Lifetime experiences of gender-based violence, depression and condom use among female sex workers in Cameroon

Anna Abelson, Carrie Lyons, Michele Decker, Sosthenes Ketende, Iliassou Mfochive Njindam, Ghislaine Fouda, Flavien Ndonko, Daniel Levitt, Ubald Tamoufe, Serge Billong, Anne-Cecile Zoung-Kanyi Bissek and Stefan D Baral

International Journal of Social Psychiatry, 2019, vol. 65, issue 6, 445-457

Abstract: Background: In general populations, consistent data highlight the relationships among violence, HIV risk behavior and depression; however, these patterns are not well understood among female sex workers (FSWs). We examined the relationship between FSWs’ experiences with sexual violence and consistent condom use as a key HIV risk behavior and explored mental health as a potential mediator. Methods: In total, 2,165 FSWs were recruited via respondent-driven sampling in Cameroon in 2016. The women answered questions about violence, condom use and mental health. Results: Inconsistent condom use with clients was reported by 23.5% of participants (508/2,165). Lifetime sexual violence was prevalent with 33.0% (713/2,163) of participants. Almost 50% (1,067/2,143) of respondents had some level of depression. Sexual violence was significantly associated with inconsistent condom use (adjusted risk ratio (aRR) 1.4, 95% confidence interval (CI) (1.2–1.6)). Of FSWs with no depression, 24.9% (267/1,071) reported sexual violence, versus 56.1% (32/57) of respondents with severe depression ( p  

Keywords: HIV; female sex work; gender-based violence; depression (search for similar items in EconPapers)
Date: 2019
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Persistent link: https://EconPapers.repec.org/RePEc:sae:socpsy:v:65:y:2019:i:6:p:445-457

DOI: 10.1177/0020764019858646

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