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.

中文翻译：

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乌干达南部从事性工作的年轻女性亲密伴侣暴力的相关性。


亲密伴侣暴力（IPV）是一个重大的全球公共卫生问题，给个人和社区带来高昂的社会和经济成本。与一般人群中的女性相比，从事性工作 (WESW) 的女性更有可能经历身体、情感和性方面的 IPV。本研究调查了乌干达南部年轻 WESW 与其亲密伴侣 IPV 的相关性。我们使用了 Kyaterekera 项目的基线数据，这是一项由 NIH 资助的为期 5 年的纵向研究，旨在降低乌干达南部 542 名 WESW 的艾滋病毒风险。为了检查与 IPV 相关的因素，我们分别针对身体、情感和性 IPV 拟合了三个独立的多级泊松回归模型。平均年龄为 31.4 岁，54% 的女性报告称她们是亲密伴侣至少一种形式的 IPV 的受害者。模型一评估了性 IPV 的相关性。已婚女性 (β = .71, 95% CI [0.24, 1.17])、离婚/分居/丧偶 (β = .52, [0.02, 1.02])、抑郁 (β = .04, [0.02, 0.05]) ，并且患有任何性传播感染 (STI) (β = .58, [0.14, 1.01]) 与性 IPV 相关。模型二评估了物理 IPV 的相关性。儿童时期遭受性虐待的经历 (β = .12, [0.04, 0.19]) 与身体 IPV 的增加有关，年龄的增加会减少其发生率 (β = -.02, [-0.04, -0.001])。最后，模型三评估了情感IPV。受过高等教育 (β = .49, [0.14, 0.85]) 和有抑郁症状 (β = .02, [0.001, 0.04]) 的女性患情绪性 IPV 的风险较高。对于 WESW 来说，由于缺乏安全性行为的谈判能力，IPV 为艾滋病毒和性传播感染提供了一条额外的潜在途径。 应优先考虑减少针对 WESW 的暴力行为，作为增强 WESW 福祉的战略。