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Background <p>Although the Central African Republic (CAR) has adopted a National Strategy document to fight gender-based violence (GBV), the number of cases of sexual violence remains high year after year. Female Sex workers (FSW) are among the populations most vulnerable to GBV.</p> Methods <p>This was a cross-sectional analytical survey. Respondent Driven Sampling (RDS) is a peer recruitment method often used to create a sample from seeds. Risk factors for GBV were assessed using multiple logistic regression.</p> Results <p>Age group under 20 is more affected by GBV and sexual exploitation. The main determinants associated with sexual violence among FSW were: age under 20 years: (aOR = 2.69 [1.93–3.28]; <i>p</i> = 0.001); regular alcohol consumption: (aOR = 2.58 [1.39–4.78]; <i>p</i> = 0.003); sex work is the main source of income: (aOR = 2.13 [1.94–3.08]; <i>p</i> = 0.001) and having a sexual partner (customer) military or police: (aOR = 3.57 [2.81–5.23]; <i>p</i> = 0.001).</p> Conclusions <p>Regular use of alcohol and having a military or police client were associated with a high probability of experiencing gender-based violence. The development of specific interventions to reduce these risks is crucial for the protection of the rights and physical integrity of this highly vulnerable segment of the population.</p>

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Determinants of gender-based violence among female sex workers in Berbérati, Central African Republic

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年12月13日

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  • Sylvain Honoré Woromogo,
  • Rodrigue Herman Doyama-Woza,
  • Jean de Dieu Longo,
  • Henri Saint Calvaire Diemer,
  • Prince Holfadh Farazara Kario,
  • Gérard Gresenguet

摘要

Background

Although the Central African Republic (CAR) has adopted a National Strategy document to fight gender-based violence (GBV), the number of cases of sexual violence remains high year after year. Female Sex workers (FSW) are among the populations most vulnerable to GBV.

Methods

This was a cross-sectional analytical survey. Respondent Driven Sampling (RDS) is a peer recruitment method often used to create a sample from seeds. Risk factors for GBV were assessed using multiple logistic regression.

Results

Age group under 20 is more affected by GBV and sexual exploitation. The main determinants associated with sexual violence among FSW were: age under 20 years: (aOR = 2.69 [1.93–3.28]; p = 0.001); regular alcohol consumption: (aOR = 2.58 [1.39–4.78]; p = 0.003); sex work is the main source of income: (aOR = 2.13 [1.94–3.08]; p = 0.001) and having a sexual partner (customer) military or police: (aOR = 3.57 [2.81–5.23]; p = 0.001).

Conclusions

Regular use of alcohol and having a military or police client were associated with a high probability of experiencing gender-based violence. The development of specific interventions to reduce these risks is crucial for the protection of the rights and physical integrity of this highly vulnerable segment of the population.