Intimate-Partner and Client-Initiated Violence among Female Street-Based Sex Workers in China: Does a Support Network Help?

Publisher: Public Library of Science Country of Publication: United States NLM ID: 101285081 Publication Model: eCollection Cited Medium: Internet ISSN: 1932-6203 (Electronic) Linking ISSN: 19326203 NLM ISO Abbreviation: PLoS One Subsets: MEDLINE

Original Publication: San Francisco, CA : Public Library of Science

Sexual Partners* ; Social Support*; Sex Workers/*statistics & numerical data ; Violence/*statistics & numerical data; China/epidemiology ; Crime Victims ; Demography ; Female ; Humans ; Multivariate Analysis ; Regression Analysis

Background: Globally, female street-based sex workers are vulnerable to gender-based violence. Previous research has shown having a peer social network can reduce sex workers' risks of victimization. However, mechanisms of how social network impacts violence among female street-based sex workers are still far from clear.
Methods: Our study was based on data abstracted from a paper-and-pencil survey administered among 218 female street-based sex workers in Shanghai, China. We focused on self-reported client-initiated violence and intimate-partner violence in emotional, physical, and sexual forms. Social networks were characterized by the size and sources of financial and psychosocial support (e.g. family, friends, and peers). Multi-variable logistic regression was used to estimate adjusted odds ratios (AOR) of each type of violence exposure by social network structure after the adjustment of age, education, and years in Shanghai.
Results: The street-based female sex workers in our study were primarily rural-to-urban migrants (95.7%) with an average age of 41 years old. 24.3% and 62.8% of the sex workers reported intimate-partner violence and client-initiated violence respectively. Lack of financial support, as defined by having only one individual or none in her peer support system to help financially, was significantly associated with self-reported intimate-partner violence (AOR: 2.5; 95% CI: 1.1-5.9). Respondents who reported client-initiated violence, by contrast, were more likely to report lacked psychosocial support from family (AOR: 2.2, 95% CI: 1.0-4.6) and peers (AOR: 5.1, 95% CI: 2.2-11).
Conclusion: This study is one of the first to systematically analyze the associations between social network and gender-based violence among street-based female sex worker. We reported a high prevalence of both types of gender-based violence and their complex associations with family, friends, and peer support network. Policies with goals to reduce violence against women may apply these findings to leverage social network in the interventions against gender-based violence.

