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What determines violence among female sex workers in an intimate partner relationship? Findings from North Karnataka, south India

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dc.contributor.author Javalkar, Prakash
dc.contributor.author Platt, Lucy
dc.contributor.author Prakash, Ravi
dc.contributor.author Beattie, Tara
dc.contributor.author Bhattacharjee, Parinita
dc.contributor.author Thalinja, Raghavendra
dc.contributor.author L., Kavitha D
dc.contributor.author Sangha, Chaitanya A T M
dc.contributor.author Ramanaik, Satyanarayana
dc.contributor.author Collumbien, Martine
dc.contributor.author Davey, Calum
dc.contributor.author Moses, Stephen
dc.contributor.author Jewkes, Rachel
dc.contributor.author Isac, Shajy
dc.contributor.author Heise, Lori
dc.date.accessioned 2019-04-01T05:57:11Z
dc.date.issued 2019-03-29
dc.identifier.citation BMC Public Health. 2019 Mar 29;19(1):350
dc.identifier.uri https://doi.org/10.1186/s12889-019-6673-9
dc.identifier.uri http://hdl.handle.net/1993/33803
dc.description.abstract Abstract Background Like other women in India, female sex workers (FSWs) frequently experience violence from their intimate partners (IPs)-a reality that increases their risk of acquiring HIV or other sexually transmitted infections. Less is known about the nature of these intimate relationships or what aspect of the relationship increases the risk of IP violence (IPV). We measured the prevalence and determinants of IPV on FSWs in the context of north Karnataka, India, characterized by high HIV-prevalence and extreme poverty. Methods Overall 620 FSWs with an IP participated in a baseline survey conducted for an on-going cluster-randomised controlled trial aiming to evaluate the impact of a multi-level intervention on IPV reduction. We characterize the nature of intimate relationships and explored determinants of severe physical and/or sexual IP violence using univariable and multivariable analyses. Results The median age of participants was 35 years with 10 years of duration in an intimate relationship. Though most relationships originated from a sex work encounter, 84% stated that IPs did not know they were currently practicing sex work. In past 6 months, the experience of emotional violence was 49% (95%CI:45.2–53.2), physical 33% (95%CI:29.5–37.1) and sexual violence 7% (95%CI:4.8–8.9), while 24% (95%CI:21.0–27.9) FSWs experienced recent severe physical and/or sexual violence from IPs. Factors associated with recent IPV included experience of physical and/or sexual violence from their clients in last 6 months (AOR 2.20; 95%CI: 1.29–3.75), sexual intercourse in the past 1 month when their IP was under the influence of alcohol (AOR 2.30; 95%CI: 1.47–3.59) and providing financial support to their IP (AOR 2.07; 95%CI: 1.28–3.34). Conclusions The association between increased risk of violence and provision of financial support to an IP is indicative of gendered power dynamics as men remain dominant irrespective of their financial dependency on FSWs. Interventions are needed that address inequitable gender norms which makes FSWs tolerate violence even though she is not financially dependent on IP. Higher likelihood of violence in presence of alcohol use and FSWs’ previous experience of workplace violence linked to IPV call for strengthening the crisis management systems within community-based organisations that can address all forms of violence and associated risk factors. Trial registration Clinical Trials NCT02807259
dc.rights info:eu-repo/semantics/openAccess
dc.title What determines violence among female sex workers in an intimate partner relationship? Findings from North Karnataka, south India
dc.type Journal Article
dc.type info:eu-repo/semantics/article
dc.language.rfc3066 en
dc.rights.holder The Author(s).
dc.date.updated 2019-04-01T05:57:11Z


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