157 lines
5.2 KiB
YAML
157 lines
5.2 KiB
YAML
abstract: 'Economic hardship is a driver of entry into sex work, which is
|
|
|
|
associated with high HIV risk. Yet, little is known about economic abuse
|
|
|
|
in women employed by sex work (WESW) and its relationship to uptake of
|
|
|
|
HIV prevention and financial support services. This study used
|
|
|
|
cross-sectional baseline data from a multisite, longitudinal clinical
|
|
|
|
trial that tests the efficacy of adding economic empowerment to
|
|
|
|
traditional HIV risk reduction education on HIV incidence in 542 WESW.
|
|
|
|
Mixed effects logistic and linear regressions were used to examine
|
|
|
|
associations in reported economic abuse by demographic characteristics,
|
|
|
|
sexual behaviors, HIV care-seeking, and financial care-seeking. Mean age
|
|
|
|
was 31.4 years. Most WESW were unmarried (74\%) and had less than
|
|
|
|
primary school education (64\%). 48\% had savings, and 72\% had debt.
|
|
|
|
93\% reported at least one economic abuse incident. Common incidents
|
|
|
|
included being forced to ask for money (80\%), having financial
|
|
|
|
information kept from them (61\%), and being forced to disclose how
|
|
|
|
money was spent (56\%). WESW also reported partners/relatives spending
|
|
|
|
money needed for bills (45\%), not paying bills (38\%), threatening them
|
|
|
|
to quit their job(s) (38\%), and using physical violence when earning
|
|
|
|
income (24\%). Married/partnered WESW (OR = 2.68, 95\% CI:1.60-4.48),
|
|
|
|
those with debt (OR = 1.70, 95\% CI:1.04-2.77), and those with sex-work
|
|
|
|
bosses (OR = 1.90, 95\% CI:1.07-3.38) had higher economic abuse.
|
|
|
|
Condomless sex (beta = +4.43, p < .05) was higher among WESW
|
|
|
|
experiencing economic abuse, who also had lower odds of initiating PrEP
|
|
|
|
(OR = .39, 95\% CI:.17-.89). WESW experiencing economic abuse were also
|
|
|
|
more likely to ask for cash among relatives (OR = 2.36, 95\%
|
|
|
|
CI:1.13-4.94) or banks (OR = 2.12, 95\% CI:1.11-4.03). The high
|
|
|
|
prevalence of HIV and economic abuse in WESW underscores the importance
|
|
|
|
of integrating financial empowerment in HIV risk reduction interventions
|
|
|
|
for WESW, including education about economic abuse and strategies to
|
|
|
|
address it. Programs focusing on violence against women should also
|
|
|
|
consider economic barriers to accessing HIV prevention services.'
|
|
affiliation: 'Mayo-Wilson, LJ (Corresponding Author), Univ N Carolina, Gillings Sch
|
|
Global Publ Hlth, 170 Rosenau Hall, Chapel Hill, NC 27599 USA.
|
|
|
|
Jennings Mayo-Wilson, Larissa, Univ N Carolina, Gillings Sch Global Publ Hlth, 170
|
|
Rosenau Hall, Chapel Hill, NC 27599 USA.
|
|
|
|
Jennings Mayo-Wilson, Larissa, Johns Hopkins Univ, Sch Nursing, Commun Global \&
|
|
Publ Hlth Div, Baltimore, MD USA.
|
|
|
|
Yen, Bing-Jie; Wright, Brittanni N., Indiana Univ, Dept Appl Hlth Sci, Ctr Sexual
|
|
Hlth Promot, Sch Publ Hlth, Bloomington, IN USA.
|
|
|
|
Nabunya, Proscovia; Bahar, Ozge Sensoy; Kiyingi, Joshua; Nabayinda, Josephine; Ssewamala,
|
|
Fred M., Washington Univ St Louis, Brown Sch, St Louis, MO USA.
