And you know of this "reality" directly?
Or have you just read sensationalist media "reports" and such selectively quoting from "studies" ?
I know of it DIRECTLY and am very well informed of it.
I am most certainly NOT speaking of those Bangkok red light zones, nor anything like that.
I do not however automatically equate paying a woman 10x the amount for sex as you pay for her cleaning your pousada room or cooking yo food or washing your dirty underwear as exploitive.
My meeting up with local women who want to spend an evening or weekend or week in exchange for some much needed financial help does NOT automatically equate to violence, suffering, disease and death. (See "war" in Afghanistan and Iraq for that!)
In fact, it may have a completely opposite effect.
When I travel to second and third world countries like Cuba I bring vitamins, folic acid and omega 3 supplements. I can't do it for everyone so YES, I am selective and have only semi-altruistic motives. I also provide a woman some cash equal to her family income for a month or two.
The "reality" is that for many men and women, sex can be recreational and hedonistic, it does not always have to occur in the context of deep emotional, love, or within the sanctity of marriage. (which is the biggest prostitution racket of them all!)
This post really underlines the problem. It shows that:
1. You are using income differences between countries to get sex that you wouldn't be able have otherwise;
2. You are exploiting still those income differences to divert money flows from honest labour towards prostitution: if you are a woman with children living in an area of intense touristic prostitution, you can't afford the cost of living just being a maid
3. You live in the illusion that you are having 'recreational and hedonistic' sex with these women: this may apply for you, but not the girls. They are in fact trading their health and emotional well-being against money.
I have seen this prostitution you are talking about in Cuba, Brazil and Honduras. I have seen those guys thinking they are really a hot shot while, to be honest, they only look pathetic. And I've met and talked with some of these girls you are paying to have sex with. Believe me, besides what you think, none of them is leading a meanful and healthy life.
Prostitution on the scale you are looking for happens in areas where the law doesn't protect women. And to who do they turn instead to get protection? Organized crime. And oh! how do they treat them well...
How about paying 10x your maid instead?