prevention of Sexual Assault and Violence in Nevada

Nevada is one of the most ethnically diverse states within the United States. With legalized prostitution in the state, creating, implementing and evaluating a comprehensive primary sexual assault and violence (SAV) program is difficult. Many factors, such as the military presence, tribal lands, as well as the rural and urban areas, must be taken into consideration. Methods: In order determine the areas of greatest risk and highest need within the state, quantitative, electronic and paper, surveys were distributed to those who work within and ancillary to the field of SAV. In addition, key informant interviews were conducted to engage community leaders to discern both their understanding of SAV and what placed their individual communities at greatest risk for SAV. Findings: Within Nevada, many unique factors contribute to the lack of understanding and thus primary prevention of SAV. The research team found disparities surrounding the definition of what constitutes SAV as well as who can be a victim of SAV. In addition, the lack of resources and collaboration has proven to hinder primary SAV prevention endeavors in the state. From this research, a five year strategic plan has been created that incorporates behavioral theory, elements of CBPR and exhaustive evaluation.