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Table 2 Findings on socio-structural risk factors

From: Socio-demographic characteristics and risk factors for HIV transmission in female bar workers in sub-Saharan Africa: a systematic literature review

Author Year Country

Socio-demographics

Factors promoting entry into bar work

Bar environment

Nagot 2002

Burkina Faso [9]

Ages 16–34; 36% foreign; 54% illiterate

Van Blerk 2007

Ethiopia [24]

Ages 14–19

Poverty

Many FBWs in debt to bar owner

Van Blerk 2008

Ethiopia [23]

Almost all migrated from other regions

Family financial need; escape from FGM & early marriage; disowned by family

Some clients give money without sex

Van Blerk 2011

Ethiopia [25]

Most migrated from rural areas

If in hometown, work in bars far from home

Current economic situation depends on type of bars they work in

Sori 2012

Ethiopia [3]

Often migrated from rural areas; 32% currently married

Early marriage leading to divorce leading to poverty

 

Messersmith 2014 Ghana [6]

Mean age 25; 47% completed high school; 75% unmarried; 19% married/cohabiting 6% divorced

Poverty

Verbal and emotional abuse at bars common

Kishindo 1995a

Malawi [26]

Mean age 19; 5–8 years of education; 10% previously married, none now; 12% have children; 97% migrated from rural areas

Economic need for self or family; minority are looking for husband

FBWs are highly mobile and change between bars

Kishindo 1995b

Malawi [8]

Mean age 22; all have some formal education & are literate; almost all migrated from rural areas

To earn money (87%), incl. For school fees, to support family; to meet man with good job; unintended pregnancy

Mhalu 1991

Tanzania [27]

Mnyika 1995

Tanzania [28]

Talle 1995

Tanzania [7]

Mean age 20; most finished primary school; all single or divorced; many had teen pregnancy

Economic need; independent lifestyle; escape from gender roles

Typically poor but not the poorest prior to bar work

Talle 1998

Tanzania [10]

Education rate higher than average; most have multi-ethnic background

Economic need; following friend/relative; freedom to make decisions; escape from rural life

1 year post-interview, 90% had changed work place

Mgalla 1997

Tanzania [29]

Mean age 25; 80% have 5 years of education; Half migrated to district; 50% single, 50% divorced; most have children

Economic need; boredom; family troubles; left school due to pregnancy, illness, poverty or forced marriage

Bar business models vary: some pay FBWs wages, others do not

Riedner 2003

Tanzania [30]

Mean age 25; 54% attended secondary school; 21% living with partner, 44% widowed /divorced

Akarro 2009

Tanzania [1]

Modal age 20–24; 73% attended primary school; 81% single, 17% separated; 70% have children

Beckham 2013

Tanzania [31]

60% aged 20–29, 40% aged 30–39; 77% primary schooling; 57% single, 33% divorced /separated, 10% widowed; 90% have children

Ostermannn 2015

Tanzania [32]

Gysels 2002

Uganda [2]

Mean age 30; Marriages: mean of 2, if over 35 mean of 3.5; median of 2 children

Poverty; family troubles; early, often forced, sex leading to pregnancy; easier than farm work

Ntozi 2003

Uganda [33]

Age range 15–30

  1. BW Bar work; CAGE Cut Down, Annoyed, Guilty and Eye Opener (alcohol use screening test); FBW Female bar worker; FGM Female genital mutilation; SW Sex work. Cells marked “-” were not addressed by the study in question