Structural Determinants of Client Perpetrated Violence Among Female Sex Workers in Two Mexico-U.S. Border Cities.

摘要: Female sex workers (FSWs) are disproportionately affected by both HIV and gender-based violence, such as that perpetrated clients (CPV). We used a structural determinants framework to assess correlates of physical or sexual CPV in the past 6 months among FSWs Mexico/U.S. border cities Ciudad Juarez Tijuana. Bivariate multivariate logistic regression analysis identified individual, client, interpersonal, work environment macrostructural factors associated with recent CPV. Among 496 FSWs, 5 % experienced Witnessing violence towards other one's neighborhood (aOR 5.6, 95 CI 1.8-17.2), having majority foreign 3.5, 1.4-8.4) substance using 4.0, 1.5-10.4) clients, being street worker 3.0, 1.1-7.7) were independently Our findings underscore vulnerability need design policies interventions addressing macro-level influences on rather than exclusively targeting individual behaviors.