Work-related violence and inconsistent condom use with non-paying partners among female sex workers in Adama City, Ethiopia

BMC Public Health

Deanna Kerrigan³  Caitlin E Kennedy³  Evelyn Kuor Kumoji⁴  Heather M Bradley²  Aklilu Kidanu¹  Alyssa Mooney³ 

[1]Miz-Hasab Research Center, Haile Gebre Selassie Road, Addis Ababa, Ethiopia

[2]3Centers for Disease Control and Prevention, Division of STD Prevention, 1600 Clifton Rd, NE, MS E-02, Atlanta, Georgia, USA

[3]Department of International Health, Johns Hopkins Bloomberg School of Public Health, 615 North Wolfe Street, Baltimore, MD, USA

[4]Center for Communication Programs, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA

关键词: Alcohol abuse;    Violence;    Condom use;    Ethiopia;    HIV/AIDS;    Sex workers;   

Others  :  1161909
DOI  :  10.1186/1471-2458-13-771

 received in 2012-10-24, accepted in 2013-08-21,  发布年份 2013

【 摘 要 】

Background

Although reported condom use between female sex workers and their clients is high in Ethiopia, condom use with regular, non-paying partners remains low, posing a substantial risk of HIV infection to sex workers, their partners and the general population. Previous studies have identified the synergistic effects of substance abuse, violence and HIV risk, but few have examined these inter-relationships among female sex workers and their regular, non-paying partners. This study explored the associations between work-related violence, alcohol abuse and inconsistent condom use among establishment-based female sex workers and their regular, non-paying partners in Adama City, Ethiopia.

Methods

A cross-sectional survey was conducted with 350 establishment-based female sex workers, aged 15–35, at 63 bars, hotels and nightclubs. Multivariate logistic regression analysis was conducted to test the association between work-related violence and condom use with regular, non-paying partners, controlling for age, overall income, education and sex workers’ total number of sexual partners in the past week. Alcohol abuse was explored as an effect modifier.

Results

Respondents reported a high prevalence of work-related violence (59%) and alcohol abuse (51%). Work-related violence was statistically significantly associated with unprotected sex with regular, non-paying partners among those who abused alcohol (OR: 6.34, 95% CI: 2.43-16.56) and among those who did not (OR: 2.98, 95% CI: 1.36-6.54). Alcohol abuse was not associated with inconsistent condom use within these partnerships, though it may strengthen the effect of work-related violence on unprotected sex.

Conclusions

Findings suggest violence against establishment-based female sex workers is associated with HIV risk within regular, non-paying partnerships. Qualitative work is needed to better understand the links between a violent work environment and condom use with regular, non-paying partners and how interventions can be implemented in this context to prevent violence against sex workers and reduce HIV transmission.

【 授权许可】

   
2013 Mooney et al.; licensee BioMed Central Ltd.

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