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Published in: AIDS and Behavior 4/2012

01-05-2012 | Original Paper

Partner Violence and HIV Risk Among Female Sex Workers in China

Authors: Chen Zhang, Xiaoming Li, Yan Hong, Yiyun Chen, Wei Liu, Yuejiao Zhou

Published in: AIDS and Behavior | Issue 4/2012

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Abstract

Global literature suggests that partner violence contributes to HIV-related vulnerability and risk among women. Female sex workers (FSWs) play a significant role in China’s skyrocketing increase of heterosexual transmission of HIV. The aim of this article is to examine the association between partner violence and HIV risk among FSWs in China. This study, based on a cross-sectional survey of 1,022 FSWs recruited from communities in China, attempted to address the relationship between partner violence and HIV risk among this vulnerable population. About 58% of the FSWs had experienced violence from their stable partners (including 55.5% reporting emotional violence, 20.1% physical violence, and 16.2% sexual violence) and 45% from their clients (including 39.7% reporting emotional violence, 17.1% physical violence, and 16.8% sexual violence). Partner violence perpetuated by either stable partners or clients was strongly associated with most of the HIV risk measures we assessed. This study confirmed the association of partner violence and HIV risk among FSWs. We call for culturally appropriate interventions for both partner violence and HIV risk reduction among FSWs in China.
Literature
1.
go back to reference Ministry of Health, People’s Republic of China, Joint United Nations Programme on HIV/AIDS, World Health Organization. 2009 Estimates for the HIV/AIDS Epidemic of China, Beijing, China; 2010. Ministry of Health, People’s Republic of China, Joint United Nations Programme on HIV/AIDS, World Health Organization. 2009 Estimates for the HIV/AIDS Epidemic of China, Beijing, China; 2010.
2.
go back to reference Wang L, Wang N, Wang L, et al. The 2007 estimates for people at risk for and living with HIV in China: progress and challenges. J Acqir Immun Defic Syndr. 2009;50(4):414–8.CrossRef Wang L, Wang N, Wang L, et al. The 2007 estimates for people at risk for and living with HIV in China: progress and challenges. J Acqir Immun Defic Syndr. 2009;50(4):414–8.CrossRef
3.
go back to reference China Ministry of Health & World Health Organization. Joint report on HIV/AIDS Epidemic Update in China 2005–2007. Beijing: China Ministry of Health; 2007. China Ministry of Health & World Health Organization. Joint report on HIV/AIDS Epidemic Update in China 2005–2007. Beijing: China Ministry of Health; 2007.
4.
go back to reference Hong Y, Li X. Behavioral studies of female sex workers in China: a literature review and recommendation for future research. AIDS Behav. 2008;12(4):623–36.PubMedCrossRef Hong Y, Li X. Behavioral studies of female sex workers in China: a literature review and recommendation for future research. AIDS Behav. 2008;12(4):623–36.PubMedCrossRef
5.
go back to reference Huang Y, Henderson GE, Pan S, Cohen MS. HIV/AIDS risk among brothel-based female sex workers in China: Assessing the terms, content, and knowledge of sex work. Sex Transm Dis. 2004;31(11):695–700.PubMedCrossRef Huang Y, Henderson GE, Pan S, Cohen MS. HIV/AIDS risk among brothel-based female sex workers in China: Assessing the terms, content, and knowledge of sex work. Sex Transm Dis. 2004;31(11):695–700.PubMedCrossRef
6.
go back to reference Lu F, Jia Y, Sun X, et al. Prevalence of HIV infection and predictors for syphilis infection among female sex workers in southern China. Southeast Asian J Trop Med Public Health. 2009;40(2):263–72.PubMed Lu F, Jia Y, Sun X, et al. Prevalence of HIV infection and predictors for syphilis infection among female sex workers in southern China. Southeast Asian J Trop Med Public Health. 2009;40(2):263–72.PubMed
7.
