Open AccessClient-Initiated Violence Against Zambian Female Sex Workers: Prevalence and Associations With Behavior, Environment, and Sexual History
Author(s) -
Kalonde Malama,
Luis Sagaon-Teyssier,
Rachel Parker,
Amanda Tichacek,
Tyronza Sharkey,
William Kilembe,
Mubiana Inambao,
Matt A. Price,
Bruno Spire,
Susan Allen
Publication year - 2019
Publication title -
journal of interpersonal violence
Language(s) - English
Resource type - Journals
eISSN - 1552-6518
pISSN - 0886-2605
DOI - 10.1177/0886260519860083
Subject(s) - psychological intervention , medicine , domestic violence , sexual violence , logistic regression , demography , odds , sex work , poison control , occupational safety and health , injury prevention , cross sectional study , suicide prevention , human immunodeficiency virus (hiv) , environmental health , psychiatry , family medicine , nursing , sociology , pathology
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.