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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Vydané v:Journal of interpersonal violence Ročník 36; číslo 17-18; s. NP9483 - NP9500
Hlavní autori: Malama, Kalonde, Sagaon-Teyssier, Luis, Parker, Rachel, Tichacek, Amanda, Sharkey, Tyronza, Kilembe, William, Inambao, Mubiana, Price, Matt A., Spire, Bruno, Allen, Susan
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: Los Angeles, CA SAGE Publications 01.09.2021
SAGE PUBLICATIONS, INC
Predmet:
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
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Abstract 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.
AbstractList 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.
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.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.
Author Parker, Rachel
Sagaon-Teyssier, Luis
Kilembe, William
Spire, Bruno
Price, Matt A.
Allen, Susan
Inambao, Mubiana
Sharkey, Tyronza
Malama, Kalonde
Tichacek, Amanda
AuthorAffiliation 4) Zambia Emory HIV Research Project, Rwanda Zambia HIV Research Group, Emory University, Lusaka, Zambia
1) Aix-Marseille Université, APHM, INSERM, IRD, Sciences Économiques & Sociales de la Santé et Traitement de l’Information Médicale (SESSTIM), Marseille, France
5) Zambia Emory HIV Research Project, Rwanda Zambia HIV Research Group, Emory University, Ndola, Zambia
6) International AIDS Vaccine Initiative (IAVI) New York, New York, United States of America
2) Observatoire Régional de la Santé Provence-Alpes-Côte d’Azur (ORS PACA), Marseille, France
7) Department of Epidemiology and Biostatistics, University of California at San Francisco, San Francisco, California, United States of America
3) Rwanda Zambia HIV Research Group, Emory University, Pathology & Laboratory Medicine, School of Medicine, Atlanta, GA, United States
AuthorAffiliation_xml – name: 7) Department of Epidemiology and Biostatistics, University of California at San Francisco, San Francisco, California, United States of America
– name: 5) Zambia Emory HIV Research Project, Rwanda Zambia HIV Research Group, Emory University, Ndola, Zambia
– name: 6) International AIDS Vaccine Initiative (IAVI) New York, New York, United States of America
– name: 1) Aix-Marseille Université, APHM, INSERM, IRD, Sciences Économiques & Sociales de la Santé et Traitement de l’Information Médicale (SESSTIM), Marseille, France
– name: 2) Observatoire Régional de la Santé Provence-Alpes-Côte d’Azur (ORS PACA), Marseille, France
– name: 3) Rwanda Zambia HIV Research Group, Emory University, Pathology & Laboratory Medicine, School of Medicine, Atlanta, GA, United States
– name: 4) Zambia Emory HIV Research Project, Rwanda Zambia HIV Research Group, Emory University, Lusaka, Zambia
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Keywords Zambia
clients
physical violence
HIV
female sex workers
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Snippet 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...
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SubjectTerms 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
Title Client-Initiated Violence Against Zambian Female Sex Workers: Prevalence and Associations With Behavior, Environment, and Sexual History
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Volume 36
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