TY - JOUR
T1 - Correlates of Intimate Partner Violence Among Young Women Engaged in Sex Work in Southern Uganda
AU - Nabayinda, Josephine
AU - Namirembe, Rashida
AU - Kizito, Samuel
AU - Nsubuga, Edward
AU - Nabunya, Proscovia
AU - Sensoy Bahar, Ozge
AU - Magorokosho, Natasja
AU - Kiyingi, Joshua
AU - Nattabi, Jennifer
AU - Tozan, Yesim
AU - Jennings Mayo-Wilson, Larissa
AU - Mwebembezi, Abel
AU - Witte, Susan S.
AU - Ssewamala, Fred M.
N1 - Publisher Copyright:
© The Author(s) 2023.
PY - 2023/10
Y1 - 2023/10
N2 - Intimate partner violence (IPV) is a significant global public health problem that results in high social and economic costs to individuals and communities. Compared to women in the general population, women engaged in sex work (WESW) are more likely to experience physical, emotional, and sexual IPV. This study examines the correlates of IPV among young WESW with their intimate partners in Southern Uganda. We used baseline data from the Kyaterekera project, a 5 year NIH-funded longitudinal study aimed at reducing HIV risks among 542 WESW in Southern Uganda. To examine the factors associated with IPV, we fitted three separate multi-level Poisson regression models for physical, emotional, and sexual IPV, respectively. Average age was 31.4 years, and 54% of the women reported being victims of at least one form of IPV from their intimate partners. Model one assessed correlates of sexual IPV. Being married women (β =.71, 95% CI [0.24, 1.17]), divorced/separated/widowed (β =.52, [0.02, 1.02]), depressed (β =.04, [0.02, 0.05]), and having any sexually transmitted infections (STIs) (β =.58, [0.14, 1.01]) were associated with sexual IPV. Model two assessed correlates of physical IPV. Experience of childhood sexual abuse (β =.12, [0.04, 0.19]) was associated with an increase in physical IPV, and increasing age reduced its occurrence (β = −.02, [−0.04, −0.001]). Finally, model three assessed emotional IPV. Women with higher education (β =.49, [0.14, 0.85]) and symptoms of depression (β =.02, [0.001, 0.04]) had higher risks for emotional IPV. For WESW, IPV presents an additional potential pathway for HIV and STIs acquisition and transmission through a lack of negotiating power for safe sex. Efforts to reduce violence against WESW should be prioritized as a strategy for enhancing the well-being of WESW.
AB - Intimate partner violence (IPV) is a significant global public health problem that results in high social and economic costs to individuals and communities. Compared to women in the general population, women engaged in sex work (WESW) are more likely to experience physical, emotional, and sexual IPV. This study examines the correlates of IPV among young WESW with their intimate partners in Southern Uganda. We used baseline data from the Kyaterekera project, a 5 year NIH-funded longitudinal study aimed at reducing HIV risks among 542 WESW in Southern Uganda. To examine the factors associated with IPV, we fitted three separate multi-level Poisson regression models for physical, emotional, and sexual IPV, respectively. Average age was 31.4 years, and 54% of the women reported being victims of at least one form of IPV from their intimate partners. Model one assessed correlates of sexual IPV. Being married women (β =.71, 95% CI [0.24, 1.17]), divorced/separated/widowed (β =.52, [0.02, 1.02]), depressed (β =.04, [0.02, 0.05]), and having any sexually transmitted infections (STIs) (β =.58, [0.14, 1.01]) were associated with sexual IPV. Model two assessed correlates of physical IPV. Experience of childhood sexual abuse (β =.12, [0.04, 0.19]) was associated with an increase in physical IPV, and increasing age reduced its occurrence (β = −.02, [−0.04, −0.001]). Finally, model three assessed emotional IPV. Women with higher education (β =.49, [0.14, 0.85]) and symptoms of depression (β =.02, [0.001, 0.04]) had higher risks for emotional IPV. For WESW, IPV presents an additional potential pathway for HIV and STIs acquisition and transmission through a lack of negotiating power for safe sex. Efforts to reduce violence against WESW should be prioritized as a strategy for enhancing the well-being of WESW.
KW - HIV
KW - intimate partner violence
KW - sexual risk behaviors
KW - Southern Uganda
KW - women engaged in sex work
UR - http://www.scopus.com/inward/record.url?scp=85162968159&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85162968159&partnerID=8YFLogxK
U2 - 10.1177/08862605231175908
DO - 10.1177/08862605231175908
M3 - Article
C2 - 37212371
AN - SCOPUS:85162968159
SN - 0886-2605
VL - 38
SP - 10749
EP - 10770
JO - Journal of Interpersonal Violence
JF - Journal of Interpersonal Violence
IS - 19-20
ER -