Department of Medicine, Faculty of Medicine, University of British Columbia, Vancouver, Canada.
Sex Transm Dis. 2013 Feb;40(2):168-74. doi: 10.1097/olq.0b013e31827df174.
This study characterized the type and frequency of violence against female sex workers (FSWs) perpetrated by their clients and their main intimate or other nonpaying partner (NPP) and examined the relationship between violence and inconsistent condom use (ICU, G100%). The factors associated with client violence were also assessed.
Data were analyzed from cross-sectional surveys of FSWs in Karnataka state (2007-2008), India. Multivariable logistic regression was used to assess the following: (1) relationship between client or NPP violence (physical and/or sexual) and ICU by occasional/repeat clients or the NPP and (2) relationship between social and environmental factors and client violence.
Of 1219 FSWs, 9.6% (111) and 3.7% (42) reported experiencing violence by clients and the NPP, respectively. In multivariable analysis, after adjusting for social and environmental factors, the odds of ICU by occasional clients were significantly higher for women who had experienced client violence (adjusted odds ratio [AOR], 2.7; 95% confidence interval (CI), 1.6-4.4). Similar results were found with repeat clients (AOR, 2.2; 95% CI, 1.4-3.4). Nonpaying partner violence was not significantly associated with ICU by the NPP. In multivariable analysis, only being recently arrested remained significantly associated with experiencing client violence (AOR, 1.8; 95% CIs, 1.0-3.3).
The findings from this study provide evidence of a relationship between experiencing client violence and ICU by occasional and repeat clients, and a relationship between being arrested and client violence. Comprehensive structural/policy programming for FSWs, including within HIV-focused prevention programs, is urgently needed to help reduce FSWs' vulnerability to violence
本研究描述了客户对女性性工作者（FSW）实施的暴力行为的类型和频率，以及他们的主要亲密伴侣或其他非付费伴侣（NPP）实施的暴力行为，并考察了暴力行为与不一致使用避孕套（G100%）之间的关系。还评估了与客户暴力相关的因素。
本研究对印度卡纳塔克邦（2007-2008 年）FSW 的横断面调查数据进行了分析。多变量逻辑回归用于评估以下内容：（1）偶尔/重复客户或 NPP 的暴力（身体和/或性暴力）与 ICU 之间的关系；（2）社会和环境因素与客户暴力之间的关系。
在 1219 名 FSW 中，分别有 9.6%（111 名）和 3.7%（42 名）报告遭受客户和 NPP 的暴力。在多变量分析中，调整社会和环境因素后，遭受过客户暴力的女性发生偶尔客户 ICU 的可能性显著增加（调整后的优势比 [AOR]，2.7；95%置信区间 [CI]，1.6-4.4）。与重复客户（AOR，2.2；95%CI，1.4-3.4）也有类似的结果。NPP 的非支付伴侣暴力与 ICU 无显著相关性。在多变量分析中，只有最近被捕与经历客户暴力之间仍存在显著相关性（AOR，1.8；95%CI，1.0-3.3）。
本研究结果为经历客户暴力与偶尔和重复客户的 ICU 之间的关系以及被捕与客户暴力之间的关系提供了证据。迫切需要为 FSW 提供全面的结构/政策规划，包括在 HIV 重点预防计划中，以帮助减少 FSW 遭受暴力的脆弱性。
