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

Author

Listed:
  • 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
  • Stefan D Baral

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  

Suggested Citation

  • Anna Abelson & Carrie Lyons & Michele Decker & Sosthenes Ketende & Iliassou Mfochive Njindam & Ghislaine Fouda & Flavien Ndonko & Daniel Levitt & Ubald Tamoufe & Serge Billong & Anne-Cecile Zoung-Kany, 2019. "Lifetime experiences of gender-based violence, depression and condom use among female sex workers in Cameroon," International Journal of Social Psychiatry, , vol. 65(6), pages 445-457, September.
    • Handle: RePEc:sae:socpsy:v:65:y:2019:i:6:p:445-457
    DOI: 10.1177/0020764019858646
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    References listed on IDEAS

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