Violence experience by perpetrator and associations with HIV/STI risk and infection: a cross-sectional study among female sex workers in Karnataka, south India

摘要: Objectives Female sex workers (FSWs) experience violence from a range of perpetrators, but little is known about how across multiple settings (workplace, community, domestic) impacts on HIV/sexually transmitted infection (STI) risk. We examined whether HIV/STI risk differs by the perpetrator violence. Methods An Integrated Biological and Behavioural Assessment survey was conducted among random samples FSWs in two districts (Bangalore Shimoga) Karnataka state, south India, 2011. Physical sexual past six months, workplace (client, police, coworker, pimp) or community (stranger, rowdy, neighbour, auto-driver) perpetrators assessed, as physical intimate partner 12 months. Weighted, bivariate multivariate analyses were used to examine associations between Results 1111 included (Bangalore=718, Shimoga=393). Overall, 34.9% reported recent and/or Violence experienced domestic (27.1%), (11.1%) (4.2%) with 6.2% participants reporting both non-domestic (workplace/community) perpetrators. Adjusted analysis suggests that workplace/community more important increasing during work (lower condom use clients; client FSW under influence alcohol at last sex) than However, women who had highest odds high-titre syphilis infection, STI symptoms breakage sex, lowest regular clients compared only. Conclusion experiencing home. Effective prevention programmes need include interventions address their personal working lives.