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Structural Determinants of Client Perpetrated Violence Among Female Sex Workers in Two Mexico-U.S. Border Cities

  • Author(s): Conners, EE
  • Silverman, JG
  • Ulibarri, M
  • Magis-Rodriguez, C
  • Strathdee, SA
  • Staines-Orozco, H
  • Patterson, TL
  • Brouwer, KC
  • et al.

Published Web Location

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4691420/
No data is associated with this publication.
Abstract

© 2015, Springer Science+Business Media New York. Female sex workers (FSWs) are disproportionately affected by both HIV and gender-based violence, such as that perpetrated by clients (CPV). We used a structural determinants framework to assess correlates of physical or sexual CPV in the past 6 months among FSWs in the Mexico/U.S. border cities of Ciudad Juárez and Tijuana. Bivariate and multivariate logistic regression analysis identified individual, client, interpersonal, work environment and macrostructural factors associated with recent CPV. Among 496 FSWs, 5 % experienced recent CPV. Witnessing violence towards other FSWs in one’s neighborhood (aOR 5.6, 95 % CI 1.8–17.2), having a majority of foreign (aOR 3.5, 95 % CI 1.4–8.4) or substance using (aOR 4.0, 95 % CI 1.5–10.4) clients, and being a street worker (aOR 3.0, 95 % CI 1.1–7.7) were independently associated with recent CPV. Our findings underscore the vulnerability of FSWs and the need to design policies and interventions addressing macro-level influences on CPV rather than exclusively targeting individual behaviors.

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