|
|
|
|
Nabunya, Proscovia; Bahar, Ozge Sensoy; Kiyingi, Joshua; Mwebembezi, Abel; Nabayinda,
|
|
Josephine; Ssewamala, Fred M., Int Ctr Child Hlth \& Dev, Masaka, Uganda.
|
|
|
|
Filippone, Prema L.; Witte, Susan S., Columbia Sch Social Work, New York, NY USA.
|
|
|
|
Mwebembezi, Abel, Reach Youth Uganda, Kampala, Uganda.
|
|
|
|
Kagaayi, Joseph, Rakai Hlth Sci Program, Kalisizo, Uganda.
|
|
|
|
Tozan, Yesim, New York Univ, Coll Global Publ Hlth, New York, NY USA.'
|
|
article-number: 08862605221093680
|
|
author: Jennings Mayo-Wilson, Larissa and Yen, Bing-Jie and Nabunya, Proscovia and
|
|
Bahar, Ozge Sensoy and Wright, Brittanni N. and Kiyingi, Joshua and Filippone, Prema
|
|
L. and Mwebembezi, Abel and Kagaayi, Joseph and Tozan, Yesim and Nabayinda, Josephine
|
|
and Witte, Susan S. and Ssewamala, Fred M.
|
|
author-email: larissajmw@gmail.com
|
|
author_list:
|
|
- family: Jennings Mayo-Wilson
|
|
given: Larissa
|
|
- family: Yen
|
|
given: Bing-Jie
|
|
- family: Nabunya
|
|
given: Proscovia
|
|
- family: Bahar
|
|
given: Ozge Sensoy
|
|
- family: Wright
|
|
given: Brittanni N.
|
|
- family: Kiyingi
|
|
given: Joshua
|
|
- family: Filippone
|
|
given: Prema L.
|
|
- family: Mwebembezi
|
|
given: Abel
|
|
- family: Kagaayi
|
|
given: Joseph
|
|
- family: Tozan
|
|
given: Yesim
|
|
- family: Nabayinda
|
|
given: Josephine
|
|
- family: Witte
|
|
given: Susan S.
|
|
- family: Ssewamala
|
|
given: Fred M.
|
|
da: '2023-09-28'
|
|
doi: 10.1177/08862605221093680
|
|
earlyaccessdate: MAY 2022
|
|
eissn: 1552-6518
|
|
files: []
|
|
issn: 0886-2605
|
|
journal: JOURNAL OF INTERPERSONAL VIOLENCE
|
|
keywords: 'HIV; sexual risk behaviors; economic abuse; female sex workers;
|
|
|
|
violence; Uganda'
|
|
keywords-plus: 'INTIMATE PARTNER VIOLENCE; CONDOM USE; RISK-FACTORS; INSECURITY;
|
|
|
|
BEHAVIORS; SCALE; MEN'
|
|
language: English
|
|
month: JAN
|
|
number: 1-2
|
|
number-of-cited-references: '47'
|
|
orcid-numbers: 'Jennings Mayo-Wilson, Larissa/0000-0001-9349-2283
|
|
|
|
Wright, Brittanni/0000-0003-2051-8205'
|
|
pages: NP1920-NP1949
|
|
papis_id: 08496794daaa85b27091818b16fe95f2
|
|
ref: Jenningsmayowilson2023economicabuse
|
|
researcherid-numbers: 'DSILVA, BROOKE/HCI-4879-2022
|
|
|
|
'
|
|
times-cited: '0'
|
|
title: 'Economic Abuse and Care-seeking Practices for HIV and Financial Support Services
|
|
in Women Employed by Sex Work: A Cross-Sectional Baseline Assessment of a Clinical
|
|
Trial Cohort in Uganda'
|
|
type: Article
|
|
unique-id: WOS:000796226800001
|
|
usage-count-last-180-days: '3'
|
|
usage-count-since-2013: '10'
|
|
volume: '38'
|
|
web-of-science-categories: Criminology \& Penology; Family Studies; Psychology, Applied
|
|
year: '2023'
|