A venue analysis of predictors of alcohol use prior to sexual intercourse among female sex workers in Senggigi, Indonesia.

A venue analysis of predictors of alcohol use prior to sexual intercourse among female sex workers in Senggigi, Indonesia.
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DOI:
10.1016/j.drugpo.2010.09.003
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发表时间:
2011-01
影响因子:
4.4
通讯作者:
Levy, Judith A.
Levy, Judith A.
中科院分区:
医学2区
文献类型:
--
作者:
Safika, Iko;Johnson, Timothy P.;Levy, Judith A.

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女性性工作者(FSWs)对酒精的使用在很大程度上还没有得到充分的研究。酒精是一种已知的风险行为消解剂。在从事商业性行为之前,不同的性工作场所如何影响FSW的酒精消费的知识甚至更少。我们的分析确定了三种类型的性工作场所中的这些因素,这些场所预测FSWs在与客户发生有偿性行为之前使用酒精。我们的数据是通过对印度尼西亚东部西努沙登加拉省龙目岛Senggii海滩从事商业性行为的FSWs进行结构化采访收集的。采用横断面和多层次设计,抽取了三类性工作者接见顾客的场所:(1)迪斯科舞厅和酒吧(自由职业者),(2)妓院,(3)娱乐企业,如卡拉OK场所和按摩院。样本由115名女性组成,她们“嵌套”在16个性工作场所。FSWs报告了326个客户的互动。结果显示,暗娼在商业性行为前饮酒,在326名顾客的互动中有157人(48%)饮酒。酒精的使用因为性工作场所提供的艾滋病毒政策和服务的不同,FSW的教育水平和年龄,以及服务对象的特征而不同。在星吉,性行为前饮酒在性服务工作者和她们的顾客之间是很常见的,而且FSWs与她们的顾客见面的地点会影响她们的饮酒行为。与在妓院和娱乐企业工作的人相比,自由职业者更有可能饮酒。鉴于性行为前饮酒和高危行为之间的公认联系,应该向从事商业性行为的女性以及性工作场所经理、所有者和客户介绍不鼓励饮酒的艾滋病毒预防计划。
Female sex workers' (FSWs') use of alcohol, a known disinhibitor to risk behavior, has been largely understudied. Knowledge of how various sex work venues influence FSW's alcohol consumption before engaging in commercial sex is even rarer. Our analysis identifies those factors across three types of sex-work venues that predict alcohol use among FSWs prior to paid sexual intercourse with clients. Our data were collected through structured interviews with FSWs engaging in commercial sex in Senggigi Beach, Lombok Island in the eastern Indonesian province of West Nusa Tenggara. Employing a cross sectional and multilevel design, three categories of venues where FSWs meet clients in Senggigi were sampled: (1) discotheques and bars (freelance), (2) brothels, and (3) recreational enterprises such as karaoke establishments and massage parlors. The sample consisted of 115 women “nested” within 16 sex work venues. The FSWs reported on 326 clients interactions. Results show that FSWs consumed alcohol before commercial sex with 157 (48%) of the 326 clients interactions. Alcohol use varied by differences in HIV policies and services offered at the sex work venue, the FSW's educational level and age, and client characteristics. Alcohol use is common prior to sexual intercourse among FSWs and their clients in Senggigi, and the venue where FSWs meet their clients influences the women's alcohol use. Freelancers were likelier to use alcohol than those who work at brothels and recreational enterprises. Given the recognized links between alcohol use prior to sex and high risk behavior, HIV prevention programs that discourage alcohol use should be introduced to both women who engage in commercial sex and also sex-work venue managers, owners, and clients.
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发表时间: 2003-01-01
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