High prevalence of forced sex among non-brothel based, wine shop centered sex workers in Chennai, India.
High prevalence of forced sex among non-brothel based, wine shop centered sex workers in Chennai, India.
复制标题
DOI：
10.1007/s10461-010-9758-0
复制
发表时间：
2011-01
影响因子：
4.4
通讯作者：
Celentano DD
中科院分区：
文献类型：
--
作者：
Go VF;Srikrishnan AK;Parker CB;Salter M;Green AM;Sivaram S;Johnson SC;Latkin C;Davis W;Solomon S;Celentano DD
性暴力已被证明会增加妇女感染艾滋病毒的风险。在印度，艾滋病毒在妇女中蔓延，亲密伴侣暴力行为普遍存在。本研究调查了印度金奈女性性工作者（FSWs）中强迫性行为的患病率和相关因素。我们对24个贫民窟场所的女服务员进行了概率调查，并使用单变量和多变量比例赔率模型确定了近期强迫性行为的预测因素。在522名女服务员中，28%报告曾与1名伴侣发生性行为，35%报告曾与2名以上伴侣发生性行为。在最后的多变量模型中，那些有很多在性行为前有强烈饮酒倾向的伴侣的女性更有可能经历强迫性行为，而那些与非配偶伴侣发生无保护措施性行为且在过去30天内饮酒超过20天的女性更有可能经历强迫性行为。在更大的社会网络中讨论家庭暴力与fsw中较低的强迫性行为几率独立相关。可通过暴力预防干预措施加强针对性服务提供者及其客户的艾滋病毒干预措施，以减少酒精消费和鼓励使用避孕套，以促进关于性暴力的讨论。
Sexual violence has been shown to increase women’s risk of HIV infection. India is a country where the HIV epidemic is growing among women and intimate partner violence is pervasive. This study examined prevalence of and factors associated with forced sex among female sex workers (FSWs) in Chennai, India. We conducted a probability survey among FSWs in 24 slum venues and identified predictive factors for recent forced sex using univariate and multivariable proportional odds models. Among 522 FSWs, 28% reported having forced sex with 1 partner and 35% with 2+ partners. In the final multivariable model, women who had a high number of partners who had a strong tendency to drink alcohol before sex were more likely to have experienced forced sex, and women who had both unprotected sex with a nonspousal partner and > 20 days of alcohol consumption in the last 30 days were more likely to have experienced forced sex. Discussion about family violence with larger social networks was independently associated with lower odds of forced sex among FSWs. HIV interventions for FSWs and their clients aimed at reducing alcohol consumption and encouraging condom use could be enhanced by violence prevention interventions to facilitate discourse about sexual violence.