Correlates of Intimate Partner Violence Among Young Women Engaged in Sex Work in Southern Uganda

Author:

Nabayinda Josephine1ORCID,Namirembe Rashida2,Kizito Samuel1,Nsubuga Edward1,Nabunya Proscovia1,Sensoy Bahar Ozge1,Magorokosho Natasja1,Kiyingi Joshua1ORCID,Nattabi Jennifer1,Tozan Yesim3,Jennings Mayo-Wilson Larissa4ORCID,Mwebembezi Abel5,Witte Susan S.6,Ssewamala Fred M.1

Affiliation:

1. Washington University in St. Louis Brown School, MO, USA

2. International Center for Child Health and Development (ICHAD), Masaka, Uganda

3. New York University, USA

4. University of North Carolina at Chapel Hill, USA

5. Reach the Youth Uganda

6. Columbia University School of Social Work, New York, NY, USA

Abstract

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.

Funder

National Institute of Mental Health

Publisher

SAGE Publications

Subject

Applied Psychology,Clinical Psychology

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