Details

Autor(en) / Beteiligte

• Peitzmeier, Sarah M.
• Wirtz, Andrea L.
• Peryshkina, Alena
• Sherman, Susan
• Colantuoni, Elizabeth
• Beyrer, Chris
• Decker, Michele R.

Titel

Associations Between Violence and HIV Risk Behaviors Differ by Perpetrator Among Russian Sex Workers

Ist Teil von

• AIDS and behavior, 2020-03, Vol.24 (3), p.812-822

Ort / Verlag

New York: Springer US

Erscheinungsjahr

2020

Link zum Volltext

Quelle

Alma/SFX Local Collection

Beschreibungen/Notizen

• Violence is associated with HIV and HIV risk behaviors among female sex workers (FSW). However, few studies assess multiple forms of violence and multiple HIV risk behaviors to build a comprehensive picture of how violence is implicated in HIV risk. Using respondent-driven sampling, 754 FSW were recruited in the Russian Federation. Surveys collected data on lifetime exposure to client, police, intimate partner, and pimp violence, as well as recent HIV risk behavior in the forms of injecting drug use (IDU), and inconsistent condom use with intimate partners and clients. Multivariable log-binomial and Poisson regression were used to assess associations between violence and HIV risk behavior outcomes. Lifetime client (31.7%), police (16.0%), intimate partner (15.7%), and pimp (11.4%) violence were prevalent. IDU (10.7%) and inconsistent condom use with intimate partners (45.1%) and clients (22.5%) were common. Intimate partner violence (IPV) and client violence were associated with IDU (ARR IPV 2.12, 95% CI 1.10, 4.10; ARR Client 2.75, 95% CI 1.19, 6.32), IPV and police violence were associated with inconsistent condom use with intimate partners (ARR IPV 1.10, 95% CI 1.01, 1.19; ARR Police 1.11, 95% CI 1.01, 1.21), and IPV and police violence were associated with inconsistent condom use with clients (ARR IPV 1.49, 95% CI 1.02, 2.17; ARR Police 1.65, 95% CI 1.19, 2.29). Each perpetrator-specific type of violence was associated with a unique set of HIV risk behaviors. Comprehensive violence prevention programming that addresses multiple perpetrators of violence against FSW, including clients, intimate partners and police, is critical for reducing sexual and drug-related HIV risk in FSW.