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Knox's transition into the spotlight was marked by severe harassment. After being outed by a fellow student, she faced death threats and calls for her expulsion from Duke. In response, she became a vocal advocate for sex workers' rights, joining the board of the Sex Workers Outreach Project (SWOP)

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Knox's entry into the adult film industry in 2013 was primarily driven by financial desperation. Faced with a at Duke University and ineligible for sufficient financial aid or manageable federal loans, she sought a high-compensation alternative to her previous minimum-wage waitressing job. This decision turned her into a national lightning rod for debates on student debt and sex-positive feminism. Exploitation, Harassment, and "Outing"