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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Violence, condom breakage, and HIV infection among female sex workers in Benin, West Africa
Sexually Transmitted Diseases, Volume 41, No. 5, Year 2014
Notification
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Description
OBJECTIVE: To examine the relationship between violence, condom breakage, and HIV prevalence among female sex workers (FSWs). METHODS: Data were obtained from the 2012 cross-sectional integrated biological and behavioral survey conducted in Benin. Multivariable log-binomial regression was used to estimate the adjusted prevalence ratios of HIV infection and condom breakage in relation to violence toward FSWs. A score was created to examine the relationship between the number of violence types reported and HIV infection. RESULTS: Among the 981 women who provided a blood sample, HIV prevalence was 20.4%. During the last month, 17.2%, 13.5%, and 33.5% of them had experienced physical, sexual, and psychological violence, respectively. In addition, 15.9% reported at least 1 condom breakage during the previous week. There was a significant association between all types of violence and HIV prevalence. The adjusted prevalence ratios of HIV were 1.45 (95% confidence interval [95% CI], 1.05-2.00), 1.42 (95% CI, 1.02-1.98), and 1.41 (95% CI, 1.08-1.41) among those who had ever experienced physical, sexual, and psychological violence, respectively. HIV prevalence increased with the violence score (P = 0.002, test for trend), and physical and sexual violence were independently associated with condom breakage (P = 0.010 and P = 0.003, respectively). CONCLUSIONS: The results show that violence is associated with a higher HIV prevalence among FSWs and that condom breakage is a potential mediator for this association. Longitudinal studies designed to analyze this relationship and specific interventions integrated to current HIV prevention strategies are needed to reduce the burden of violence among FSWs. © 2014 by the American Sexually Transmitted Diseases Association.
Authors & Co-Authors
Tounkara, Fatoumata Korika
Canada, Quebec
Centre de Recherche du Chu de Québec-université Laval
Canada, Quebec
Université Laval
Diabaté, Souleymane
Canada, Quebec
Centre de Recherche du Chu de Québec-université Laval
Canada, Quebec
Université Laval
Guédou, Fernand Aimé
Canada, Quebec
Centre de Recherche du Chu de Québec-université Laval
Ahoussinou, Clément
Benin
Programme National de Lutte Contre le Sida et Les
Kintin, Frédéric
Unknown Affiliation
Zannou, Djimon Marcel
Benin, Cotonou
University of Abomey-calavi
Kpatchavi, Adolphe Codjo
Benin, Cotonou
University of Abomey-calavi
Bédard, Emmanuelle
Canada, Rimouski
Université du Québec à Rimouski
Bietra, Raphaël
Canada, Quebec
Centre de Recherche du Chu de Québec-université Laval
Canada, Quebec
Université Laval
Alary, Michel
Canada, Quebec
Centre de Recherche du Chu de Québec-université Laval
Canada, Quebec
Université Laval
Canada, Quebec
Institut National de Sante Publique du Québec
Statistics
Citations: 33
Authors: 10
Affiliations: 6
Identifiers
Doi:
10.1097/OLQ.0000000000000114
ISSN:
01485717
e-ISSN:
15374521
Research Areas
Infectious Diseases
Sexual And Reproductive Health
Violence And Injury
Study Design
Cross Sectional Study
Cohort Study
Study Approach
Quantitative
Study Locations
Multi-countries
Benin
Participants Gender
Female