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Prevalence and Correlates of Hazardous Drinking among Female Sex Workers in 13 Mexican Cities

Identifieur interne : 000301 ( Pmc/Curation ); précédent : 000300; suivant : 000302

Prevalence and Correlates of Hazardous Drinking among Female Sex Workers in 13 Mexican Cities

Auteurs : Shirley J. Semple [États-Unis] ; Eileen V. Pitpitan [États-Unis] ; Claudia V. Chavarin [États-Unis] ; Steffanie A. Strathdee [États-Unis] ; Rosa Icela Zavala [Mexique] ; Gregory A. Aarons [États-Unis] ; Thomas L. Patterson [États-Unis]

Source :

RBID : PMC:4922383

Abstract

Aims

To describe the prevalence and correlates of hazardous drinking among female sex workers (FSWs) at 13 sites throughout Mexico.

Methods

FSWs (N = 1089) who were enrolled in a brief sexual risk reduction intervention (Mujer Segura) were queried about their sexual risk and substance use practices and their work contexts. Participants were classified as hazardous or non-hazardous drinkers based on the Alcohol Use Disorders test (AUDIT-C). Logistic regression models were used to examine individual, contextual, and community-level factors as correlates of hazardous drinking.

Results

Ninety-two percent of participants reported alcohol consumption in the past month. Among drinkers (N = 1001), 83% met AUDIT-C criteria for hazardous drinking. Factors that were independently associated with hazardous drinking included: drug use in the past month (adjusted odds ratio (AOR) = 3.31; 95% CI 1.29—8.45), being a cigarette smoker (AOR = 1.71; 95% CI 1.13—2.58), being a barmaid or dance hostess (AOR = 3.40; 95% CI 1.95–5.91), alcohol use before or during sex with clients (AOR = 7.78; 95% CI 4.84–12.52), and working in a city with a higher marginalization index (AOR = 1.07; 95% CI 1.04–1.11).

Conclusions

Findings support the high prioritization by public health authorities of alcohol prevention and treatment programs for FSWs.


