@article{ref1,
title="Structural determinants of client perpetrated violence among female sex workers in two Mexico-U.S. border cities",
journal="AIDS and behavior",
year="2015",
author="Conners, Erin E. and Silverman, Jay G. and Ulibarri, Monica and Magis-Rodríguez, Carlos and Strathdee, Steffanie A. and Staines-Orozco, Hugo and Patterson, Thomas L. and Brouwer, Kimberly C.",
volume="20",
number="1",
pages="215-224",
abstract="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.<p /> <p>Language: en</p>",
language="en",
issn="1090-7165",
doi="10.1007/s10461-015-1111-1",
url="http://dx.doi.org/10.1007/s10461-015-1111-1"
}