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Prevalence and correlates of physical violence and rape among female sex workers in Ethiopia : a cross-sectional study with respondent-driven sampling from 11 major towns

Amogne, Minilik Demissie LU ; Balcha, Taye Tolera LU and Agardh, Anette LU (2019) In BMJ Open 9(7). p.1-11
Abstract

OBJECTIVE: This study examined the prevalence and correlates of physical violence and rape among female sex workers (FSWs) in Ethiopia.

DESIGN: A cross-sectional study using respondent-driven sampling technique.

SETTING: Eleven major towns in Ethiopia.

PARTICIPANTS: 4900 FSWs.

MAIN OUTCOME MEASURES: The prevalence of experiences of physical beating and rape.

RESULTS: Among FSWs, 17.5% reported physical beating within the last year and 15.2% reported rape since they started selling sex. FSWs aged 35+ years (AOR 0.59, 95% CI 0.38 to 0.92) were less exposed to physical beating than those aged 15-24 years. FSWs working on the street (AOR 1.92, 95% CI 1.53 to 2.39), in red-light houses (AOR 1.63, 95% CI 1.12 to... (More)

OBJECTIVE: This study examined the prevalence and correlates of physical violence and rape among female sex workers (FSWs) in Ethiopia.

DESIGN: A cross-sectional study using respondent-driven sampling technique.

SETTING: Eleven major towns in Ethiopia.

PARTICIPANTS: 4900 FSWs.

MAIN OUTCOME MEASURES: The prevalence of experiences of physical beating and rape.

RESULTS: Among FSWs, 17.5% reported physical beating within the last year and 15.2% reported rape since they started selling sex. FSWs aged 35+ years (AOR 0.59, 95% CI 0.38 to 0.92) were less exposed to physical beating than those aged 15-24 years. FSWs working on the street (AOR 1.92, 95% CI 1.53 to 2.39), in red-light houses (AOR 1.63, 95% CI 1.12 to 2.38) and in local drinking houses (AOR 1.35, 95% CI 1.02 to 1.78) experienced more physical beating than FSWs working in bars/hotels. FSWs who consumed alcohol four or more days in a week (AOR 1.92, 95% CI 1.21 to 3.04), and who chewed khat frequently experienced more physical violence. Rape was associated with having a low monthly income, drinking alcohol four or more days per week (AOR 2.33, 95% CI 1.47 to 3.7), experience of heavy episodic drinking in a month (AOR 1.71, 95% CI 1.24 to 2.38) and chewing khat 3-4 days per week (AOR 2.15, 95% CI 1.55 to 2.98). Condom breakage was more frequent among FSWs who reported both physical beating (AOR 1.51, 95% CI 1.25 to 1.84) and rape (AOR 1.26, 95% CI 1.03 to 1.55).

CONCLUSION: FSWs in Ethiopia are vulnerable to physical and sexual violence, and the risk increases when they are younger, street-based and high consumers of alcohol or khat. Therefore, targeted efforts are needed for prevention and harm reduction.

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type
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publication status
published
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in
BMJ Open
volume
9
issue
7
article number
e028247
pages
1 - 11
publisher
British Medical Journal Publishing Group
external identifiers
  • scopus:85070902186
  • pmid:31366648
ISSN
2044-6055
DOI
10.1136/bmjopen-2018-028247
language
English
LU publication?
yes
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© Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
id
33f26dca-c61d-49f7-b2f6-a443761c2994
date added to LUP
2019-08-28 10:24:08
date last changed
2020-10-27 04:09:58
@article{33f26dca-c61d-49f7-b2f6-a443761c2994,
  abstract     = {<p>OBJECTIVE: This study examined the prevalence and correlates of physical violence and rape among female sex workers (FSWs) in Ethiopia.</p><p>DESIGN: A cross-sectional study using respondent-driven sampling technique.</p><p>SETTING: Eleven major towns in Ethiopia.</p><p>PARTICIPANTS: 4900 FSWs.</p><p>MAIN OUTCOME MEASURES: The prevalence of experiences of physical beating and rape.</p><p>RESULTS: Among FSWs, 17.5% reported physical beating within the last year and 15.2% reported rape since they started selling sex. FSWs aged 35+ years (AOR 0.59, 95% CI 0.38 to 0.92) were less exposed to physical beating than those aged 15-24 years. FSWs working on the street (AOR 1.92, 95% CI 1.53 to 2.39), in red-light houses (AOR 1.63, 95% CI 1.12 to 2.38) and in local drinking houses (AOR 1.35, 95% CI 1.02 to 1.78) experienced more physical beating than FSWs working in bars/hotels. FSWs who consumed alcohol four or more days in a week (AOR 1.92, 95% CI 1.21 to 3.04), and who chewed khat frequently experienced more physical violence. Rape was associated with having a low monthly income, drinking alcohol four or more days per week (AOR 2.33, 95% CI 1.47 to 3.7), experience of heavy episodic drinking in a month (AOR 1.71, 95% CI 1.24 to 2.38) and chewing khat 3-4 days per week (AOR 2.15, 95% CI 1.55 to 2.98). Condom breakage was more frequent among FSWs who reported both physical beating (AOR 1.51, 95% CI 1.25 to 1.84) and rape (AOR 1.26, 95% CI 1.03 to 1.55).</p><p>CONCLUSION: FSWs in Ethiopia are vulnerable to physical and sexual violence, and the risk increases when they are younger, street-based and high consumers of alcohol or khat. Therefore, targeted efforts are needed for prevention and harm reduction.</p>},
  author       = {Amogne, Minilik Demissie and Balcha, Taye Tolera and Agardh, Anette},
  issn         = {2044-6055},
  language     = {eng},
  month        = {07},
  number       = {7},
  pages        = {1--11},
  publisher    = {British Medical Journal Publishing Group},
  series       = {BMJ Open},
  title        = {Prevalence and correlates of physical violence and rape among female sex workers in Ethiopia : a cross-sectional study with respondent-driven sampling from 11 major towns},
  url          = {http://dx.doi.org/10.1136/bmjopen-2018-028247},
  doi          = {10.1136/bmjopen-2018-028247},
  volume       = {9},
  year         = {2019},
}