Violence & Vulnerability: A Cross Sectional Study of Prevalence and Factors Associated with Sex-work Related Violence among Female Sex Workers

Authors

  • Sweta R Panchal Government Medical College, Surat
  • J K Kosambia Government Medical College, Surat
  • Deepak Saxena Indian Institute of Public health, Gandhinagar
  • Bharat H Patel GMERS Medical College, Gotri, Vadodara, Gujarat
  • Rahul Mhaskar College of Medicine, University of South Florida, USA
  • Ambuj Kumar College of Medicine, University of South Florida, USA

Keywords:

HIV, Female sex worker, Domestic violence, work based violence, women

Abstract

Introduction: Experiences from Targeted Intervention for a cohort of Female Sex Workers (FSWs) for the prevention & control of HIV/STI indicated that despite the high condom usage rate (94%), the incidence of STI/HIV remained high among FSWs. Feedback from peer-educators revealed violence as one of the key factors for the increased STI/HIV incidence among FSWs.

Objective: To explore characteristics of violence and its associated factors associated among FSWs.

Methods: A cross sectional survey among 200 FSWs from August 2010 to January 2011 was conducted by Gujarati and Hindi speaking interviewers. Multivariate logistic regression was conducted to assess the association of various factors and sex-work related violence among FSWs.

Results: 27% (53/197) of FSWs had experienced sex work-related violence. Multivariate analysis revealed street versus home-based sex work (OR 2.84; 95% CI 1.33- 6.07), single living status (OR 2.32; 95% CI 1.05 – 5.23), and sex-work with intoxicated clients (OR 2.58; 95% CI 1.12 – 5.91) as risk factors associated with sex-work related violence.

Conclusions: Violence among FSWs is significant with wide range of consequences for individuals coming in close contact with FSWs and also for population in general. Interventions to address the sex-related violence crisis among FSWs by involving all stakeholders are required.

References

Desai V.K. Kosambiya J.K., Thakor H.G., Umarigar D. D, Khandwala, B.R., Bhuyan K.K Prevalence of sexually transmitted infection and performance of STI syndromes against etiological diagnosis in female sex workers in Red Light Area of Surat, India. Journal of STI. (2003)(79):11-115.

PARAS PSM NACP Project. Annual Report March 2007-08 . Department of Preventive and Social Medicine, Government Medical College, Surat;2008.

Gujarat State AIDS Control Society. HIV Sentinel Surveillance Report. Health & Family Welfare Department Government of Gujarat, Ahmedabad: 2004-07.

National AIDS Control Organisation. Prevention Strategies. Health & Family Welfare Department Government of India, New DelhiNov 2006.

National AIDS Control Organisation. Prevention Strategies : TIs for High Risk Groups. In: India Health &Family Welfare Department Government of India, New Delhi2006.

Indian institute of Population Science. National Family & Health Survey III, INDIA, . 2005-06:p.392-394.

(USAID). USAfID. Violence and exposure to HIV among sex workers in Phnom Penh, Cambodia. . 2006 March:p.42-43.

IBM SPSS Statistics for Windows [computer program]. Version 22.02013.

Mahapatra B BM, Porwal A, Saggurti N. Non-Disclosure of Violence among Female Sex Workers: Evidence from a Large Scale Cross-Sectional Survey in India. . PLoS ONE 2014;9(5): e98321.

Allience IHA. Sex work, Violence, HIV: A Guide for programme with sex-workers. 2008.

Beattie TS, Bhattacharjee P, Ramesh BM, et al. Violence against female sex workers in Karnataka state, South India: impact on health, and reductions in violence following an intervention program. BMC public health. 2010;10:476.

Panchanadeswaran S, Johnson SC, Sivaram S, et al. Intimate partner violence is as important as client violence in increasing street-based female sex workers' vulnerability to HIV in India. The International journal on drug policy. Apr 2008;19(2):106-112.

Sarkar K, Bal B, Mukherjee R, et al. Sex-trafficking, violence, negotiating skill, and HIV infection in brothel-based sex workers of eastern India, adjoining Nepal, Bhutan, and Bangladesh. Journal of health, population, and nutrition. Jun 2008;26(2):223-231.

SangramProject. Rehabilitation: against their will? Of veshyas, vamps whores and women: challenging pre conceived notions of prostitution and sex work. Sangli, Maharastra, India 2002.

Downloads

Published

2017-03-31

How to Cite

1.
Panchal SR, Kosambia JK, Saxena D, Patel BH, Mhaskar R, Kumar A. Violence & Vulnerability: A Cross Sectional Study of Prevalence and Factors Associated with Sex-work Related Violence among Female Sex Workers. Natl J Community Med [Internet]. 2017 Mar. 31 [cited 2024 Dec. 22];8(03):143-7. Available from: https://njcmindia.com/index.php/file/article/view/623

Issue

Section

Original Research Articles