go back to reference Xu J, Wang N, Lu L, et al. HIV and STIs in clients and female sex workers in mining regions of Gejiu City, China. Sex Transm Dis. 2008;35(6):558–65.PubMedCrossRef Xu J, Wang N, Lu L, et al. HIV and STIs in clients and female sex workers in mining regions of Gejiu City, China. Sex Transm Dis. 2008;35(6):558–65.PubMedCrossRef
8.
go back to reference Wang H, Chen R, Ding G, et al. Prevalence and predictors of HIV infection among female sex workers in Kaiyuan City, Yunnan Province, China. Int J Infect Dis. 2009;13(2):162–9. Wang H, Chen R, Ding G, et al. Prevalence and predictors of HIV infection among female sex workers in Kaiyuan City, Yunnan Province, China. Int J Infect Dis. 2009;13(2):162–9.
9.
go back to reference Maman S, Campbell J, Sweat MD, Gielen AC. The intersection of HIV and violence: directions of future research and interventions. Soc Sci Med. 2000;50:459–78.PubMedCrossRef Maman S, Campbell J, Sweat MD, Gielen AC. The intersection of HIV and violence: directions of future research and interventions. Soc Sci Med. 2000;50:459–78.PubMedCrossRef
10.
go back to reference Campbell J, Jones AS, Dienemann J, et al. Intimate partner violence and physical health consequence. Arch Intern Med. 2002;162:1157–63.PubMedCrossRef Campbell J, Jones AS, Dienemann J, et al. Intimate partner violence and physical health consequence. Arch Intern Med. 2002;162:1157–63.PubMedCrossRef
11.
go back to reference Wang B, Li X, Stanton B, et al. Sexual coercion, HIV-related risk, and mental health among female sex workers in China. Health Care Women Int. 2007;28:745–62.PubMedCrossRef Wang B, Li X, Stanton B, et al. Sexual coercion, HIV-related risk, and mental health among female sex workers in China. Health Care Women Int. 2007;28:745–62.PubMedCrossRef
12.
go back to reference Xu X, Zhu F, O’Campo P, Koenig MA, Mock V, Campbell J. Prevalence of and risk factors for intimate partner violence in China. Am J Public Health. 2005;95(1):78–85.PubMedCrossRef Xu X, Zhu F, O’Campo P, Koenig MA, Mock V, Campbell J. Prevalence of and risk factors for intimate partner violence in China. Am J Public Health. 2005;95(1):78–85.PubMedCrossRef
13.
go back to reference Gupta GR, Weiss E. Women’s lives and sex: implications for AIDS prevention. Cult Med Psychiatry. 1993;17:399–412.PubMedCrossRef Gupta GR, Weiss E. Women’s lives and sex: implications for AIDS prevention. Cult Med Psychiatry. 1993;17:399–412.PubMedCrossRef
14.
go back to reference El-Bassel N, Gilbert L, Rajah V, Foleno A, Frye V. Fear and violence raising the HIV stakes. AIDS Educ Prev. 2000;12(2):154–70.PubMed El-Bassel N, Gilbert L, Rajah V, Foleno A, Frye V. Fear and violence raising the HIV stakes. AIDS Educ Prev. 2000;12(2):154–70.PubMed
15.
go back to reference Phariss A, Thompson D. Women and HIV/AIDS in China. CSIS Freeman Chair in China Studies; 2004. Phariss A, Thompson D. Women and HIV/AIDS in China. CSIS Freeman Chair in China Studies; 2004.
16.
go back to reference Wingood GM, Diclemente RJ. Child sexual abuse, HIV sexual risk and gender relationships of African-American women. Am J Prev Med. 1997a;13(5):380–4.PubMed Wingood GM, Diclemente RJ. Child sexual abuse, HIV sexual risk and gender relationships of African-American women. Am J Prev Med. 1997a;13(5):380–4.PubMed
17.
go back to reference Wingood GM, Diclemente RJ. The effects of an abusive primary partner on the condom use and sexual negotiation practices of African-American women. Am J Public Health. 1997b;87(6):1016–8.PubMedCrossRef Wingood GM, Diclemente RJ. The effects of an abusive primary partner on the condom use and sexual negotiation practices of African-American women. Am J Public Health. 1997b;87(6):1016–8.PubMedCrossRef
19.
