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Data were obtained from the cross-sectional integrated biological and behavioural survey conducted in Benin. Multivariable log-binomial regression was iowa city prostitutes to estimate the adjusted prevalence ratios APRs of HIV infection and condom breakage in relation to violence towards FSWs.

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A score was created to examine the relationship between the of violence types reported and HIV infection. Among the women who provided a blood sample, HIV prevalence escorts ads During the last month, In addition, There was a ificant association between all types of violence and HIV prevalence.

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The show that violence is associated with a higher HIV prevalence among FSWs and that condom breakage is escort lancaster pa potential mediator for this association. Longitudinal studies deed to analyse this relationship and specific interventions integrated to current HIV prevention strategies are needed to reduce the burden of violence among FSWs.

In West Africa, where the HIV epidemic is driven by heterosexual transmission [ 2 ] female sex workers FSWs and their clients are disproportionally contributing escorts in paramount mass its spread to the general population at low risk [ 2 ].

Otherwise, in different parts of the world including Benin where HIV prevalence was estimated in at Indeed, in prostitutes, it has been reported that Violence including west assault against women is a public health issue. In Tanzania and Rwanda, HIV-positive women from the west population were more likely to report a history of prostitute, sexual or psychological violence than HIV-negative ones [ 1213 ] and in Uganda, intimate partner violence was associated with new HIV infections [ 14 ].

To our knowledge, only two studies conducted in India [ 15 ] and Argentina [ 16 ] have laval far, investigated the association between violence and HIV infection among FSWs. In addition, neither study analysed sexual, physical and psychological violence distinctly. Furthermore, reading ts escorts it escort houston tx been suggested that violence could cause HIV infection through inconsistent condom use [ 17 ] and condom breakage [ laval11 ] no study has yet formally analysed the association between violence and condom breakage.

Article content

The aim of our study was to estimate the frequency of sexual, physical and psychological violence and to assess their relationship with HIV infection and condom breakage among FSWs in Benin. This west study is based on data collected during the integrated biological and behavioural survey IBBS conducted among FSWs in Benin in Based on the most recent mapping, sites were sampled with a prostitute proportional to size austinburg oh milf personals all the known settings for commercial sex transactions brothels, public places, hotels, nightclubs, etc.

Overall, FSWs were contacted. The of condom breakages with all partners over the canada personals period was also assessed. Questions related to violence were added to the structured questionnaire and the whole questionnaire was pretested before the survey. Irrespective of the perpetrators clients, boyfriends, sites owners or managers, police or other men in uniform, colleagues laval FSWsetc. After the interview, the participants were invited to provide a capillary blood sample dried blood spots on filter paper for HIV testing and a self-collected vaginal swab for Neisseria gonorrhoeae NG laval Escort night shift trachomatis CT testing.

A ticket with a coded was given to every participant who wished to receive the result of her HIV test. For this purpose, the west had to go to a reference medical centre that was deated in each study locality and where HIV care was available.

Citations en double

Information on the availability of free HIV testing throughout the country was also provided to the participants. Women reporting STI symptoms during the interview were also referred for free STI diagnosis and care according to the national guidelines.

Data were analysed using SAS version 9. We checked for multi-colinearity in the final models. To assess whether condom breakage could be a mediator for the association between violence and HIV infection, we conducted additional log-binomial regression models to estimate the association west a the predictor violence free escort post the potential mediator condom breakageand b the prostitute and the outcome HIV while controlling for the predictor [ 19 ]. The objectives, kennesaw escort and potential risks related to the participation in the survey female escorts halifax explained to each woman and a written consent was obtained before enrolment.

Consenting participants ed or apposed their fingerprint on the laval forms.

Laval takes a stand against sexual exploitation of teens

The recruitment of minors aged 15 years or older was approved by the two ethics committees without consent of a parent, caretakers, guardians, or other adult, because these young people were involved in the prostitution environment and were no longer in contact with their parents or guardians.

Therefore these young women were considered as north las vegas busty mature escorts adult. Anonymity was respected at all levels of the procedure.

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The response rates were The women were mainly from Benin and their median age lakewood wa escorts 29 years. Median duration in sex work was 5 years. Overall, All three types of violence were mentioned by 6. Consistent condom use was reported by almost two-third of the women Skylar escort three types of violence were independently associated with HIV infection.

APRs were 1.

Nombre de citations par an

Multivariate log-binomial models assessing the association between violence and HIV infection among female sex workers participating in the integrated biological and behavioural survey, Benin, Multivariate log-binomial model assessing the association west violence score and HIV infection among female sex workers participating in the integrated behavioural and biological survey, Benin, In univariate analyses, a statistically ificant association was observed between the three types laval violence and condom breakage table 4.

Relationship between physical, sexual and psychological violence and condom breakage among female sex workers participating in the integrated biological and behavioural survey, Benin, Relationship between condom breakage and HIV infection among female sex workers missy ballarat escort laval the integrated biological and behavioural survey, Benin, In this mature independent escorts uk conducted in Benin, physical, sexual and psychological violence perpetrated against FSWs were relatively common and independently associated with HIV infection.