Url:
DOI: 10.1093/alcalc/agv124
PubMed: 26546017
PubMed Central: 4922383

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PMC:4922383

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<title>Aims</title>
<p>To describe the prevalence and correlates of hazardous drinking among female sex workers (FSWs) at 13 sites throughout Mexico.</p>
</sec>
<sec>
<title>Methods</title>
<p>FSWs (
<italic>N</italic>
= 1089) who were enrolled in a brief sexual risk reduction intervention (
<italic>Mujer Segura</italic>
) were queried about their sexual risk and substance use practices and their work contexts. Participants were classified as hazardous or non-hazardous drinkers based on the Alcohol Use Disorders test (AUDIT-C). Logistic regression models were used to examine individual, contextual, and community-level factors as correlates of hazardous drinking.</p>
</sec>
<sec>
<title>Results</title>
<p>Ninety-two percent of participants reported alcohol consumption in the past month. Among drinkers (
<italic>N</italic>
= 1001), 83% met AUDIT-C criteria for hazardous drinking. Factors that were independently associated with hazardous drinking included: drug use in the past month (adjusted odds ratio (AOR) = 3.31; 95% CI 1.29—8.45), being a cigarette smoker (AOR = 1.71; 95% CI 1.13—2.58), being a barmaid or dance hostess (AOR = 3.40; 95% CI 1.95–5.91), alcohol use before or during sex with clients (AOR = 7.78; 95% CI 4.84–12.52), and working in a city with a higher marginalization index (AOR = 1.07; 95% CI 1.04–1.11).</p>
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<sec>
<title>Conclusions</title>
<p>Findings support the high prioritization by public health authorities of alcohol prevention and treatment programs for FSWs.</p>
</sec>
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<article-title>Prevalence and Correlates of Hazardous Drinking among Female Sex Workers in 13 Mexican Cities</article-title>
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<contrib contrib-type="author">
<name>
<surname>Semple</surname>
<given-names>Shirley J.</given-names>
</name>
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<name>
<surname>Pitpitan</surname>
<given-names>Eileen V.</given-names>
</name>
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<given-names>Steffanie A.</given-names>
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<name>
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<surname>Patterson</surname>
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<addr-line>La Jolla, CA</addr-line>
,
<country>USA</country>
</aff>
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<addr-line>Juárez 208, Tlalpan, Mexico, D.F. 14000</addr-line>
,
<country>Mexico</country>
</aff>
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<author-notes>
<corresp id="cor1">
<label>*</label>
Corresponding author: Department of Psychiatry, University of California, San Diego, 9500 Gilman Drive, Mail Stop 0680, La Jolla, CA 92093-0608, USA. Tel.: +
<phone>1-858-534-3354</phone>
; E-mail:
<email>tpatterson@ucsd.edu</email>
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<pub-date pub-type="ppub">
<month>7</month>
<year>2016</year>
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<month>6</month>
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<volume>51</volume>
<issue>4</issue>
<fpage>450</fpage>
<lpage>456</lpage>
<history>
<date date-type="received">
<day>5</day>
<month>3</month>
<year>2015</year>
</date>
<date date-type="rev-recd">
<day>13</day>
<month>10</month>
<year>2015</year>
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<date date-type="accepted">
<day>16</day>
<month>10</month>
<year>2015</year>
</date>
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<copyright-statement>© The Author 2015. Medical Council on Alcohol and Oxford University Press. All rights reserved</copyright-statement>
<copyright-year>2015</copyright-year>
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<self-uri content-type="pdf" xlink:href="agv124.pdf"></self-uri>
<abstract>
<sec>
<title>Aims</title>
<p>To describe the prevalence and correlates of hazardous drinking among female sex workers (FSWs) at 13 sites throughout Mexico.</p>
</sec>
<sec>
<title>Methods</title>
<p>FSWs (
<italic>N</italic>
= 1089) who were enrolled in a brief sexual risk reduction intervention (
<italic>Mujer Segura</italic>
) were queried about their sexual risk and substance use practices and their work contexts. Participants were classified as hazardous or non-hazardous drinkers based on the Alcohol Use Disorders test (AUDIT-C). Logistic regression models were used to examine individual, contextual, and community-level factors as correlates of hazardous drinking.</p>
</sec>
<sec>
<title>Results</title>
<p>Ninety-two percent of participants reported alcohol consumption in the past month. Among drinkers (
<italic>N</italic>
= 1001), 83% met AUDIT-C criteria for hazardous drinking. Factors that were independently associated with hazardous drinking included: drug use in the past month (adjusted odds ratio (AOR) = 3.31; 95% CI 1.29—8.45), being a cigarette smoker (AOR = 1.71; 95% CI 1.13—2.58), being a barmaid or dance hostess (AOR = 3.40; 95% CI 1.95–5.91), alcohol use before or during sex with clients (AOR = 7.78; 95% CI 4.84–12.52), and working in a city with a higher marginalization index (AOR = 1.07; 95% CI 1.04–1.11).</p>
</sec>
<sec>
<title>Conclusions</title>
<p>Findings support the high prioritization by public health authorities of alcohol prevention and treatment programs for FSWs.</p>
</sec>
</abstract>
<funding-group>
<award-group id="funding-1">
<funding-source>National Institutes of Health
<named-content content-type="funder-id">http://dx.doi.org/10.13039/100000002</named-content>
</funding-source>
<award-id>R01 MH087054-01A1</award-id>
<award-id>K01 DA036447-01</award-id>
</award-group>
</funding-group>
<custom-meta-group>
<custom-meta>
<meta-name>cover-date</meta-name>
<meta-value>July/August 2016</meta-value>
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</article-meta>
</front>
</pmc>
</record>

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