Structural Determinants of Client Perpetrated Violence Among Female Sex Workers in Two Mexico-US Border Cities

被引:16
作者
Conners, Erin E. [1 ,2 ,3 ]
Silverman, Jay G. [1 ]
Ulibarri, Monica [4 ]
Magis-Rodriguez, Carlos [5 ]
Strathdee, Steffanie A. [1 ]
Staines-Orozco, Hugo [6 ]
Patterson, Thomas L. [4 ]
Brouwer, Kimberly C. [1 ]
机构
[1] Univ Calif San Diego, Dept Med, Div Global Publ Hlth, 9500 Gilman Dr,MC 0507, San Diego, CA 92093 USA
[2] Univ Calif San Diego, Joint Doctoral Program Publ Hlth, San Diego, CA 92103 USA
[3] San Diego State Univ, San Diego, CA 92182 USA
[4] Univ Calif San Diego, Dept Psychiat, San Diego, CA 92103 USA
[5] Ctr Nacl Prevenc & Control VIH & SIDA CENSIDA, Mexico City, DF, Mexico
[6] Univ Autonoma Ciudad Juarez, Fac Med, Ciudad Juarez, Mexico
基金
美国国家卫生研究院;
关键词
HIV; Client perpetrated violence; Sex work; INTIMATE PARTNER VIOLENCE; HIV PREVENTION; ANDHRA-PRADESH; RISK; PREVALENCE; ABUSE; INTERVENTION; BEHAVIORS; EPIDEMICS; INFECTION;
D O I
10.1007/s10461-015-1111-1
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Female sex workers (FSWs) are disproportionately affected by both HIV and gender-based violence, such as that perpetrated by clients (CPV). We used a structural determinants framework to assess correlates of physical or sexual CPV in the past 6 months among FSWs in the Mexico/U.S. border cities of Ciudad Juarez and Tijuana. Bivariate and multivariate logistic regression analysis identified individual, client, interpersonal, work environment and macrostructural factors associated with recent CPV. Among 496 FSWs, 5 % experienced recent CPV. Witnessing violence towards other FSWs in one's neighborhood (aOR 5.6, 95 % CI 1.8-17.2), having a majority of foreign (aOR 3.5, 95 % CI 1.4-8.4) or substance using (aOR 4.0, 95 % CI 1.5-10.4) clients, and being a street worker (aOR 3.0, 95 % CI 1.1-7.7) were independently associated with recent CPV. Our findings underscore the vulnerability of FSWs and the need to design policies and interventions addressing macro-level influences on CPV rather than exclusively targeting individual behaviors.
引用
收藏
页码:215 / 224
页数:10
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