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The impact of an economic empowerment intervention on intimate partner violence among women engaged in sex work in southern Uganda: A cluster randomized control trial

Author

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  • Nabayinda, Josephine
  • Witte, Susan S.
  • Kizito, Samuel
  • Nanteza, Flavia
  • Nsubuga, Edward
  • Sensoy Bahar, Ozge
  • Nabunya, Proscovia
  • Ssewamala, Fred M.

Abstract

Women engaged in sex work (WESW) are at heightened risk of experiencing intimate partner violence (IPV) compared to women in the general population. This study examines the impact of an economic empowerment intervention on IPV among WESW in Southern Uganda. We used data from 542 WESW in Southern Uganda recruited from 19 HIV hotspots between June 2019 and March 2020. Eligible participants were 18+ years old, engaged in sex work—defined as vaginal or anal sexual intercourse in exchange for money, alcohol, or other goods, reported at least one episode of unprotected sexual intercourse in the past 30 days with a paying, casual, or regular sexual partner (spouse, main partner). We analyzed data collected at baseline, 6, and 12months of follow up. To examine the impact of the intervention on IPV, separate mixed-effects logistic regression models were run for each type of IPV (physical, emotional, and sexual) as experienced by participants in the last 90 days.

Suggested Citation

  • Nabayinda, Josephine & Witte, Susan S. & Kizito, Samuel & Nanteza, Flavia & Nsubuga, Edward & Sensoy Bahar, Ozge & Nabunya, Proscovia & Ssewamala, Fred M., 2024. "The impact of an economic empowerment intervention on intimate partner violence among women engaged in sex work in southern Uganda: A cluster randomized control trial," Social Science & Medicine, Elsevier, vol. 348(C).
    • Handle: RePEc:eee:socmed:v:348:y:2024:i:c:s0277953624002909
    DOI: 10.1016/j.socscimed.2024.116846
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    References listed on IDEAS

    as
    1. Cools, Sara & Kotsadam, Andreas, 2017. "Resources and Intimate Partner Violence in Sub-Saharan Africa," World Development, Elsevier, vol. 95(C), pages 211-230.
    2. Alicja Beksinska & Emily Nyariki & Rhoda Kabuti & Mary Kungu & Hellen Babu & Pooja Shah & The Maisha Fiti Study Champions & Chrispo Nyabuto & Monica Okumu & Anne Mahero & Pauline Ngurukiri & Zaina Jam, 2022. "Harmful Alcohol and Drug Use Is Associated with Syndemic Risk Factors among Female Sex Workers in Nairobi, Kenya," IJERPH, MDPI, vol. 19(12), pages 1-19, June.
    3. Heath, Rachel & Hidrobo, Melissa & Roy, Shalini, 2020. "Cash transfers, polygamy, and intimate partner violence: Experimental evidence from Mali," Journal of Development Economics, Elsevier, vol. 143(C).
    4. Victoria Baranov & Lisa Cameron & Diana Contreras Suarez & Claire Thibout, 2021. "Theoretical Underpinnings and Meta-analysis of the Effects of Cash Transfers on Intimate Partner Violence in Low- and Middle-Income Countries," Journal of Development Studies, Taylor & Francis Journals, vol. 57(1), pages 1-25, January.
    5. Johannes Haushofer & Charlotte Ringdal & Jeremy P. Shapiro & Xiao Yu Wang, 2019. "Income Changes and Intimate Partner Violence: Evidence from Unconditional Cash Transfers in Kenya," NBER Working Papers 25627, National Bureau of Economic Research, Inc.
    6. Kyegombe, Nambusi & Stern, Erin & Buller, Ana Maria, 2022. "“We saw that jealousy can also bring violence”: A qualitative exploration of the intersections between jealousy, infidelity and intimate partner violence in Rwanda and Uganda," Social Science & Medicine, Elsevier, vol. 292(C).
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    1. Josephine Nabayinda & Proscovia Nabunya & Ozge Sensoy Bahar & Samuel Kizito & Lindsay Stark & Phionah Namatovu & Susan S. Witte & Torsten B. Neilands & Mary M. McKay & Fred M. Ssewamala, 2025. "She Is a Guest in My House: Exploring the Barriers to Asset Development and Decision‐Making Autonomy Among Young Women in Southern Uganda," Journal of International Development, John Wiley & Sons, Ltd., vol. 37(7), pages 1543-1554, October.

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