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

2018 ◽  
Vol 30 (3) ◽  
pp. 241-248 ◽  
Author(s):  
Mwumvaneza Mutagoma ◽  
Laetitia Nyirazinyoye ◽  
Dieudonné Sebuhoro ◽  
David J Riedel ◽  
Joseph Ntaganira
Keyword(s):  
Sexual Violence ◽  
Sex Workers ◽  
Associated Factors ◽  
Female Sex Workers ◽  
Social Protection ◽  
Physical Violence ◽  
Cross Sectional Study ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Female Sex

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.

scholarly journals HIV-1 and Syphilis Prevalence Among Local Chinese and Cross-Border Migrant Female Sex Workers in Sino-Vietnam Border Cities in Guangxi, China: A Nine-Year Consecutive Cross-Sectional Study

2021 ◽  
Author(s):  
Bingyu Liang ◽  
Fei Zhang ◽  
Dongmei Wei ◽  
Peidong Zhang ◽  
Guangwu Wei ◽  
...  
Keyword(s):  
Sex Workers ◽  
Associated Factors ◽  
Female Sex Workers ◽  
Cross Sectional Study ◽  
Hcv Infection ◽  
Syphilis Infection ◽  
Cross Sectional ◽  
Female Sex ◽  
Male Clients ◽  
Hiv 1

Abstract Background To analyze the trends of HIV-1 and syphilis prevalence as well as associated factors among local Chinese female sex workers (LCFSWs) and cross-border migrant female sex workers (CMFSWs) in Sino-Vietnam border cities in Guangxi, China. Methods A consecutive cross-sectional study was conducted from 2010 to 2018 in three border cities in Guangxi. The survey was conducted through face-to-face interview with a structured questionnaire. HIV-1 and syphilis infections were tested simultaneously. Cochran-Armitage analysis was used to assess the trends of HIV-1, syphilis and HCV prevalence, as well as the trend of risk behaviors, HIV/AIDS knowledge and prevention services. Multivariate logistics regression analysis was used to identify factors associated with HIV-1 and syphilis infection.Results Totally, 19873 LCFSWs and 1723 CMFSWs were enrolled. The overall prevalence of HIV-1 and syphilis infection was 0.91% and 5.14%, respectively. The HIV-1 prevalence among CMFSWs was higher than that among LCFSWs, without a declined trend. However, a downward trend was observed among LCFSWs. Overall, the main associated factors of HIV-1 infection among CMFSWs shifted from age >35 years old, staying in current residence for >12 months, self-reporting of STIs in the last year during 2010-2015 to inconsistent condoms use in commercial sex in the past month, HCV infection, self-reporting of STIs in the last year during 2016-2018. The main correlated factors of syphilis infection among CMFSWs changed from staying in current residence for 6~12 months, self-reporting of STIs in the last year, HCV infection during 2010-2015 to low-tier working venues, self-reporting of STIs in the last year, sexing with commercial male clients who used aphrodisiac drugs during 2016-2018. For LCFSWs, the relative strong associated factors of HIV-1 infection shifted from primary school or illiterate education background, illicit drugs use during 2010-2015 to the marital status of unmarried/divorced/widowed, sexing with commercial male clients who use aphrodisiac drugs during 2016-2018, while the main factors of syphilis infection changed from self-reporting of STIs in the last year, illicit drug use during 2010-2015 to self-reporting of STIs in the last year, HCV infection during 2016-2018.Conclusions The relatively higher prevalence of HIV-1 infection and frequent risk behaviours among CMFSWs in border cities in Guangxi, indicating that CMFSWs is the high-risk population for HIV-1 infection and transmission in the region, and is the key population of HIV/AIDS prevention and control. Meanwhile, the change of HIV infection-associated risk factors over time suggests that HIV intervention strategies need to be changed accordingly.

scholarly journals Virologic suppression and associated factors in HIV infected Ugandan female sex workers: a cross-sectional study

2021 ◽  
Vol 21 (2) ◽  
pp. 603-613
Author(s):  
Darius Owachi ◽  
Godwin Anguzu ◽  
Joanita Kigozi ◽  
Janneke Cox ◽  
Barbara Castelnuovo ◽  
...  
Keyword(s):  
General Population ◽  
Sex Workers ◽  
Associated Factors ◽  
Female Sex Workers ◽  
Retention In Care ◽  
Cross Sectional Study ◽  
Virologic Suppression ◽  
Cross Sectional ◽  
Female Sex ◽  
Clinical Records

Introduction: Key populations have disproportionately higher HIV prevalence rates than the general population. Objective: To determine the level of virologic suppression and associated factors in female Commercial Sex Workers (CSW) who completed six months of ART and compare with the female general population (GP). Methods: Clinical records of CSW and GPs who initiated ART between December 2014 to December 2016 from seven urban clinics were analyzed to determine virologic suppression (viral load < 1000 copies/ml) and associated factors. Results: We identified 218 CSW and 182 female GPs. CSW had median age of 28 (IQR 25-31) vs 31 (IQR 26-37); median baseline CD4 446 (IQR 308-696) vs 352 (IQR 164–493) cells/microL; and optimal ART adherence levels at 70.6% vs 92.8% respectively, compared to GP. Virologic suppression in CSW and GPs was 85.7% and 89.6% respectively, P=0.28. Overall virologic suppression in CSW was 55% while Retention in care after 6 months of ART was 77.5%. Immediate ART initiation (<2weeks) and tuberculosis independently predicted virologic suppression in CSW with adjusted odds ratios 0.07 (95% C.I. 0.01-0.55, P=0.01) and 0.09 (95% C.I. 0.01-0.96, P=0.046) respectively. Conclusion: Virologic suppression in both groups is similar, however, intensified follow-up is needed to improve treatment outcomes. Keywoeds: HIV infected Ugandans; female sex workers.

