Sexual violence, condom negotiation, and condom use in the context of sex work: results from two West African countries

Journal of Acquired Immune Deficiency Syndromes : JAIDS
Andrea L WirtzStefan Baral

Abstract

Female sex workers (FSWs) are vulnerable to violence within and beyond the workplace. Violence is associated with increased burden of HIV, possibly explained through physiologic or behavioral causal pathways. These analyses sought to determine the relationship between lifetime sexual violence with unprotected, condomless vaginal intercourse (UVI) among FSWs in West Africa. FSWs (aged ≥18 years) were recruited into a cross-sectional study through respondent-driven sampling in two West African countries, Togo and Burkina Faso. A total of 1380 participants were enrolled from January to July 2013, and completed a sociobehavioral questionnaire and HIV testing. Measures included sex work history, lifetime experiences of violence victimization, sexual practices, and UVI (past month). Crude and adjusted robust log binomial regression was conducted to estimate prevalence ratios (PrR) as a measure of association between UVI with clients and the primary exposure, forced sex. Self-reported lifetime physical abuse (47.3%), forced sex (33.0%), and any violence (57.9%) were common. Almost one-quarter (23.9%) reported recent UVI with clients. History of forced sex was independently associated with recent UVI with clients [vs. none, adjusted Pr...Continue Reading

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Citations

May 4, 2017·American Journal of Reproductive Immunology : AJRI·Annette AldousMimi Ghosh
Oct 5, 2017·Journal of the International Association of Providers of AIDS Care·Mohammad KaramouzianAli Mirzazadeh
Apr 21, 2016·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Shira M GoldenbergKate Shannon
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Jun 3, 2021·International Journal of Environmental Research and Public Health·Ramiro Figueiredo CatelanAngelo Brandelli Costa
Aug 18, 2021·Global Public Health·Nicole Herpai On Behalf Of The Dynamics Study Team

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