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Client-Initiated Violence Against Zambian Female Sex Workers: Prevalence and Associations With Behavior, Environment, and Sexual History

Kalonde Malama 1 Luis Sagaon-Teyssier 1 Rachel Parker 2 Amanda Tichacek 2 Tyronza Sharkey 2 William Kilembe 2 Mubiana Inambao 2 Matt Price 3 Bruno Spire 1 Susan Allen 2
1 SESSTIM - U1252 INSERM - Aix Marseille Univ - UMR 259 IRD - Sciences Economiques et Sociales de la Santé & Traitement de l'Information Médicale
2 Emory University School of Medicine
3 UCSF - University of California [San Francisco]
Abstract : Violence against women is a known risk factor for HIV and affects female sex workers (FSW) in sub-Saharan Africa. Little is known about the magnitude and determinants of violence against FSW in Zambia, where HIV and gender-based violence prevalence are high. We conducted a cross-sectional study, using multivariable logistic regression, to determine the prevalence and correlates of client-initiated physical violence among 419 FSW in Lusaka and Ndola. The prevalence of client-initiated physical violence was 39%. The odds of violence were higher for FSW who: lived in Lusaka, recruited clients from the street, serviced clients in the clients’ homes, had a physically forced sexual debut, and had a higher client volume. Our results call for safer working spaces for FSW and violence prevention interventions for their male clients.
Keywords : physical violence female sex workers clients HIV Zambia
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https://hal-amu.archives-ouvertes.fr/hal-02612967
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Submitted on : Tuesday, May 19, 2020 - 5:19:03 PM
Last modification on : Monday, May 25, 2020 - 1:58:10 PM

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UNIV-AMU | U1252 | INSERM

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Kalonde Malama, Luis Sagaon-Teyssier, Rachel Parker, Amanda Tichacek, Tyronza Sharkey, et al.. Client-Initiated Violence Against Zambian Female Sex Workers: Prevalence and Associations With Behavior, Environment, and Sexual History. Journal of Interpersonal Violence, SAGE Publications, 2019, pp.088626051986008. ⟨10.1177/0886260519860083⟩. ⟨hal-02612967⟩

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