Journal
ASIA-PACIFIC JOURNAL OF PUBLIC HEALTH
Volume 26, Issue 2, Pages 138-146Publisher
SAGE PUBLICATIONS INC
DOI: 10.1177/1010539512471969
Keywords
female sex workers; Philippines; methamphetamine use; alcohol use; violence; substance use
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Funding
- University of California Office of the President Pacific Rim Research Program
- UCLA International Institute
- UCLA Graduate Division to the Community Health Science Department's Doctoral Training Program in the Social and Behavioral Determinants of HIV/AIDS Prevention
- National Institutes of Drug Abuse [T32 DA023356]
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To assess the prevalence of sex work and its associations with substance use among female bar/spa workers in the Philippines (N = 498), workers from 54 bar or spa venues in Metro Manila (2009-2010) were surveyed on demographics, drug/alcohol use, abuse history, and sex work. Their median age was 23 years and 35% engaged in sex work. Sex work was independently associated with methamphetamine use (19% vs 4%; adjusted odds ratio [AOR] =2.9, 95% confidence interval [CI] = 1.3-6.2), alcohol use with patrons (49% vs. 27%; AOR = 1.9, 95% CI = 1.1-3.4), and alcohol intoxication during sex (50% vs. 24%; AOR = 2.0, 95% CI = 1.2-3.5), but inversely associated with daily alcohol use (13% vs. 16%; AOR = 0.2, 95% CI = 0.1-0.5). Additional significant covariates included sexual abuse history, younger age, and not having a higher education. Findings suggest that interventions with sex workers in bars and spas should focus on methamphetamine use, alcohol use contexts, and violence victimization, to better meet the needs of this population.
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