The context of economic insecurity and its relation to violence and risk factors for HIV among female sex workers in Andhra Pradesh, India.

Public Health Reports
Elizabeth ReedKim M Blankenship

Abstract

We examined the context of economic insecurity and debt among female sex workers (FSWs), how this context varies among FSWs, and its association with experiences of violence and sexual risk factors for human immunodeficiency virus (HIV). We recruited FSWs aged > or =18 years (n = 673) through respondent-driven sampling for a survey on HIV risk in this region. Using logistic regression models (adjusted for partner status, education, financial support, and literacy), we assessed the relation between debt and sexual and physical victimization as well as sexual risk. We also conducted qualitative interviews with a subsample of the survey participants and examined these for related themes. In adjusted logistic regression models, FSWs who reported debt were more likely to report the following: recent physical violence (adjusted odds ratio [AOR] = 2.4, 95% confidence interval [CI] 1.5, 3.9), unprotected sex with occasional clients in the past week (AOR = 2.3, 95% CI 1.2, 4.3), anal sex with clients in the past 30 days (AOR = 2.0, 95% CI 1.1, 3.9), and at least one sexually transmitted infection symptom in the past six months (AOR = 1.6, 95% CI 1.1, 2.4). FSWs with debt were more likely to report current husbands or other male partners...Continue Reading

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Citations

Feb 15, 2013·American Journal of Reproductive Immunology : AJRI·Michele R DeckerDeanna L Kerrigan
Mar 15, 2014·American Journal of Public Health·Kathleen N DeeringKate Shannon
Dec 25, 2015·The Journal of Family Planning and Reproductive Health Care·Elizabeth ReedKim M Blankenship
Sep 27, 2018·PloS One·Bidhubhusan MahapatraNiranjan Saggurti
Feb 15, 2019·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Anna L BowringStefan Baral
May 8, 2019·PloS One·Rajneesh Kumar Joshi, Sanjay M Mehendale
Aug 23, 2020·Tropical Medicine and Infectious Disease·Pande Putu JanuragaPaul R Ward
Dec 12, 2012·American Journal of Reproductive Immunology : AJRI·Kristin L Dunkle, Michele R Decker
Dec 30, 2016·AIDS Care·Elizabeth ReedKaveh Khoshnood
Dec 24, 2015·Journal of Urban Health : Bulletin of the New York Academy of Medicine·Brooke S WestUNKNOWN Proyecto Mujer Mas Segura
Mar 19, 2013·BMC Public Health·Andrea K BlanchardJames F Blanchard
Apr 28, 2012·Psychology of Women Quarterly·Hortensia AmaroMonica Ulibarri
Feb 28, 2014·Journal of Empirical Research on Human Research Ethics : JERHRE·Elizabeth ReedCelia B Fisher
May 16, 2015·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Nabila El-Bassel, Steffanie A Strathdee

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