Exposure to Police and Client Violence Among Incarcerated Female Sex Workers in Baltimore City, Maryland.

Anne E Fehrenbacher, Ju Nyeong Park, Katherine H A Footer, Bradley E Silberzahn, Sean T Allen, Susan G Sherman
Author Information
  1. Anne E Fehrenbacher: At the time of the study, Anne E. Fehrenbacher was with the Department of Psychiatry and Biobehavioral Sciences, Semel Institute for Neuroscience and Human Behavior, University of California, Los Angeles (UCLA), and the University of California Global Health Institute (UCGHI) at the University of California, San Francisco (UCSF). Ju Nyeong Park, Katherine H. A. Footer, Bradley E. Silberzahn, Sean T. Allen, and Susan G. Sherman were with the Department of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD. Katherine H. A. Footer and Susan G. Sherman were also with the Department of Epidemiology, and Susan G. Sherman was also with the Department of Population, Family, and Reproductive Health, Johns Hopkins Bloomberg School of Public Health.
  2. Ju Nyeong Park: At the time of the study, Anne E. Fehrenbacher was with the Department of Psychiatry and Biobehavioral Sciences, Semel Institute for Neuroscience and Human Behavior, University of California, Los Angeles (UCLA), and the University of California Global Health Institute (UCGHI) at the University of California, San Francisco (UCSF). Ju Nyeong Park, Katherine H. A. Footer, Bradley E. Silberzahn, Sean T. Allen, and Susan G. Sherman were with the Department of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD. Katherine H. A. Footer and Susan G. Sherman were also with the Department of Epidemiology, and Susan G. Sherman was also with the Department of Population, Family, and Reproductive Health, Johns Hopkins Bloomberg School of Public Health.
  3. Katherine H A Footer: At the time of the study, Anne E. Fehrenbacher was with the Department of Psychiatry and Biobehavioral Sciences, Semel Institute for Neuroscience and Human Behavior, University of California, Los Angeles (UCLA), and the University of California Global Health Institute (UCGHI) at the University of California, San Francisco (UCSF). Ju Nyeong Park, Katherine H. A. Footer, Bradley E. Silberzahn, Sean T. Allen, and Susan G. Sherman were with the Department of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD. Katherine H. A. Footer and Susan G. Sherman were also with the Department of Epidemiology, and Susan G. Sherman was also with the Department of Population, Family, and Reproductive Health, Johns Hopkins Bloomberg School of Public Health.
  4. Bradley E Silberzahn: At the time of the study, Anne E. Fehrenbacher was with the Department of Psychiatry and Biobehavioral Sciences, Semel Institute for Neuroscience and Human Behavior, University of California, Los Angeles (UCLA), and the University of California Global Health Institute (UCGHI) at the University of California, San Francisco (UCSF). Ju Nyeong Park, Katherine H. A. Footer, Bradley E. Silberzahn, Sean T. Allen, and Susan G. Sherman were with the Department of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD. Katherine H. A. Footer and Susan G. Sherman were also with the Department of Epidemiology, and Susan G. Sherman was also with the Department of Population, Family, and Reproductive Health, Johns Hopkins Bloomberg School of Public Health.
  5. Sean T Allen: At the time of the study, Anne E. Fehrenbacher was with the Department of Psychiatry and Biobehavioral Sciences, Semel Institute for Neuroscience and Human Behavior, University of California, Los Angeles (UCLA), and the University of California Global Health Institute (UCGHI) at the University of California, San Francisco (UCSF). Ju Nyeong Park, Katherine H. A. Footer, Bradley E. Silberzahn, Sean T. Allen, and Susan G. Sherman were with the Department of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD. Katherine H. A. Footer and Susan G. Sherman were also with the Department of Epidemiology, and Susan G. Sherman was also with the Department of Population, Family, and Reproductive Health, Johns Hopkins Bloomberg School of Public Health.
  6. Susan G Sherman: At the time of the study, Anne E. Fehrenbacher was with the Department of Psychiatry and Biobehavioral Sciences, Semel Institute for Neuroscience and Human Behavior, University of California, Los Angeles (UCLA), and the University of California Global Health Institute (UCGHI) at the University of California, San Francisco (UCSF). Ju Nyeong Park, Katherine H. A. Footer, Bradley E. Silberzahn, Sean T. Allen, and Susan G. Sherman were with the Department of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD. Katherine H. A. Footer and Susan G. Sherman were also with the Department of Epidemiology, and Susan G. Sherman was also with the Department of Population, Family, and Reproductive Health, Johns Hopkins Bloomberg School of Public Health.

Abstract

To determine the rate and correlates of incarceration among street-based female sex workers (FSWs). From April 2016 to January 2017, FSWs (n = 250) in Baltimore City, Maryland, were enrolled in a 12-month prospective cohort study. We analyzed baseline data and used zero-inflated negative binomial regression to model the incarceration rate. Overall, 70% of FSWs had ever been incarcerated (mean = 15 times). In the multivariable analysis, incarceration rate was higher for FSWs exposed to police violence, non-Hispanic White FSWs, and women who used injection drugs daily. Risk for ever being incarcerated was higher for FSWs exposed to police or client violence, non-Hispanic Black FSWs, women who used injection or noninjection drugs daily, and those with longer time in sex work. Incarceration was associated with exposure to violence from both police and clients. Daily drug use and time in sex work appeared to amplify these risks. Although non-Hispanic Black women were at greater risk for ever being incarcerated, non-Hispanic White women were incarcerated more frequently. Decriminalization of sex work and drug use should be prioritized to reduce violence against FSWs.

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Grants

  1. D43 TW009343/FIC NIH HHS
  2. P30 MH058107/NIMH NIH HHS
  3. T32 MH109205/NIMH NIH HHS
  4. P30 AI094189/NIAID NIH HHS
  5. R01 DA038499/NIDA NIH HHS

MeSH Term

Adult
Baltimore
Female
Humans
Police
Prisoners
Prospective Studies
Sex Workers
Violence

Word Cloud

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