@article{ref1,
title="Violence against women in sex work and HIV risk implications differ qualitatively by perpetrator",
journal="BMC public health",
year="2013",
author="Decker, Michele R. and Pearson, Erin and Illangasekare, Samantha L. and Clark, Erin and Sherman, Susan G.",
volume="13",
number="1",
pages="876-876",
abstract="BACKGROUND: Physical and sexual violence heighten STI/HIV risk for women in sex work. Against this backdrop, we describe the nature of abuse against women in sex work, and its STI/HIV implications, across perpetrators. METHODS: Adult women involved in sex work (n = 35) in Baltimore, MD participated in an in-depth interview and brief survey. RESULTS: Physical and sexual violence were prevalent, with 43% reporting past-month abuse. Clients were the primary perpetrators; their violence was severe, compromised women's condom and sexual negotiation, and included forced and coerced anal intercourse. Sex work was a factor in intimate partner violence. Police abuse was largely an exploitation of power imbalances for coerced sex. CONCLUSIONS: Findings affirm the need to address physical and sexual violence, particularly that perpetrated by clients, as a social determinant of health for women in sex work, as well as a threat to safety and wellbeing, and a contextual barrier to HIV risk reduction.<p /> <p>Language: en</p>",
language="en",
issn="1471-2458",
doi="10.1186/1471-2458-13-876",
url="http://dx.doi.org/10.1186/1471-2458-13-876"
}