go back to reference El-Bassel N, Witte SS, Wada T, Gilbert L, Wallace J. Correlates of partner violence among female street-based sex workers: substance abuse, history of childhood abuse, and HIV risk. AIDS Patient Care STDs. 2001;15(1):41–51.PubMedCrossRef El-Bassel N, Witte SS, Wada T, Gilbert L, Wallace J. Correlates of partner violence among female street-based sex workers: substance abuse, history of childhood abuse, and HIV risk. AIDS Patient Care STDs. 2001;15(1):41–51.PubMedCrossRef
20.
go back to reference Surrat HL, Kurtz SP, Weaver JC, Inciardi JA. The connections of mental health problems, violent life experiences, and the social milieu of the ‘stroll’ with the HIV risk behaviors of female street sex workers. J Psychol Hum Sex. 2005;17:23–44.CrossRef Surrat HL, Kurtz SP, Weaver JC, Inciardi JA. The connections of mental health problems, violent life experiences, and the social milieu of the ‘stroll’ with the HIV risk behaviors of female street sex workers. J Psychol Hum Sex. 2005;17:23–44.CrossRef
21.
go back to reference Gielen AC, O’Campo P, Faden R, Eke A. Women’s disclosure of HIV status: experiences of mistreatment and violence in an urban setting. Women Health. 1997;25(3):19–31.PubMedCrossRef Gielen AC, O’Campo P, Faden R, Eke A. Women’s disclosure of HIV status: experiences of mistreatment and violence in an urban setting. Women Health. 1997;25(3):19–31.PubMedCrossRef
22.
go back to reference Farley M, Barkan H. Prostitution, violence against women, and posttraumatic stress disorder. Women Health. 1998;27:37–49.PubMedCrossRef Farley M, Barkan H. Prostitution, violence against women, and posttraumatic stress disorder. Women Health. 1998;27:37–49.PubMedCrossRef
23.
go back to reference Plumridge L, Abel G. A ‘segmented’ sex industry in New Zealand: sexual and personal safety of female sex workers. Aust N Z J Public Health. 2001;25(1):78–83.PubMedCrossRef Plumridge L, Abel G. A ‘segmented’ sex industry in New Zealand: sexual and personal safety of female sex workers. Aust N Z J Public Health. 2001;25(1):78–83.PubMedCrossRef
24.
go back to reference Wingood GM, DiClemente RJ, Raj A. Identifying the prevalence and correlates of STDs among women residing in rural domestic violence shelters. Women Health. 2000;30(4):15–26.PubMedCrossRef Wingood GM, DiClemente RJ, Raj A. Identifying the prevalence and correlates of STDs among women residing in rural domestic violence shelters. Women Health. 2000;30(4):15–26.PubMedCrossRef
25.
go back to reference Molina LD, Basinait-Smith C. Revisiting the intersection between domestic abuse and HIV risk. Am J Public Health. 1998;88(8):1267–8.PubMedCrossRef Molina LD, Basinait-Smith C. Revisiting the intersection between domestic abuse and HIV risk. Am J Public Health. 1998;88(8):1267–8.PubMedCrossRef
26.
go back to reference Cabral R, Pulley L, Artz L, Brill I, Macaluso M. Women at risk of HIV/STD: the importance of male partners as barriers to condom use. AIDS Behav. 1998;2(1):75–85.CrossRef Cabral R, Pulley L, Artz L, Brill I, Macaluso M. Women at risk of HIV/STD: the importance of male partners as barriers to condom use. AIDS Behav. 1998;2(1):75–85.CrossRef
27.
go back to reference Eby K, Cambell JC, Sullivan CM. Health effects of experiences of sexual violence for women with abusive partners. Health Care Women Int. 1995;16:563–76.PubMedCrossRef Eby K, Cambell JC, Sullivan CM. Health effects of experiences of sexual violence for women with abusive partners. Health Care Women Int. 1995;16:563–76.PubMedCrossRef
28.
