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Table 2 Associations of forced sex by a client (FS) with other forms of violence and health outcomes

From: Sexual violence against female sex workers in The Gambia: a cross-sectional examination of the associations between victimization and reproductive, sexual and mental health

 

Total sample: n (%) n = 251

Exposed to FS: n (%) n =70

Unexposed to FS: n (%) n = 171

Crude OR (95% CI)

P-value

Adjusted OR^ (95% CI)

P-value

Violence Outcomes:

Ever beaten up as a result of selling sex

49 (21.1)

22 (31.9)

27 (16.6)

2.36 (1.22 - 4.53)

.01*

2.44 (1.22 - 4.85)

.01*

By regular client

13 (26.5)

      

By one-time client

10 (20.4)

      

By non- paying partner

10 (20.4)

      

By uniformed officer

9 (18.4)

      

By family member

6 (12.2)

      

Ever verbally or physically harassed as a result of selling sex

96 (38.5)

31 (44.3)

64 (37.4)

1.33 (.76 - 2.34)

.32

1.25 (.70 - 2.26)

.45

Ever tortured as a result of selling sex

81 (32.7)

31 (44.3)

49 (28.8)

1.96 (1.10 - 3.49)

.02*

1.85 (.99 - 3.42)

.05*

Ever blackmailed as a result of selling sex

60 (24.5)

26 (37.1)

34 (19.9)

2.38 (1.30 - 4.40)

<.01*

2.33 (1.22 - 4.47)

.01*

Ever offered more money to have sex without a condom

102 (42.1)

30 (42.9)

72 (42.9)

1.00 (.57 - 1.76)

1.0

.96 (.53 - 1.73)

.89

Ever jailed

11 (4.8)

6 (9.5)

5 (3.1)

3.24 (.95 - 11.04)

.06

2.29 (.62- 8.50)

.21

Health Outcomes:

Depressive Symptoms~

154 (62.6)

51 (73.9)

100 (58.8)

1.98 (1.06 - 3.68)

.03*

2.15^ (1.10 - 4.16)

.02*

STI test in the past 12 months

112 (45.3)

23 (32.9)

84 (49.7)

.49 (.28 - .89)

.02*

.49^ (.26 - .91)

.02*

Unwanted pregnancy (Over lifetime)

54 (23.8)

19 (29.2)

35 (22.6)

1.42 (.74 - 2.72)

.29

2.69 > (1.12 - 6.49)

.03*

Difficult or no access to condoms+

121 (48.9)

48 (68.6)

71 (42.0)

3.01 (1.67 - 5.43)

<.001*

3.32^ (1.75 - 6.26)

<.001*

  1. *p-value significant at .05 level.
  2. ~Screen for depressive symptoms through the question “Have you felt sad or had a depressed mood for more than two weeks at a time in the last three years”.
  3. +Variable coded dichotomously comparing “no”, “difficult”, or “somewhat difficult” access compared to “very easy” or “somewhat easy” access to condoms.
  4. ^Adjusted for age, age of entry into sex work, years spent in sex work, and HIV status.
  5. >Adjusted for age, age of entry into sex work, years spent in sex work, HIV status, and number of childre006E.