1. Client-Initiated Violence Against Zambian Female Sex Workers: Prevalence and Associations With Behavior, Environment, and Sexual History.
- Author
-
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
- Full Text
- View/download PDF