go back to reference Jenny C, Hooton T, Bowers A, et al. Sexual transmitted diseases in victims of rape. N Engl J Med. 1990;322(11):713–6.PubMedCrossRef Jenny C, Hooton T, Bowers A, et al. Sexual transmitted diseases in victims of rape. N Engl J Med. 1990;322(11):713–6.PubMedCrossRef
29.
go back to reference Guangxi Center for Disease Control and Prevention (Guangxi CDC). Update on HIV/AIDS epidemic in Guangxi. In: Presented at Workshop of NIAAA Venue-based HIV and Alcohol Risk Reduction among Female Sex Workers in China, Guilin, Guangxi; 19–21 July 2009. Guangxi Center for Disease Control and Prevention (Guangxi CDC). Update on HIV/AIDS epidemic in Guangxi. In: Presented at Workshop of NIAAA Venue-based HIV and Alcohol Risk Reduction among Female Sex Workers in China, Guilin, Guangxi; 19–21 July 2009.
30.
go back to reference Fang X, Li X, Yang H, et al. Profile of female sex workers in a Chinese county: does it differ by where they came from and where they work? World Health Popul. 2007;9(1):46–64.PubMed Fang X, Li X, Yang H, et al. Profile of female sex workers in a Chinese county: does it differ by where they came from and where they work? World Health Popul. 2007;9(1):46–64.PubMed
31.
go back to reference World Health Organization. WHO multi-country study on women’s health and life experiences. Geneva: World Health Organization; 2003. World Health Organization. WHO multi-country study on women’s health and life experiences. Geneva: World Health Organization; 2003.
32.
go back to reference Zhao F, Guo S, Wang L, Wu J, Wang L. Investigation on the patterns and knowledge regarding domestic violence among married women in rural areas of China. Chin J Epidemiol. 2006;27(8):664–8. Zhao F, Guo S, Wang L, Wu J, Wang L. Investigation on the patterns and knowledge regarding domestic violence among married women in rural areas of China. Chin J Epidemiol. 2006;27(8):664–8.
33.
go back to reference Teets JM. The incidence and experience of rape among chemically dependent women. J Psychoact Drugs. 1997;29(4):331–6.CrossRef Teets JM. The incidence and experience of rape among chemically dependent women. J Psychoact Drugs. 1997;29(4):331–6.CrossRef
34.
go back to reference Choi S, Chen K, Jiang Z. Client-perpetuated violence and condom failure among female sex worker in southwestern China. Sex Transm Dis. 2008;35(2):141–6.PubMedCrossRef Choi S, Chen K, Jiang Z. Client-perpetuated violence and condom failure among female sex worker in southwestern China. Sex Transm Dis. 2008;35(2):141–6.PubMedCrossRef
35.
go back to reference McCauley J, Kern DE, Kolodner K, et al. The “battering syndrome”: prevalence and clinical symptoms of domestic violence in primary care internal medicine practices. Ann Intern Med. 1995;123:737–46.PubMed McCauley J, Kern DE, Kolodner K, et al. The “battering syndrome”: prevalence and clinical symptoms of domestic violence in primary care internal medicine practices. Ann Intern Med. 1995;123:737–46.PubMed
36.
go back to reference Roberts GL, Lawrence JM, Williams GM, Raphael B. The impact of domestic violence on women’s mental health. Aust N Z J Public Health. 1998;22:796–801.PubMedCrossRef Roberts GL, Lawrence JM, Williams GM, Raphael B. The impact of domestic violence on women’s mental health. Aust N Z J Public Health. 1998;22:796–801.PubMedCrossRef
37.
go back to reference Shannon K, Kerr T, Strathdee SA, Shoveler J, Montaner JS, Tyndall MW. Prevalence and structural correlates of gender based violence among a prospective cohort of female sex workers. Br Med J. 2009;339:b2939. doi:10.1136/bmj.b2939.CrossRef Shannon K, Kerr T, Strathdee SA, Shoveler J, Montaner JS, Tyndall MW. Prevalence and structural correlates of gender based violence among a prospective cohort of female sex workers. Br Med J. 2009;339:b2939. doi:10.​1136/​bmj.​b2939.CrossRef
38.