scholarly journals Prevalence and correlates of physical violence and rape among female sex workers in Ethiopia: a cross-sectional study with respondent-driven sampling from 11 major towns

BMJ Open ◽  
2019 ◽  
Vol 9 (7) ◽  
pp. e028247 ◽  
Author(s):  
Minilik Demissie Amogne ◽  
Taye Tolera Balcha ◽  
Anette Agardh
Keyword(s):  
Sex Workers ◽  
Female Sex Workers ◽  
Physical Violence ◽  
Red Light ◽  
Cross Sectional Study ◽  
Heavy Episodic Drinking ◽  
Respondent Driven Sampling ◽  
Sectional Study ◽  
Cross Sectional ◽  
Female Sex

ObjectiveThis study examined the prevalence and correlates of physical violence and rape among female sex workers (FSWs) in Ethiopia.DesignA cross-sectional study using respondent-driven sampling technique.SettingEleven major towns in Ethiopia.Participants4900 FSWs.Main outcome measuresThe prevalence of experiences of physical beating and rape.ResultsAmong FSWs, 17.5% reported physical beating within the last year and 15.2% reported rape since they started selling sex. FSWs aged 35+ years (AOR 0.59, 95% CI 0.38 to 0.92) were less exposed to physical beating than those aged 15–24 years. FSWs working on the street (AOR 1.92, 95% CI 1.53 to 2.39), in red-light houses (AOR 1.63, 95% CI 1.12 to 2.38) and in local drinking houses (AOR 1.35, 95% CI 1.02 to 1.78) experienced more physical beating than FSWs working in bars/hotels. FSWs who consumed alcohol four or more days in a week (AOR 1.92, 95% CI 1.21 to 3.04), and who chewed khat frequently experienced more physical violence. Rape was associated with having a low monthly income, drinking alcohol four or more days per week (AOR 2.33, 95% CI 1.47 to 3.7), experience of heavy episodic drinking in a month (AOR 1.71, 95% CI 1.24 to 2.38) and chewing khat 3–4 days per week (AOR 2.15, 95% CI 1.55 to 2.98). Condom breakage was more frequent among FSWs who reported both physical beating (AOR 1.51, 95% CI 1.25 to 1.84) and rape (AOR 1.26, 95% CI 1.03 to 1.55).ConclusionFSWs in Ethiopia are vulnerable to physical and sexual violence, and the risk increases when they are younger, street-based and high consumers of alcohol or khat. Therefore, targeted efforts are needed for prevention and harm reduction.

scholarly journals Association between treatment for gonorrhoea and chlamydia and lower condom use in a cross-sectional study of female sex workers in southern India

BMJ Open ◽  
2016 ◽  
Vol 6 (5) ◽  
pp. e009774
Author(s):  
Marianne Legendre-Dugal ◽  
Janet Bradley ◽  
Subramanian Potty Rajaram ◽  
Catherine M Lowndes ◽  
Banadakoppa M Ramesh ◽  
...  
Keyword(s):  
Condom Use ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Cross Sectional Study ◽  
Southern India ◽  
Sectional Study ◽  
Cross Sectional ◽  
Female Sex

scholarly journals The Risk Factors Analysis Occurrence of Chlamydia Infection to Direct Female Seks Workers (DFSW) in Indonesia

2018 ◽  
Vol 68 ◽  
pp. 01024
Author(s):  
Masayu Gemala Rabiah ◽  
Rini Mutahar ◽  
Rico Januar Sitorus
Keyword(s):  
Risk Factors ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Cross Sectional Study ◽  
Chlamydia Infection ◽  
Female Sex Worker ◽  
Cross Sectional ◽  
Sex Worker ◽  
Female Sex ◽  
The Government

Chlamydia infection is one of the most common sexually transmitted infections worldwide. Based on data of IBBS 2015 in Indonesia, the highest prevalence of chlamydia occurred in direct female sex worker group (32.21%). This study a STIs to determine the risk factors for chlamydia infection in direct sex workers. This research uses Cross-Sectional study design. The population of this study were all direct female sex workers as many as 3,789 people with samples in accordance with inclusion and exclusion criteria as many as 3.114 people. The prevalence of direct female sex workers with chlamydia infection was 1.018 (32.4%). The result of the analysis showed that there was a relationship between age (PR: 0.541 95% CI: 0.456-0.643) and length of work as FDSW (PR: 1,.60, 95% CI: 1.087-1.512) chlamydia infection in female sex workers in Indonesia. most dominant variable has an effect on the incidence of chlamydia infection that is long working as FDSW after controlled by age (PR 1.282 95% CI: 1.087-1,.12). It is expected for the government to improve the implementation of prevention program of chlamydia not only among female sex worker but also proactive to customer.

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