a Pathfinder International , Maputo , Mozambique.
b US Centers for Disease Control and Prevention , Maputo , Mozambique.
Cult Health Sex. 2019 Aug;21(8):898-913. doi: 10.1080/13691058.2018.1524512. Epub 2018 Nov 19.
Violence against women, including female sex workers, is a public health concern worldwide. This is the first study in Mozambique to estimate the prevalence of and factors associated with physical and sexual violence against female sex workers. We used data collected from 1,250 women recruited using respondent-driven sampling in the cities of Maputo, Beira and Nampula in 2011-12. Participants were 15 years of age and reported having had sex for money in the preceding six months. Prevalence of physical or sexual violence (defined as being hit or battered or raped or forced to have sex within the last 6 months) ranged from 10.0% to 25.6%. Strangers (37.0%) and acquaintances (31.2%) were reported to be the most frequent perpetrators of sexual violence. Among participants who experienced sexual violence, 65.9% and 87.0% did not seek medical care and police assistance, respectively. Physical or sexual violence was associated with city (adjusted odds ratio [AOR] 2.6 and 2.0 Nampula and Beira vs Maputo), age (AOR 1.9, aged 15-24 years vs aged 25 and older), unprotected sex with last client (AOR 1.6) and self-reported sexually transmitted infections (AOR 2.1). The high prevalence of violence found confirms the need for interventions to mitigate this problem.
针对妇女的暴力行为，包括性工作者，是全世界公共卫生关注的问题。这是莫桑比克首例旨在评估性工作者遭受身体和性暴力的流行率及其相关因素的研究。我们使用了 2011-2012 年在马普托、贝拉和楠普拉市通过回应者驱动抽样方法招募的 1250 名女性的数据。参与者年龄在 15 岁以上，报告称在过去六个月中曾因性交易而获得金钱。身体或性暴力（定义为在过去 6 个月内被打、被殴打、被强奸或被迫发生性行为）的流行率为 10.0%至 25.6%。陌生人（37.0%）和熟人（31.2%）被报告为性暴力的最常见施害者。在经历过性暴力的参与者中，分别有 65.9%和 87.0%的人没有寻求医疗和警察援助。身体或性暴力与城市（调整后的优势比[OR]为 2.6 和 2.0，楠普拉和贝拉与马普托相比）、年龄（OR 为 1.9，15-24 岁年龄组与 25 岁及以上年龄组相比）、与上次客户无保护性行为（OR 为 1.6）和自我报告的性传播感染（OR 为 2.1）有关。发现的高暴力流行率证实需要采取干预措施来减轻这一问题。