go back to reference Nayak MB, Patel V, Bond JC, Greenfield TK. Partner alcohol use, violence and women’s mental health: population-based survey in India. Br J Psychiatry. 2010;196:192–9.PubMedCrossRef Nayak MB, Patel V, Bond JC, Greenfield TK. Partner alcohol use, violence and women’s mental health: population-based survey in India. Br J Psychiatry. 2010;196:192–9.PubMedCrossRef
39.
go back to reference Morrill A, Ickovics J. Surviving abuse and HIV risk: how women’s experience of abuse shapes their heterosexual risk for HIV. In: Presented at the XI International Conference on AIDS, Vancouver; 1996. Morrill A, Ickovics J. Surviving abuse and HIV risk: how women’s experience of abuse shapes their heterosexual risk for HIV. In: Presented at the XI International Conference on AIDS, Vancouver; 1996.
40.
go back to reference Choi SY, Holroyd E. The influence of power, poverty and agency in the negotiation of condom use for female sex workers in mainland China. Cult Health Sex. 2007;9(5):489–503.PubMedCrossRef Choi SY, Holroyd E. The influence of power, poverty and agency in the negotiation of condom use for female sex workers in mainland China. Cult Health Sex. 2007;9(5):489–503.PubMedCrossRef
41.
go back to reference Hong Y, Poon AN, Zhang C. HIV/STI prevention interventions targeting FSWs in China: a systematic literature review. AIDS Care 2011;23(Suppl. 1):54–65. Hong Y, Poon AN, Zhang C. HIV/STI prevention interventions targeting FSWs in China: a systematic literature review. AIDS Care 2011;23(Suppl. 1):54–65.
42.
go back to reference Heise LL, Elias C. Transforming aids prevention to meet women’s needs: a focus on developing countries. Soc Sci Med. 1995;40(7):931–43.PubMedCrossRef Heise LL, Elias C. Transforming aids prevention to meet women’s needs: a focus on developing countries. Soc Sci Med. 1995;40(7):931–43.PubMedCrossRef
43.
go back to reference Amaro H. Love, sex, and power. Considering women’s realities in HIV prevention. Am Psychol. 1995;50(6):437–47.PubMedCrossRef Amaro H. Love, sex, and power. Considering women’s realities in HIV prevention. Am Psychol. 1995;50(6):437–47.PubMedCrossRef
44.
go back to reference Sanders T. A continuum of risk? The management of health, physical and emotional risks by female sex workers. Sociol Health Illn. 2004;26(5):557–74.PubMedCrossRef Sanders T. A continuum of risk? The management of health, physical and emotional risks by female sex workers. Sociol Health Illn. 2004;26(5):557–74.PubMedCrossRef
45.
go back to reference Heise L. Violence against women: the hidden health burden. World Health Stat Q. 1993;46(1):78–85.PubMed Heise L. Violence against women: the hidden health burden. World Health Stat Q. 1993;46(1):78–85.PubMed
46.
go back to reference Romero-Daza N, Singer M, Weeks M. “Nobody gives a damn if I live or die”: violence, drugs, and street-level prostitution in inner-city Hartford, Connecticut. Med Anthropol. 2003;22(3):233–59.PubMedCrossRef Romero-Daza N, Singer M, Weeks M. “Nobody gives a damn if I live or die”: violence, drugs, and street-level prostitution in inner-city Hartford, Connecticut. Med Anthropol. 2003;22(3):233–59.PubMedCrossRef
Metadata
Title
Partner Violence and HIV Risk Among Female Sex Workers in China
Authors
Chen Zhang
Xiaoming Li
Yan Hong
Yiyun Chen
Wei Liu
Yuejiao Zhou
Publication date
01-05-2012
Publisher
Springer US
Published in
AIDS and Behavior / Issue 4/2012
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-011-9968-0

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