Declines in violence and police arrest among female sex workers in Karnataka state, south India, following a comprehensive HIV prevention programme
Declines in violence and police arrest among female sex workers in Karnataka state, south India, following a comprehensive HIV prevention programme
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DOI：
10.7448/ias.18.1.20079
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发表时间：
2015-10-16
影响因子：
6
通讯作者：
Heise, Lori
中科院分区：
文献类型：
--
作者：
Beattie, Tara S.;Bhattacharjee, Parinita;Heise, Lori
简介：女性性工作者（FSW）经常遭受警察或其客户的暴力、骚扰和逮捕，但几乎没有证据表明这些因素可能对艾滋病毒风险产生影响，也没有证据表明社区干预措施是否可以减轻这种影响。作为评价卡纳塔克邦Avahan方案的一部分，系列综合行为和生物评估调查（四区）（2005至2011年）及不记名投票站调查（16区）（2007至2011年），并以随机抽样方式抽取女性社工。采用逻辑回归分析评估：（1）报告的暴力和逮捕随时间的变化;（2）非伴侣暴力和警察逮捕与艾滋病毒/性传播感染风险和流行率之间的关联。中介分析被用来识别中介因素。结果：5,792名FSW参与了IBBA和15,813名参与了PBS。随着时间的推移，在过去一年中报告被强奸的FSW的百分比（PBS）显著下降（2007年为30.0%，2011年为10.0%，p
Introduction: Female sex workers (FSWs) frequently experience violence, harassment and arrest by the police or their clients, but there is little evidence as to the impact that such factors may have on HIV risk or whether community interventions could mitigate this impact.Methods: As part of the evaluation of the Avahan programme in Karnataka, serial integrated behavioural and biological assessment (IBBA) surveys (four districts) (2005 to 2011) and anonymous polling booth surveys (PBS) (16 districts) (2007 to 2011) were conducted with random samples of FSWs. Logistic regression analysis was used to assess 1) changes in reported violence and arrests over time and 2) associations between violence by non-partners and police arrest and HIV/STI risk and prevalence. Mediation analysis was used to identify mediating factors.Results: 5,792 FSWs participated in the IBBAs and 15,813 participated in the PBS. Over time, there were significant reductions in the percentages of FSWs reporting being raped in the past year (PBS) (30.0% in 2007, 10.0% in 2011, p