Determinants and consequences of heavy episodic drinking among female sex workers in Ethiopia: A respondent-driven sampling study.
Journal
PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081
Informations de publication
Date de publication:
2021
2021
Historique:
received:
26
10
2020
accepted:
14
05
2021
entrez:
28
5
2021
pubmed:
29
5
2021
medline:
27
10
2021
Statut:
epublish
Résumé
Female sex workers (FSW), due to their working conditions, have an increased likelihood of heavy episodic drinking (HED), which is associated with risky sexual behavior. Nevertheless the specific contribution of HED to risky sexual behavior among FSWs in Ethiopia is not well documented for prevention activities. The purpose of this study was to explore the determinants and consequences of HED among FSWs in Ethiopia. A cross-sectional study using respondent-driven sampling was conducted among 4886 FSWs in 11 major towns in Ethiopia in 2014. A structured interview was performed, and data were examined using descriptive statistics and multiple logistic regression analyses. Most (66%) FSWs consumed alcohol, and the prevalence of HED was 29.1%. Compared to street-based FSWs, those who worked in bars/hotels and local drinking houses had 2.19 and 1.29 times higher odds of HED, respectively. FSWs who started selling sex when younger than 18 years (compared to those who started when older than 25 years) and those who were forced into selling sex had 1.48 and 2.91 times higher odds of HED, respectively. FSWs with more income from selling sex and FSWs who chewed khat reported increased odds of HED. Moreover, FSWs with experience of HED reported 1.27 and 1.44 times higher odds of physical beating and condom breakage/slippage, respectively. Furthermore, the population attributable risk fraction of HED among FSWs showed that 6.2% of physical beating and 8.9% of condom breakage/slippage could be attributed to HED. In general, several factors increase the experience of HED, and HED in turn increases the likelihood of violence and condom breakage. These factors could inform programs and intervention activities among FSWs populations.
Sections du résumé
BACKGROUND
Female sex workers (FSW), due to their working conditions, have an increased likelihood of heavy episodic drinking (HED), which is associated with risky sexual behavior. Nevertheless the specific contribution of HED to risky sexual behavior among FSWs in Ethiopia is not well documented for prevention activities.
OBJECTIVE
The purpose of this study was to explore the determinants and consequences of HED among FSWs in Ethiopia.
METHODS
A cross-sectional study using respondent-driven sampling was conducted among 4886 FSWs in 11 major towns in Ethiopia in 2014. A structured interview was performed, and data were examined using descriptive statistics and multiple logistic regression analyses.
RESULTS
Most (66%) FSWs consumed alcohol, and the prevalence of HED was 29.1%. Compared to street-based FSWs, those who worked in bars/hotels and local drinking houses had 2.19 and 1.29 times higher odds of HED, respectively. FSWs who started selling sex when younger than 18 years (compared to those who started when older than 25 years) and those who were forced into selling sex had 1.48 and 2.91 times higher odds of HED, respectively. FSWs with more income from selling sex and FSWs who chewed khat reported increased odds of HED. Moreover, FSWs with experience of HED reported 1.27 and 1.44 times higher odds of physical beating and condom breakage/slippage, respectively. Furthermore, the population attributable risk fraction of HED among FSWs showed that 6.2% of physical beating and 8.9% of condom breakage/slippage could be attributed to HED.
CONCLUSION
In general, several factors increase the experience of HED, and HED in turn increases the likelihood of violence and condom breakage. These factors could inform programs and intervention activities among FSWs populations.
Identifiants
pubmed: 34048485
doi: 10.1371/journal.pone.0252432
pii: PONE-D-20-33642
pmc: PMC8162625
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e0252432Subventions
Organisme : PEPFAR
Pays : United States
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
Soc Sci Med. 2012 Oct;75(8):1417-25
pubmed: 22832324
Subst Use Misuse. 2006;41(10-12):1509-33
pubmed: 17002991
Int J Drug Policy. 2012 Nov;23(6):498-504
pubmed: 22608567
Subst Use Misuse. 2018 Apr 16;53(5):782-791
pubmed: 29020505
Reprod Health. 2015 May 23;12:47
pubmed: 26001847
J Family Community Med. 2008 Jan;15(1):3-11
pubmed: 23012161
PLoS Med. 2006 Oct;3(10):e392
pubmed: 17032060
Health Care Women Int. 2013;34(2):122-38
pubmed: 23311906
Int J STD AIDS. 2007 Nov;18(11):764-9
pubmed: 18005511
South Afr J HIV Med. 2017 Apr 04;18(1):698
pubmed: 29568633
J Acquir Immune Defic Syndr. 2005 Mar 1;38(3):329-34
pubmed: 15735453
Alcohol Clin Exp Res. 2005 May;29(5):896-901
pubmed: 15897736
Sex Transm Dis. 2010 Oct;37(10):629-36
pubmed: 20601927
Alcohol Alcohol. 2010 Mar-Apr;45(2):188-99
pubmed: 20089544
Subst Use Misuse. 2013 Dec;48(14):1595-9
pubmed: 23819738
BMC Public Health. 2015 Jan 31;15:40
pubmed: 25636515
AIDS Behav. 2008 Jul;12(4):594-603
pubmed: 17705032
Int J Gynaecol Obstet. 2009 Oct;107(1):30-4
pubmed: 19625022
AIDS Care. 2007 Nov;19(10):1274-82
pubmed: 18071971
BMC Public Health. 2011 Dec 29;11 Suppl 6:S14
pubmed: 22376237
Annu Rev Sex Res. 2000;11:92-124
pubmed: 11351836
AIDS Behav. 2006 Mar;10(2):131-7
pubmed: 16482408
Subst Abuse Treat Prev Policy. 2017 Nov 2;12(1):47
pubmed: 29096691
Drug Alcohol Depend. 2016 Apr 1;161:21-8
pubmed: 26872880
Cad Saude Publica. 2017 Mar 30;33(2):e00157815
pubmed: 28380126
AIDS Patient Care STDS. 2001 Jan;15(1):41-51
pubmed: 11177587
J Adolesc Health. 2009 Nov;45(5):478-82
pubmed: 19837354
Addiction. 2015 Feb;110(2):356-65
pubmed: 25220360
Global Health. 2014 Apr 03;10:22
pubmed: 24708844
J Infect Dis. 2011 Dec 1;204 Suppl 5:S1229-34
pubmed: 22043037
Health Care Women Int. 2007 Sep;28(8):745-62
pubmed: 17729131
Afr J AIDS Res. 2014;13(2):145-51
pubmed: 25174631