1. Client-Initiated Violence Against Zambian Female Sex Workers: Prevalence and Associations With Behavior, Environment, and Sexual History.
- Author
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Malama, Kalonde, Sagaon-Teyssier, Luis, Parker, Rachel, Tichacek, Amanda, Sharkey, Tyronza, Kilembe, William, Inambao, Mubiana, Price, Matt A., Spire, Bruno, and Allen, Susan
- Subjects
HIV infection risk factors ,STATISTICS ,CONFIDENCE intervals ,HUMAN sexuality ,CROSS-sectional method ,MULTIPLE regression analysis ,VIOLENCE ,SEX work ,RISK assessment ,SEX customs ,PSYCHOLOGY of women ,DISEASE prevalence ,RESEARCH funding ,DESCRIPTIVE statistics ,CHI-squared test ,LOGISTIC regression analysis ,ODDS ratio ,DATA analysis software - 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. [ABSTRACT FROM AUTHOR]
- Published
- 2021
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