Journal
HEALTH CARE FOR WOMEN INTERNATIONAL
Volume 34, Issue 2, Pages 122-138Publisher
TAYLOR & FRANCIS INC
DOI: 10.1080/07399332.2011.610535
Keywords
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Funding
- NIAAA NIH HHS [R01 AA018090-05, R01 AA018090, R01AA018090] Funding Source: Medline
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The association between alcohol use and sexual risks among female sex workers (FSWs) has been insufficiently studied. This article reports a cross-sectional study of the relationship between alcohol use risk, measured by the Alcohol Use Disorders Identification Test (AUDIT), and sexual risk behaviors among 1,022 FSWs in Guangxi, China. Bivariate analysis showed that FSWs at higher AUDIT levels tended to have earlier sexual initiation, became involved in the sex trade at a younger age, and were more vulnerable to sex under the influence of alcohol. Multivariate analysis revealed an independent association of problem drinking with both unprotected sex and a history of sexually transmitted diseases (STDs). Alcohol use in commercial sex shall be considered as an occupational hazard that requires immediate intervention. Future longitudinal studies are needed to confirm the association between alcohol use and sexual risks among this most-at-risk population.
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