Gender-based violence and associated factors among female sex workers in Ethiopia. Evidence from The National Bio-behavioral Survey, 2020

BackgroundGender-based violence (GBV) is usually defined as unequal power relations between men and women, which poses a widespread public health problem. The study evaluated the prevalence and factors associated with GBV among female sex workers (FSWs) in Ethiopia.MethodWe used cross-sectional bio-...

Full description

Bibliographic Details
Main Authors: Lemessa Debel, Jemal Ayalew, Saro Abdella, Jaleta Bulti, Birra Bejiga, Fayiso Bati Wariso, Wudinesh Belete, Abebe Habtesilase, Silesh Lulseged
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-01-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2023.1213725/full
_version_ 1797338376537374720
author Lemessa Debel
Jemal Ayalew
Saro Abdella
Jaleta Bulti
Birra Bejiga
Fayiso Bati Wariso
Wudinesh Belete
Abebe Habtesilase
Silesh Lulseged
author_facet Lemessa Debel
Jemal Ayalew
Saro Abdella
Jaleta Bulti
Birra Bejiga
Fayiso Bati Wariso
Wudinesh Belete
Abebe Habtesilase
Silesh Lulseged
author_sort Lemessa Debel
collection DOAJ
description BackgroundGender-based violence (GBV) is usually defined as unequal power relations between men and women, which poses a widespread public health problem. The study evaluated the prevalence and factors associated with GBV among female sex workers (FSWs) in Ethiopia.MethodWe used cross-sectional bio-behavioral data collected using respondent-driven sampling (RDS) in 2020 from 16 towns in Ethiopia. Descriptive statistics was analyzed to summarize the study population characteristics and prevalence of GBV, and a multilevel logistic regression model was applied to identify associated factors for GBV. A p-value of ≤0.05 was used as a threshold for statistical significance.ResultOf 6,085 participants, 28.1% had experienced GBV during the last 12 months, among which 12.7% and 22.3% experienced physical and sexual violence, respectively. FSWs aged 15–24, and 25–34 than those 35 years or more, had a non-paying than paying partners, had 31–60, 61–90, and over 91 than those had less than 30 paying partners, ever had anal sex than those not, condom failure than those not, mobile female sex workers when compared with those not mobile at different town; 3–5 and ≥ 6 years than those less than 3 years stayed in selling sex, street-based, and multiple places selling sex than those used other venues were significantly associated with GBV.ConclusionGender-based violence is a substantial problem among FSWs in Ethiopia, with significant implications for program planning on prevention and response to mitigate the occurrence and impact of GBV among FSWs.
first_indexed 2024-03-08T09:30:17Z
format Article
id doaj.art-b6286d1da3f14786a0fa8b0cdf2bb5aa
institution Directory Open Access Journal
issn 2296-2565
language English
last_indexed 2024-03-08T09:30:17Z
publishDate 2024-01-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Public Health
spelling doaj.art-b6286d1da3f14786a0fa8b0cdf2bb5aa2024-01-31T04:45:48ZengFrontiers Media S.A.Frontiers in Public Health2296-25652024-01-011110.3389/fpubh.2023.12137251213725Gender-based violence and associated factors among female sex workers in Ethiopia. Evidence from The National Bio-behavioral Survey, 2020Lemessa Debel0Jemal Ayalew1Saro Abdella2Jaleta Bulti3Birra Bejiga4Fayiso Bati Wariso5Wudinesh Belete6Abebe Habtesilase7Silesh Lulseged8Ethiopian Public Health Institute, HIV/TB Research Directorate, Addis Ababa, EthiopiaDepartment of Statistics, Wollo University, College of Natural Science, Dessie, EthiopiaEthiopian Public Health Institute, HIV/TB Research Directorate, Addis Ababa, EthiopiaEthiopian Public Health Institute, HIV/TB Research Directorate, Addis Ababa, EthiopiaEthiopian Public Health Institute, HIV/TB Research Directorate, Addis Ababa, EthiopiaEthiopian Public Health Institute, HIV/TB Research Directorate, Addis Ababa, EthiopiaEthiopian Public Health Institute, HIV/TB Research Directorate, Addis Ababa, EthiopiaEthiopian Public Health Institute, HIV/TB Research Directorate, Addis Ababa, EthiopiaAddis Ababa University, Faculty of Medicine, College of Health Sciences, Addis Ababa, EthiopiaBackgroundGender-based violence (GBV) is usually defined as unequal power relations between men and women, which