TY - JOUR PY - 2013// TI - Violence against women in sex work and HIV risk implications differ qualitatively by perpetrator JO - BMC public health A1 - Decker, Michele R. A1 - Pearson, Erin A1 - Illangasekare, Samantha L. A1 - Clark, Erin A1 - Sherman, Susan G. SP - 876 EP - 876 VL - 13 IS - 1 N2 - 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.

Language: en

LA - en SN - 1471-2458 UR - http://dx.doi.org/10.1186/1471-2458-13-876 ID - ref1 ER -