Client-Initiated Violence Against Zambian Female Sex Workers: Prevalence and Associations With Behavior, Environment, and Sexual History

Violence against women is a known risk factor for HIV and affects female sex workers (FSW) in sub-Saharan Africa. Little is known about the magnitude and determinants of violence against FSW in Zambia, where HIV and gender-based violence prevalence are high. We conducted a cross-sectional study, usi...

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Bibliographic Details
Published in:Journal of interpersonal violence Vol. 36; no. 17-18; pp. NP9483 - NP9500
Main Authors: Malama, Kalonde, Sagaon-Teyssier, Luis, Parker, Rachel, Tichacek, Amanda, Sharkey, Tyronza, Kilembe, William, Inambao, Mubiana, Price, Matt A., Spire, Bruno, Allen, Susan
Format: Journal Article
Language:English
Published: Los Angeles, CA SAGE Publications 01.09.2021
SAGE PUBLICATIONS, INC
Subjects:
Age of onset
Clients
Cross-sectional studies
Gender-based violence
HIV
Human immunodeficiency virus
Life Sciences
Prevention programs
Prostitution
Risk factors
Santé publique et épidémiologie
Sex industry
Sex workers
Sexual behavior
Violence
Violence against women
Working women
Zambia
clients
physical violence
HIV
female sex workers
ISSN:0886-2605, 1552-6518, 1552-6518
Online Access:Get full text
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Summary:Violence against women is a known risk factor for HIV and affects female sex workers (FSW) in sub-Saharan Africa. Little is known about the magnitude and determinants of violence against FSW in Zambia, where HIV and gender-based violence prevalence are high. We conducted a cross-sectional study, using multivariable logistic regression, to determine the prevalence and correlates of client-initiated physical violence among 419 FSW in Lusaka and Ndola. The prevalence of client-initiated physical violence was 39%. The odds of violence were higher for FSW who: lived in Lusaka, recruited clients from the street, serviced clients in the clients’ homes, had a physically forced sexual debut, and had a higher client volume. Our results call for safer working spaces for FSW and violence prevention interventions for their male clients.
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PMCID: PMC8366593
ISSN:0886-2605
1552-6518
1552-6518
DOI:10.1177/0886260519860083