Some of the most artistic photographs I've seen (nude and non-nude) show women in sand, dirt, mud, dust ... all kinds of "unsanitary conditions". It depends on the woman, and on the context.
Of course, in real life, the biggest immediate turn-off would probably be the SMELL rather than the appearance. I've actually heard comment to that effect from soldiers returning from peacekeeping missions in Bosnia - most of them say something along the lines of "they have beautiful women, but they REALLY need deodorant!".
Ignoring all that, some of the commenters have rightly pointed out that rape is more about control than sex. Some of the extreme fetishes that people engage in (using bodily wastes, for example) are certainly "unclean", but a certain subset of the population is aroused by such things because it simulates control and degradation.
Additionally, a man who hasn't had sex for a long time will generally not be too picky. All those jokes about Scotsmen with sheep didn't arise from nowhere. Though these days such behavior may be rare in the western world, men in more oppressive nations (especially theocratic states like Afghanistan, etc) will make to with whatever is at hand. If a man is willing to have intercourse with an animal, why would he turn down a "dirty" prostitute?
Lastly, the phenomenon isn't limited to men. I've met no shortage of women who would be more than happy to jump a "dirty" football player post-game, or a soldier coming out of the field who hasn't showered in 2 weeks. Again, it depends on the person and the context.
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