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Associations Between Violence and HIV Risk Behaviors Differ by Perpetrator Among Russian Sex Workers.
AIDS Behav. 2020 Mar; 24(3):812-822.AB

Abstract

Violence is associated with HIV and HIV risk behaviors among female sex workers (FSW). However, few studies assess multiple forms of violence and multiple HIV risk behaviors to build a comprehensive picture of how violence is implicated in HIV risk. Using respondent-driven sampling, 754 FSW were recruited in the Russian Federation. Surveys collected data on lifetime exposure to client, police, intimate partner, and pimp violence, as well as recent HIV risk behavior in the forms of injecting drug use (IDU), and inconsistent condom use with intimate partners and clients. Multivariable log-binomial and Poisson regression were used to assess associations between violence and HIV risk behavior outcomes. Lifetime client (31.7%), police (16.0%), intimate partner (15.7%), and pimp (11.4%) violence were prevalent. IDU (10.7%) and inconsistent condom use with intimate partners (45.1%) and clients (22.5%) were common. Intimate partner violence (IPV) and client violence were associated with IDU (ARRIPV 2.12, 95% CI 1.10, 4.10; ARRClient 2.75, 95% CI 1.19, 6.32), IPV and police violence were associated with inconsistent condom use with intimate partners (ARRIPV 1.10, 95% CI 1.01, 1.19; ARRPolice 1.11, 95% CI 1.01, 1.21), and IPV and police violence were associated with inconsistent condom use with clients (ARRIPV 1.49, 95% CI 1.02, 2.17; ARRPolice 1.65, 95% CI 1.19, 2.29). Each perpetrator-specific type of violence was associated with a unique set of HIV risk behaviors. Comprehensive violence prevention programming that addresses multiple perpetrators of violence against FSW, including clients, intimate partners and police, is critical for reducing sexual and drug-related HIV risk in FSW.

Authors+Show Affiliations

Center for Sexuality and Health Disparities, University of Michigan School of Nursing, 400 N. Ingalls St, Rm 3347, Ann Arbor, MI, 48109, USA. speitzme@umich.edu.Johns Hopkins Bloomberg School of Public Health, Baltimore, USA.AIDS Infoshare, Moscow, Russia.Johns Hopkins Bloomberg School of Public Health, Baltimore, USA.Johns Hopkins Bloomberg School of Public Health, Baltimore, USA.Johns Hopkins Bloomberg School of Public Health, Baltimore, USA.Johns Hopkins Bloomberg School of Public Health, Baltimore, USA.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31531737

Citation

Peitzmeier, Sarah M., et al. "Associations Between Violence and HIV Risk Behaviors Differ By Perpetrator Among Russian Sex Workers." AIDS and Behavior, vol. 24, no. 3, 2020, pp. 812-822.
Peitzmeier SM, Wirtz AL, Peryshkina A, et al. Associations Between Violence and HIV Risk Behaviors Differ by Perpetrator Among Russian Sex Workers. AIDS Behav. 2020;24(3):812-822.
Peitzmeier, S. M., Wirtz, A. L., Peryshkina, A., Sherman, S., Colantuoni, E., Beyrer, C., & Decker, M. R. (2020). Associations Between Violence and HIV Risk Behaviors Differ by Perpetrator Among Russian Sex Workers. AIDS and Behavior, 24(3), 812-822. https://doi.org/10.1007/s10461-019-02668-5
Peitzmeier SM, et al. Associations Between Violence and HIV Risk Behaviors Differ By Perpetrator Among Russian Sex Workers. AIDS Behav. 2020;24(3):812-822. PubMed PMID: 31531737.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Associations Between Violence and HIV Risk Behaviors Differ by Perpetrator Among Russian Sex Workers. AU - Peitzmeier,Sarah M, AU - Wirtz,Andrea L, AU - Peryshkina,Alena, AU - Sherman,Susan, AU - Colantuoni,Elizabeth, AU - Beyrer,Chris, AU - Decker,Michele R, PY - 2019/9/19/pubmed PY - 2020/6/25/medline PY - 2019/9/19/entrez KW - Condoms KW - HIV KW - Injection drug use KW - Russia KW - Sex work KW - Violence SP - 812 EP - 822 JF - AIDS and behavior JO - AIDS Behav VL - 24 IS - 3 N2 - Violence is associated with HIV and HIV risk behaviors among female sex workers (FSW). However, few studies assess multiple forms of violence and multiple HIV risk behaviors to build a comprehensive picture of how violence is implicated in HIV risk. Using respondent-driven sampling, 754 FSW were recruited in the Russian Federation. Surveys collected data on lifetime exposure to client, police, intimate partner, and pimp violence, as well as recent HIV risk behavior in the forms of injecting drug use (IDU), and inconsistent condom use with intimate partners and clients. Multivariable log-binomial and Poisson regression were used to assess associations between violence and HIV risk behavior outcomes. Lifetime client (31.7%), police (16.0%), intimate partner (15.7%), and pimp (11.4%) violence were prevalent. IDU (10.7%) and inconsistent condom use with intimate partners (45.1%) and clients (22.5%) were common. Intimate partner violence (IPV) and client violence were associated with IDU (ARRIPV 2.12, 95% CI 1.10, 4.10; ARRClient 2.75, 95% CI 1.19, 6.32), IPV and police violence were associated with inconsistent condom use with intimate partners (ARRIPV 1.10, 95% CI 1.01, 1.19; ARRPolice 1.11, 95% CI 1.01, 1.21), and IPV and police violence were associated with inconsistent condom use with clients (ARRIPV 1.49, 95% CI 1.02, 2.17; ARRPolice 1.65, 95% CI 1.19, 2.29). Each perpetrator-specific type of violence was associated with a unique set of HIV risk behaviors. Comprehensive violence prevention programming that addresses multiple perpetrators of violence against FSW, including clients, intimate partners and police, is critical for reducing sexual and drug-related HIV risk in FSW. SN - 1573-3254 UR - https://www.unboundmedicine.com/medline/citation/31531737/Associations_Between_Violence_and_HIV_Risk_Behaviors_Differ_by_Perpetrator_Among_Russian_Sex_Workers_ L2 - https://doi.org/10.1007/s10461-019-02668-5 DB - PRIME DP - Unbound Medicine ER -