Client-Initiated Violence Against Zambian Female Sex Workers: Prevalence and Associations With Behavior, Environment, and Sexual History. Issue 17 (September 2021)

• Record Type: Journal Article
• Authors: Malama, Kalonde; Sagaon-Teyssier, Luis; Parker, Rachel; Tichacek, Amanda; Sharkey, Tyronza; Kilembe, William; Inambao, Mubiana; Price, Matt A.; Spire, Bruno; Allen, Susan
• Is Part Of: Journal of interpersonal violence. Volume 36:Issue 17/18(2021)
• Page Start: NP9483
• Page End: NP9500
• Publication Date: 2021-09
• Subjects: physical violence -- female sex workers -- clients -- HIV -- Zambia; Violence -- Periodicals; Sex crimes -- Periodicals; Violence -- Périodiques; Crimes sexuels -- Périodiques; 364.15
• DOI: 10.1177/0886260519860083
• Languages: English
• ISSNs: 0886-2605

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.