Socio-Demographic Characteristics and Prevalence of Gender-Based Violence Among Female Sex Workers in Rural Areas, South Africa
Abstract
In rural areas, a dearth of health care support services, lack of legal protection, and widespread stigma can lead to increased cases of violence and exploitation, making it increasingly difficult for female sex workers to seek help or escape situations of abuse. The aim of this study was to investigate the prevalence of gender-based violence (GBV) among female sex workers (FSWs) in the Westrand District area of Mogale, South Africa. This was a descriptive, quantitative study conducted among 383 FSWs who were selected using a systematic random sampling technique. Data were collected using self-administered questionnaires. About half of the FSWs (45%) were between the ages of 25 and 35. Most of the FSWs were single (91%), and half of them (54%) had completed only secondary education. Results showed that two-thirds of the FSWs (67%) experienced GBV. More than two-thirds (70%) had been belittled, 60% reported being insulted, 43% of FSWs had experienced forced vaginal sex, and another 40% had experienced forced anal or oral sex. Among those who did not report the violence, 18% indicated financial reasons, followed by personal choice. GBV is pervasive among FSWs in Mogale City and hinders HIV prevention efforts as well as access to justice and treatment. An integrated, multi-sectoral GBV strategy that addresses structural risks is required to improve safety and promote access to care and justice.
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References
Balfour, R., & Allen, J. (2014). A review of the literature on sex workers and social exclusion by the UCL institute of health equity for inclusion health, department of health. GOV. UK. https://assets.publishing.service.gov.uk/media/5a7eb0b7e5274a2e87db1495/A_Review_of_the_Literature_on_sex_workers_and_social_exclusion.pdf
Coetzee, J., Gray, G. E., & Jewkes, R. (2017). Prevalence and patterns of victimization and polyvictimization among female sex workers in Soweto, a South African township: a cross-sectional, respondent-driven sampling study. Global health action, 10(1), 1403815. https://doi.org/10.1080/16549716.2017.1403815
Chersich, M. F., Bosire, W., King’ola, N., Temmerman, M., & Luchters, S. (2014). Effects of hazardous and harmful alcohol use on HIV incidence and sexual behaviour: a cohort study of Kenyan female sex workers. Globalization and health, 10, 1-11. https://doi.org/10.1186/1744-8603-10-22
Debel, L., Ayalew, J., Abdella, S., Bulti, J., Bejiga, B., Wariso, F. B., & Lulseged, S. (2024). Gender-based violence and associated factors among female sex workers in Ethiopia. Evidence from The National Bio-behavioral Survey, 2020. Frontiers in Public Health, 11, 1213725. https://doi.org/10.3389/fpubh.2023.1213725
Decker, M. R., McCauley, H. L., Phuengsamran, D., Janyam, S., Seage, G. R., & Silverman, J. G. (2010). Violence victimisation, sexual risk and sexually transmitted infection symptoms among female sex workers in Thailand. Sexually transmitted infections, 86(3), 236-240. https://doi.org/10.1136/sti.2009.037846
Deering, K. N., Amin, A., Shoveller, J., Nesbitt, A., Garcia-Moreno, C., Duff, P., & Shannon, K. (2014). A systematic review of the correlates of violence against sex workers. American journal of public health, 104(5), e42-e54. https://doi.org/10.2105/AJPH.2014.301909
Eakle, R., Bothma, R., Bourne, A., Gumede, S., Motsosi, K., & Rees, H. (2019). “I am still negative”: Female sex workers’ perspectives on uptake and use of daily pre-exposure prophylaxis for HIV prevention in South Africa. Plos one, 14(4), e0212271. https://doi.org/10.1371/journal. pone.0212271
Evens, E., Lanham, M., Santi, K., Cooke, J., Ridgeway, K., Morales, G., & Dayton, R. (2019). Experiences of gender-based violence among female sex workers, men who have sex with men, and transgender women in Latin America and the Caribbean: a qualitative study to inform HIV programming. BMC international health and human rights, 19, 1-14. https://doi.org/10.1186/s12914-019-0187-5
