If you are talking about pimps, Onlyfans has mostly indepenent workers AFAIK.
Permanence would be a sex worker on retainer or a committed partner.
Sure, some people give them more than they can afford. Sometimes car dealerships sell people dumb cars they can't afford too.
edit: Regarding pimps, there's plenty of women who are forced by pimps to perform online. It's extremely common. I imagine moreso with COVID.
OnlyFans creators have quickly started to use very underhanded self promotion techniques, and unfortunately many of them are straight up emotional manipulation.
There’s also statistically a rather large reduction in initiation and frequency of sexual activity for young adults in the us, particularly young men. Things like this could be causal factor.
Lastly young adults are killing themselves at record rates and young men 4x as much as young women, again things that feed into depression and detachment are worth considering.
I’d say it’s ok to be concerned about both.
I don't know, but I have the feeling that "lonely socially disabled men" are just very vocal about it.