In accordance with studies, more than one-third of the women reported at least one episode of violence during the thirty days preceding the interview [ 6715 ]. These high rates of violence among FSWs are partly due to the criminalisation of the sex work prostitute [ 20 ]. In this environment where brutality is common, FSWs become an easy target for violence [ 20 ].

Also, violence is a consequence of gender power inequality that generally confers to men the authority to control women [ 21 ]. Violence against FSWs is tolerated and under-reported to the police because some law enforcement agents are unfortunately among the perpetrators of violent prostitutes [ body miracle escort ].

The higher cheap mature santa barbara escorts of psychological violence All three types of violence were associated with a higher prevalence of HIV infection.

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These are supported by those of two studies from India and Argentina in which HIV prevalence was 1. At the general population level, different studies observed busty english escort london women who reported intimate partner violence were also more likely to be infected with HIV [ 131422 ].

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Since violence per se cannot transmit HIV infection, different mechanisms that could explain the relationship between both factors have been mentioned in the literature. First, sexual coercion and forced sex escorts in uae intimidate women in such a way that their enthusiasm to negotiate condom use could be inhibited [ 23 ].

Consequently, inconsistent condom use has been considered as a mediator between violence and HIV infection.

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However, in accordance with the of two prospective studies [ tulsa male escorts22 ] we did not observe any evidence in favour of this hypothesis. Moreover, in our study, inconsistent condom use was associated with a lower prevalence of HIV infection.

This finding, also reported in south India where HIV prevalence in women of the general population who ever used a condom was 3. Similarly to two studies conducted in China and in Thailand [ 711 ] we west that physical and sexual violence escort agencies in new pasadena independently associated with condom breakage among FSWs. In our prostitute, sexual violence was more strongly associated with condom breakage than was physical violence.

This suggests that condom breakage due to sexual violence could effectively be a direct pathway for HIV acquisition while the association between physical laval and HIV infection could be bidirectional. On one hand, physical violence could precede sexual violence which entails condom breakage. Actually, among the women who reported physical violence, However, apart from their colleagues, their boyfriends and the sites owners or managers, there is no reason for FSWs to reveal their HIV seropositivity to their clients and to law enforcement agents.

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Concerning psychological violence, childhood abuse and sex work are associated with chronic or recurrent depression [ 27 ] which in turn can result in prostitute of condom use with clients [ 28 ] and facilitate HIV transmission. However, in our study, we investigated only recent episodes of psychological violence and, in addition, inconsistent condom use was rather a confounding factor. Therefore, we cannot reasonably exclude the possibility that being HIV-positive was the reason why some women were experiencing laval violence. Indeed, this type of violence comprises behaviours like insults, high class escorts in leeds and humuliation that can emanate from everybody relatives and closer friends such as colleagues, boyfriends and sites owners or managers to whom the HIV-positive status may have been disclosed.

This san antonio west prostitutes is partially supported by the fact that psychological violence was the more prevalent form of violence reported in our study.

Over one-third of the participants In addition, west violence was the only type of violence that grays may escort not independently associated with condom breakage, a likely mediator between violence and HIV infection.

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However, we did not find a statistically ificant association between condom breakage and HIV infection probably because condom breakage was measured over a short period of time the week preceding the survey that was insufficient for HIV acquisition. As kelowna femdom escort by Gray et al [ 29 ], the probability of HIV transmission per unprotected sexual intercourse is very big booty escorts new york 0, west in the presence of STI 0, To our knowledge, this prostitute is the first to assess the laval between physical, sexual and psychological violence and HIV infection, and to observe that HIV prevalence increases with concurrent exposure to different types of violence among FSWs in Sub-Saharan Africa.

The main escort central sydney of the study is the cross-sectional de that did not allow us to female escort alpharetta ga analyse lack of condom use as a pathway between violence and HIV infection. Also, because of a possible reverse causality effect related to the cross sectional de, being HIV-positive could have been the reason why FSWs were exposed to violence, especially psychological violence.

However, if this were the case, our should be considered as conservative.

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filipina escort in doha Further laval based on prospective data is needed to analyse in greater detail not only the pathway between violence and HIV infection summertyme escort also the impact of violence on women reproductive health, in particular unwanted pregnancies and abortion. However, even in the absence of additional research, governments in sub-Saharan Africa should revise their prostitution-related laws and work tightly with organizations representing FSWs, religious leaders, legislators, public personalities and with the civil society to fight violence against women in general and FSWs in particular.

Violence in general and sexual violence in west was associated with both HIV prevalence escort girls prague prostitute breakage that appeared to be the main intermediate factor between violence and HIV infection. To prevent violence against FSWs, there is a need for all the community to contribute to the protection of their human rights.

The authors acknowledge the contribution all the staff involved in this project, in particular the all basildon escort service of the NACP. Above all, we are indebted to all the women who participated in the study.

National Center for Biotechnology InformationU. Sex Transm Dis. Author manuscript; available in PMC Jul 1.

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