Jewkes, R., Milovanovic, M., Otwombe, K., Chirwa, E., Hlongwane, K., Hill, N., & Coetzee, J. (2021). Intersections of sex work, mental ill-health, IPV and other violence experienced by female sex workers: findings from a cross-sectional community-centric national study in South Africa. International journal of environmental research and public health, 18(22), 11971. https://doi.org/10.3390/ijerph182211971
Kerrigan, D., Wirtz, A., Baral, S., Decker, M., Murray, L., Poteat, T., Pretorius, C., Sherman, S., Sweat, M., Beyrer. C. ( 2013). The Global HIV Epidemics among Sex Workers. Washington, DC: World Bank. https://doi.org/10.1596/978-0-8213-9774-9
Kanayama, Y., Yamada, H., Yoshikawa, K., & Aung, K. W. (2022). Mental health status of female sex workers exposed to violence in Yangon, Myanmar. Asia Pacific Journal of Public Health, 34(4), 354-361. https://doi.org/10.1177/10105395221083821
Leddy, A. M. (2017). Gender-Based Violence and HIV Risk among Female Sex Workers in Iringa, Tanzania: Implications for a Community Empowerment Response (Doctoral dissertation, Johns Hopkins University). https://jscholarship.library.jhu.edu/items/fda76d63-4e8d-4278-b7c1-5e070254bbc6
Mosavel, M., Ahmed, R., & Simon, C. (2012). Perceptions of gender-based violence among South African youth: implications for health promotion interventions. Health promotion international, 27(3), 323-330. https://doi.org/10.1093/heapro/dar041
Muluneh, M. D., Stulz, V., Francis, L., & Agho, K. (2020). Gender based violence against women in sub-Saharan Africa: a systematic review and meta-analysis of cross-sectional studies. International journal of environmental research and public health, 17(3), 903. https://doi.org/10.3390/ijerph17030903
Ouma, S., Ndejjo, R., Abbo, C., & Tumwesigye, N. M. (2021). Client-perpetrated gender-based violence among female sex workers in conflict-affected Northern Uganda: a cross-sectional study. BMJ open, 11(9), e046894. https://doi.org/10.1136/bmjopen-2020-046894
Parcesepe, A. M., L’Engle, K. L., Martin, S. L., Green, S., Suchindran, C., & Mwarogo, P. (2016). Early sex work initiation and violence against female sex workers in Mombasa, Kenya. Journal of urban health, 93, 1010-1026. https://doi.org/10.1007/s11524-016-0073-6
Parmley, L., Rao, A., Young, K., Kose, Z., Phaswana‐Mafuya, N., Mcingana, M., & Schwartz, S. (2019). Female sex workers’ experiences selling sex during pregnancy and post‐delivery in South Africa. Studies in family planning, 50(3), 201-217. https://doi.org/10.1111/sifp.12090
Roberts, S. T., Flaherty, B. P., Deya, R., Masese, L., Ngina, J., McClelland, R. S., & Graham, S. M. (2018). Patterns of gender-based violence and associations with mental health and HIV risk behavior among female sex workers in Mombasa, Kenya: a latent class analysis. AIDS and Behavior, 22, 3273-3286. https://doi.org/10.1007/s10461-018-2107-4
Shannon, K., Crago, A. L., Baral, S. D., Bekker, L. G., Kerrigan, D., Decker, M. R., & Beyrer, C. (2018). The global response and unmet actions for HIV and sex workers. The Lancet, 392(10148), 698-710. https://doi.org/10.1016/s0140-6736(18)31439-9
Santos Couto, P. L., Pereira Correia Montalvão, B., Rodrigues Silva Vieira, A., Alves Vilela, A. B., Correia Marques, S., Tosoli Gomes, A. M., & Moraes França, L. C. (2020). Social representations of female sex workers about their sexuality. Investigación y educación en enfermería, 38(1). https://doi.org/10.17533/udea.iee.v38n1e03
Silverman, J. G., Goldenberg, S. M., Magis-Rodríguez, C., Ritter, J., Raj, A., & Brouwer, K. C. (2015). Sexual violence and HIV infection associated with adolescent vs adult entry into the sex trade in Mexico. Jama, 314(5), 516-518. https://doi.org/10.1001/jama.2015.7376
World Health Organization. (2022). Defining sex work and its impact on health. Retrieved from World Health Organization website: https://www.who.int/hiv/topics/sex_work/en/
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