poses a widespread public health problem. The study evaluated the prevalence and factors associated with GBV among female sex workers (FSWs) in Ethiopia.MethodWe used cross-sectional bio-behavioral data collected using respondent-driven sampling (RDS) in 2020 from 16 towns in Ethiopia. Descriptive statistics was analyzed to summarize the study population characteristics and prevalence of GBV, and a multilevel logistic regression model was applied to identify associated factors for GBV. A p-value of ≤0.05 was used as a threshold for statistical significance.ResultOf 6,085 participants, 28.1% had experienced GBV during the last 12 months, among which 12.7% and 22.3% experienced physical and sexual violence, respectively. FSWs aged 15–24, and 25–34 than those 35 years or more, had a non-paying than paying partners, had 31–60, 61–90, and over 91 than those had less than 30 paying partners, ever had anal sex than those not, condom failure than those not, mobile female sex workers when compared with those not mobile at different town; 3–5 and ≥ 6 years than those less than 3 years stayed in selling sex, street-based, and multiple places selling sex than those used other venues were significantly associated with GBV.ConclusionGender-based violence is a substantial problem among FSWs in Ethiopia, with significant implications for program planning on prevention and response to mitigate the occurrence and impact of GBV among FSWs.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1213725/fullfemale sex workersgender-based violencesexual violencephysical violencePerpetrators and victims
spellingShingle Lemessa Debel
Jemal Ayalew
Saro Abdella
Jaleta Bulti
Birra Bejiga
Fayiso Bati Wariso
Wudinesh Belete
Abebe Habtesilase
Silesh Lulseged
Gender-based violence and associated factors among female sex workers in Ethiopia. Evidence from The National Bio-behavioral Survey, 2020
Frontiers in Public Health
female sex workers
gender-based violence
sexual violence
physical violence
Perpetrators and victims
title Gender-based violence and associated factors among female sex workers in Ethiopia. Evidence from The National Bio-behavioral Survey, 2020
title_full Gender-based violence and associated factors among female sex workers in Ethiopia. Evidence from The National Bio-behavioral Survey, 2020
title_fullStr Gender-based violence and associated factors among female sex workers in Ethiopia. Evidence from The National Bio-behavioral Survey, 2020
title_full_unstemmed Gender-based violence and associated factors among female sex workers in Ethiopia. Evidence from The National Bio-behavioral Survey, 2020
title_short Gender-based violence and associated factors among female sex workers in Ethiopia. Evidence from The National Bio-behavioral Survey, 2020
title_sort gender based violence and associated factors among female sex workers in ethiopia evidence from the national bio behavioral survey 2020
topic female sex workers
gender-based violence
sexual violence
physical violence
Perpetrators and victims
url https://www.frontiersin.org/articles/10.3389/fpubh.2023.1213725/full
work_keys_str_mv AT lemessadebel genderbasedviolenceandassociatedfactorsamongfemalesexworkersinethiopiaevidencefromthenationalbiobehavioralsurvey2020
AT jemalayalew genderbasedviolenceandassociatedfactorsamongfemalesexworkersinethiopiaevidencefromthenationalbiobehavioralsurvey2020
AT saroabdella genderbasedviolenceandassociatedfactorsamongfemalesexworkersinethiopiaevidencefromthenationalbiobehavioralsurvey2020
AT jaletabulti genderbasedviolenceandassociatedfactorsamongfemalesexworkersinethiopiaevidencefromthenationalbiobehavioralsurvey2020
AT birrabejiga genderbasedviolenceandassociatedfactorsamongfemalesexworkersinethiopiaevidencefromthenationalbiobehavioralsurvey2020
AT fayisobatiwariso genderbasedviolenceandassociatedfactorsamongfemalesexworkersinethiopiaevidencefromthenationalbiobehavioralsurvey2020
AT wudineshbelete genderbasedviolenceandassociatedfactorsamongfemalesexworkersinethiopiaevidencefromthenationalbiobehavioralsurvey2020
AT abebehabtesilase genderbasedviolenceandassociatedfactorsamongfemalesexworkersinethiopiaevidencefromthenationalbiobehavioralsurvey2020
AT sileshlulseged genderbasedviolenceandassociatedfactorsamongfemalesexworkersinethiopiaevidencefromthenationalbiobehavioralsurvey2020