卢旺达女性性工作者中的性暴力和身体暴力及其相关因素:一项横断面调查。

Sexual and physical violence and associated factors among female sex workers in Rwanda: a cross-sectional survey.

作者信息

Mutagoma Mwumvaneza, Nyirazinyoye Laetitia, Sebuhoro Dieudonné, Riedel David J, Ntaganira Joseph

机构信息

1 School of Public Health, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.

2 Ministry of Health, Kigali, Rwanda.

出版信息

Int J STD AIDS. 2019 Mar;30(3):241-248. doi: 10.1177/0956462418800848. Epub 2018 Nov 4.

Abstract

Female sex workers (FSWs) frequently face violence in their working place. This study assessed the physical and sexual violence and associated factors among FSWs in Rwanda. A cross-sectional study was conducted among FSWs in Rwanda in 2015. Venue-Day-Time sampling method was used for recruitment. Descriptive analyses and logistic regression models were computed to assess factors associated with violence. In total, 1978 FSWs were recruited. A large proportion (18.3%) had been sexually abused outside of the family circle, and 37.8% had faced physical violence before 15 years of age. Clients were most often reported (67.0%) as perpetrators of physical violence in sex work. Being aged 25 years old and above, and having sexually transmitted infections (STIs) were positively associated with sexual violence (aOR = 2.1[95%CI: 1.80-2.39]) and (aOR = 3.0[95%CI: 1.01-2.14], respectively). Being aged 25 years old and above (aOR = 0.8[95%CI: 0.76-0.89]) and drinking alcohol every day (aOR = 0.6[95%CI: 0.42-0.87]) were negatively associated with physical violence. Sexual and physical violence was common among FSWs in Rwanda. Single FSWs are the most vulnerable to sexual violence. Alcohol consumption and having STIs are associated with violence against FSWs. Human rights and social protection as well as health promotion among FSWs is needed.

摘要

女性性工作者(FSW)在工作场所经常面临暴力。本研究评估了卢旺达女性性工作者中的身体暴力和性暴力及其相关因素。2015年在卢旺达的女性性工作者中进行了一项横断面研究。采用场所-日期-时间抽样方法进行招募。进行描述性分析和逻辑回归模型以评估与暴力相关的因素。总共招募了1978名女性性工作者。很大一部分(18.3%)在家庭圈子之外遭受过性虐待,37.8%在15岁之前曾面临身体暴力。在性工作中,客户最常被报告为身体暴力的实施者(67.0%)。年龄在25岁及以上以及患有性传播感染(STIs)与性暴力呈正相关(调整后比值比[aOR]分别为2.1[95%置信区间:1.80 - 2.39])和3.0[95%置信区间:1.01 - 2.14])。年龄在25岁及以上(aOR = 0.8[95%置信区间:0.76 - 0.89])和每天饮酒(aOR = 0.6[95%置信区间:0.42 - 0.87])与身体暴力呈负相关。性暴力和身体暴力在卢旺达的女性性工作者中很常见。单身女性性工作者最容易遭受性暴力。饮酒和患有性传播感染与针对女性性工作者的暴力有关。需要在女性性工作者中开展人权、社会保护以及健康促进工作。

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