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

摘要: Like other women in India, female sex workers (FSWs) frequently experience violence from their intimate partners (IPs)-a reality that increases risk of acquiring HIV or sexually transmitted infections. Less is known about the nature these relationships what aspect relationship IP (IPV). We measured prevalence and determinants IPV on FSWs context north Karnataka, characterized by high HIV-prevalence extreme poverty. Overall 620 with an participated a baseline survey conducted for on-going cluster-randomised controlled trial aiming to evaluate impact multi-level intervention reduction. characterize explored severe physical and/or sexual using univariable multivariable analyses. The median age participants was 35 years 10 years duration relationship. Though most originated work encounter, 84% stated IPs did not know they were currently practicing work. In past 6 months, emotional 49% (95%CI:45.2–53.2), 33% (95%CI:29.5–37.1) 7% (95%CI:4.8–8.9), while 24% (95%CI:21.0–27.9) experienced recent IPs. Factors associated included clients last 6 months (AOR 2.20; 95%CI: 1.29–3.75), intercourse 1 month when under influence alcohol 2.30; 1.47–3.59) providing financial support 2.07; 1.28–3.34). association between increased provision indicative gendered power dynamics as men remain dominant irrespective dependency FSWs. Interventions are needed address inequitable gender norms which makes tolerate even though she financially dependent IP. Higher likelihood presence use FSWs’ previous workplace linked call strengthening crisis management systems within community-based organisations can all forms factors. Clinical Trials NCT02807259