PLoS One. 2011;6(9):e24816. (PMID: 21931856)
Psychol Bull. 1985 Sep;98(2):310-57. (PMID: 3901065)
Sociol Methodol. 2011 Aug 1;41(1):355-366. (PMID: 22228916)
AIDS Educ Prev. 1998 Jun;10(3):278-92. (PMID: 9642425)
Am J Public Health. 2014 May;104(5):e42-54. (PMID: 24625169)
Am J Reprod Immunol. 2013 Feb;69 Suppl 1:2-3. (PMID: 23126433)
BMC Public Health. 2013;13:234. (PMID: 23496972)
Am J Public Health. 2012 Jun;102(6):1154-9. (PMID: 22571708)
J Assoc Nurses AIDS Care. 2008 Jul-Aug;19(4):252-66. (PMID: 18598901)
J Urban Health. 2014 Aug;91(4):736-51. (PMID: 25055750)
AIDS Behav. 2012 Oct;16(7):1877-86. (PMID: 22711225)
Int Fam Plan Perspect. 2004 Dec;30(4):174-81. (PMID: 15590383)
J Huazhong Univ Sci Technolog Med Sci. 2015 Jun;35(3):405-10. (PMID: 26072081)
J Interpers Violence. 2011 Oct;26(15):2991-3012. (PMID: 21156689)
BMJ. 2001 Mar 3;322(7285):524-5. (PMID: 11230067)
AIDS Educ Prev. 2007 Jun;19(3):218-30. (PMID: 17563276)
AIDS Behav. 2013 Feb;17(2):551-8. (PMID: 22760740)
Am J Prev Med. 2000 Nov;19(4):253-63. (PMID: 11064229)
J Urban Health. 2011 Apr;88(2):240-53. (PMID: 21336504)
AIDS Behav. 2008 Jul;12(4):623-36. (PMID: 17694431)
Sex Health. 2009 Mar;6(1):45-50. (PMID: 19254491)
AIDS Behav. 2005 Dec;9(4):387-402. (PMID: 16235135)
Diabetol Metab Syndr. 2015 Jun 30;7:60. (PMID: 26167205)
J Consult Clin Psychol. 2013 Jun;81(3):455-66. (PMID: 23398492)
Sex Transm Dis. 2008 Feb;35(2):141-6. (PMID: 17921913)
AIDS. 2008 Aug;22 Suppl 2:S67-79. (PMID: 18641472)
AIDS Educ Prev. 2002 Jun;14(3 Suppl A):97-106. (PMID: 12092941)
Am J Public Health. 2005 Jan;95(1):78-85. (PMID: 15623864)
AIDS Behav. 2012 May;16(4):1020-30. (PMID: 21598033)
Psychol Sci. 2007 Sep;18(9):831-7. (PMID: 17760781)
Trauma Violence Abuse. 2009 Jul;10(3):211-24. (PMID: 19477869)
AIDS Patient Care STDS. 2001 Jan;15(1):41-51. (PMID: 11177587)
AIDS Care. 2014;26(8):1019-26. (PMID: 24410298)
BMJ. 2007 Jan 13;334(7584):52-3. (PMID: 17218668)
Int J Drug Policy. 2008 Apr;19(2):106-12. (PMID: 18187314)
Am J Community Psychol. 1983 Dec;11(6):629-54. (PMID: 6666751)
Lancet. 2002 Apr 13;359(9314):1331-6. (PMID: 11965295)
AIDS Behav. 2012 May;16(4):858-71. (PMID: 22223298)
Am J Epidemiol. 1976 Aug;104(2):107-23. (PMID: 782233)
J Interpers Violence. 2010 Feb;25(2):257-73. (PMID: 19553559)
Indian J Psychiatry. 2013 Jul;55(3):244-9. (PMID: 24082244)
Science. 1988 Jul 29;241(4865):540-5. (PMID: 3399889)
J Homosex. 2000;39(2):1-30. (PMID: 10933279)
Am J Public Health. 2000 Apr;90(4):560-5. (PMID: 10754970)
J Pain. 2008 Nov;9(11):1049-57. (PMID: 18701353)
Stud Fam Plann. 2001 Mar;32(1):1-16. (PMID: 11326453)
Lancet. 2015 Jan 10;385(9963):172-85. (PMID: 25059938)
Cult Health Sex. 2012;14(2):139-50. (PMID: 22084992)
Trauma Violence Abuse. 2014 Jan;15(1):3-21. (PMID: 23887351)
AIDS Educ Prev. 2005 Apr;17(2):143-56. (PMID: 15899752)
Lancet. 2002 Apr 6;359(9313):1232-7. (PMID: 11955557)
J Consult Clin Psychol. 2009 Aug;77(4):718-29. (PMID: 19634964)
Cult Health Sex. 2015;17(6):763-76. (PMID: 25587711)
Trauma Violence Abuse. 2007 Apr;8(2):149-77. (PMID: 17545572)
Cult Health Sex. 2014;16(1):47-60. (PMID: 23998493)
J Epidemiol Community Health. 2002 Apr;56(4):242-3. (PMID: 11896128)
PLoS One. 2014;9(12):e113794. (PMID: 25436910)
Eur J Psychotraumatol. 2014 Dec 09;5:26528. (PMID: 25511732)
J Behav Med. 1981 Dec;4(4):381-406. (PMID: 7338894)
AIDS Patient Care STDS. 2009 May;23(5):371-6. (PMID: 19320600)
BMC Public Health. 2010;10:476. (PMID: 20701791)
J Transcult Nurs. 2010 Jan;21(1):29-34. (PMID: 19820172)
J Interpers Violence. 2012 Jul;27(10):1911-31. (PMID: 22366477)
J Lesbian Stud. 2008;12(2-3):211-24. (PMID: 19042733)
BMJ. 2009;339:b2939. (PMID: 19671935)
PLoS One. 2013;8(4):e62290. (PMID: 23626798)
PLoS One. 2015;10(2):e0118651. (PMID: 25700107)
Am J Community Psychol. 2000 Feb;28(1):127-43. (PMID: 10824277)
Health Care Women Int. 2009 Mar;30(3):249-69. (PMID: 19191121)
Psychol Health Med. 2010 Mar;15(2):172-87. (PMID: 20391235)
J Infect Dis. 2011 Dec 1;204 Suppl 5:S1223-8. (PMID: 22043036)
Am J Epidemiol. 2004 Apr 15;159(8):778-85. (PMID: 15051587)
Lancet. 2015 Jan 3;385(9962):3-4. (PMID: 25059937)
J Urban Health. 2013 Feb;90(1):175-84. (PMID: 22948789)
AIDS Behav. 2011 Apr;15(3):621-5. (PMID: 20352316)
Int J Drug Policy. 2014 Jan;25(1):96-104. (PMID: 23916802)
J Sex Res. 2005 Aug;42(3):238-48. (PMID: 19817037)
Public Health. 2014 May;128(5):430-7. (PMID: 24792190)
Soc Sci Med. 2008 Apr;66(8):1848-62. (PMID: 18295948)
PLoS One. 2014;9(7):e102129. (PMID: 25010362)
J Adolesc Health. 2014 Dec;55(6 Suppl):S58-67. (PMID: 25454004)
Psychol Bull. 1996 May;119(3):488-531. (PMID: 8668748)
Am J Epidemiol. 1979 Feb;109(2):186-204. (PMID: 425958)

R21 HD066362 United States HD NICHD NIH HHS; HD-066362 United States HD NICHD NIH HHS

Date Created: 20150929 Date Completed: 20160530 Latest Revision: 20220331

20221213

PMC4586135

10.1371/journal.pone.0139161

26413776