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

  • Semple, Shirley J
  • Pitpitan, Eileen V
  • Chavarin, Claudia V
  • Strathdee, Steffanie A
  • Zavala, Rosa Icela
  • Aarons, Gregory A
  • Patterson, Thomas L
Publication Date
Jul 01, 2016
eScholarship - University of California
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To describe the prevalence and correlates of hazardous drinking among female sex workers (FSWs) at 13 sites throughout Mexico.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.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).Findings support the high prioritization by public health authorities of alcohol prevention and treatment programs for FSWs.

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