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Pathak N, Sohal A, Feder GS. How to enquire and respond to domestic violence and abuse in sexual health settings. Sex Transm Infect 2016; 93:175-178. [PMID: 27455852 DOI: 10.1136/sextrans-2015-052408] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2016] [Revised: 06/22/2016] [Accepted: 07/02/2016] [Indexed: 11/04/2022] Open
Affiliation(s)
- N Pathak
- Women's Health Research Unit, Queen Mary University of London, London, UK.,Centre for Academic Primary Care, School of Social and Community Medicine, University of Bristol, London, UK
| | - A Sohal
- Centre for Primary Care and Public Health, Queen Mary University of London, London, UK
| | - G S Feder
- Centre for Academic Primary Care, School of Social and Community Medicine, University of Bristol, London, UK
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Decker MR, Lyons C, Billong SC, Njindam IM, Grosso A, Nunez GT, Tumasang F, LeBreton M, Tamoufe U, Baral S. Gender-based violence against female sex workers in Cameroon: prevalence and associations with sexual HIV risk and access to health services and justice. Sex Transm Infect 2016; 92:599-604. [PMID: 27280972 DOI: 10.1136/sextrans-2015-052463] [Citation(s) in RCA: 42] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2015] [Revised: 04/06/2016] [Accepted: 05/10/2016] [Indexed: 11/04/2022] Open
Abstract
BACKGROUND/OBJECTIVES Female sex workers (FSWs) are at risk for HIV and physical and sexual gender-based violence (GBV). We describe the prevalence of lifetime GBV and its associations with HIV risk behaviour, access to health services and barriers in accessing justice among FSWs in Cameroon. METHODS FSWs (n=1817) were recruited for a cross-sectional study through snowball sampling in seven cities in Cameroon. We examined associations of lifetime GBV with key outcomes via adjusted logistic regression models. RESULTS Overall, 60% (1098/1817) had experienced physical or sexual violence in their lifetime. GBV was associated with inconsistent condom use with clients (adjusted OR (AOR) 1.49, 95% CI 1.18 to 1.87), being offered more money for condomless sex (AOR 2.09, 95% CI 1.56 to 2.79), having had a condom slip or break (AOR 1.53, 95% CI 1.25 to 1.87) and difficulty suggesting condoms with non-paying partners (AOR 1.47, 95% CI 1.16 to 1.87). Violence was also associated with fear of health services (AOR 2.25, 95% CI 1.61 to 3.16) and mistreatment in a health centre (AOR 1.66, 95% CI 1.01 to 2.73). Access to justice was constrained for FSWs with a GBV history, specifically feeling that police did not protect them (AOR 1.41, 95% CI 1.12 to 1.78). DISCUSSION Among FSWs in Cameroon, violence is prevalent and undermines HIV prevention and access to healthcare and justice. Violence is highly relevant to FSWs' ability to successfully negotiate condom use and engage in healthcare. In this setting of criminalised sex work, an integrated, multisectoral GBV-HIV strategy that attends to structural risk is needed to enhance safety, HIV prevention and access to care and justice.
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Affiliation(s)
- Michele R Decker
- Department of Population, Family & Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.,Center for Public Health & Human Rights, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA
| | - Carrie Lyons
- Center for Public Health & Human Rights, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.,Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA
| | - Serge Clotaire Billong
- Comité national de lutte contre le sida (CNLS), Ministère de la Sante Publique (MINSANTE), Yaoundé, Cameroon
| | - Iliassou Mfochive Njindam
- Center for Public Health & Human Rights, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.,Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA
| | - Ashley Grosso
- Center for Public Health & Human Rights, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.,Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA
| | - Gnilane Turpin Nunez
- Center for Public Health & Human Rights, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.,Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA
| | - Florence Tumasang
- PEPFAR DSF Ministère de la Sante Publique (MINSANTE), Yaoundé, Cameroon
| | | | | | - Stefan Baral
- Center for Public Health & Human Rights, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.,Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA
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Kingston M, Smurthwaite D, Dixon S, White C. How to manage children with anogenital warts. Sex Transm Infect 2016; 93:267-269. [PMID: 27052038 DOI: 10.1136/sextrans-2015-052242] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2015] [Revised: 02/25/2016] [Accepted: 03/05/2016] [Indexed: 11/04/2022] Open
Affiliation(s)
- Margaret Kingston
- The Hathersage Integrated Contraception, Sexual Health & HIV Service, Manchester Royal Infirmary, Central Manchester Foundation Trust, Manchester, UK
| | - Denise Smurthwaite
- St Mary's Sexual Assault Referral Centre, Central Manchester Foundation Trust, Manchester, UK
| | - Sarah Dixon
- Paediatrics, Royal Manchester Children's Hospital, Central Manchester Foundation Trust, Manchester, UK
| | - Catherine White
- St Mary's Sexual Assault Referral Centre, Central Manchester Foundation Trust, Manchester, UK
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Ashby J, Rogstad K, Forsyth S, Wilkinson D. Spotting the Signs: a national toolkit to help identify young people at risk of child sexual exploitation. Sex Transm Infect 2015; 91:231. [PMID: 25990777 DOI: 10.1136/sextrans-2014-051972] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Affiliation(s)
- Jane Ashby
- Archway Centre for Sexual Health, Central and North West London NHS Foundation Trust, London, UK
| | - Karen Rogstad
- Sheffield Teaching Hospitals Foundation Trust, Undergraduate Support Dean, University of Sheffield, Royal Hallamshire Hospital, Sheffield, UK
| | - Sophie Forsyth
- Great Western hospitals NHS Foundation trust, Swindon, UK
| | - Dawn Wilkinson
- Imperial College Healthcare NHS Trust, Jefferiss Wing Centre for Sexual Health, St Mary's Hospital, London, UK
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