Pack Allison P, L'engle Kelly, Mwarogo Peter, Kingola Nzioki
a FHI 360 , Durham, North Carolina , USA.
Cult Health Sex. 2013 Dec 11. doi: 10.1080/13691058.2013.857046.
Female sex workers are known to be at risk of intimate partner violence (IPV) from numerous sources including clients, pimps, boyfriends and husbands. Better understanding the factors associated with IPV in this population will enhance prevention efforts. This work examines baseline survey data collected as part of a randomised controlled trial for an alcohol-harm reduction intervention. The study sample included 619 sex workers. IPV was common in this sample, with 78.7% of women reporting any IPV in the last 30 days. Multivariate logistic regression results indicated that supporting one to two other people, experiencing child abuse, witnessing mother abuse, and greater alcohol consumption were risk factors for IPV in our sample. Women who frequented Population, Health and Integrated Assistance (APHIA) II drop-in centres located along transport corridors were also at greater risk of recent IPV, as compared with those who frequented other drop-in centres. Only one protective effect was identified in this study: condom use at last sex with a non-paying partner was associated with less recent IPV. Health programmes for women sex workers in Mombasa and elsewhere need to expand beyond HIV prevention - they need to incorporate information on violence prevention and treatment referrals, as well as information on alcohol harm reduction.
众所周知，女性性工作者面临来自众多方面的亲密伴侣暴力（IPV）风险，这些方面包括客户、皮条客、男友和丈夫。更好地了解该人群中与亲密伴侣暴力相关的因素将加强预防工作。这项研究分析了作为酒精危害减少干预随机对照试验一部分收集的基线调查数据。研究样本包括619名性工作者。亲密伴侣暴力在该样本中很常见，78.7%的女性报告在过去30天内遭受过任何形式的亲密伴侣暴力。多因素逻辑回归结果表明，供养一到两个其他人、遭受儿童期虐待、目睹母亲受虐以及饮酒量较大是我们样本中亲密伴侣暴力的风险因素。与光顾其他救助中心的女性相比，经常光顾沿交通走廊分布的人口、健康与综合援助（APHIA）II救助中心的女性近期遭受亲密伴侣暴力的风险也更高。本研究仅确定了一种保护作用：与非付费伴侣最后一次性行为时使用避孕套与近期较少遭受亲密伴侣暴力有关。蒙巴萨及其他地区针对女性性工作者的健康项目需要超越艾滋病毒预防范畴——它们需要纳入预防暴力和治疗转诊信息，以及减少酒精危害的信息。
