Semple Shirley J, Pitpitan Eileen V, Chavarin Claudia V, Strathdee Steffanie A, Zavala Rosa Icela, Aarons Gregory A, Patterson Thomas L
Department of Psychiatry, University of California, San Diego, La Jolla, CA, USA.
Division of Global Public Health, Department of Medicine, University of California, San Diego, La Jolla, CA, USA.
Alcohol Alcohol. 2016 Jul;51(4):450-6. doi: 10.1093/alcalc/agv124. Epub 2015 Nov 5.
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.
描述墨西哥全国13个地点女性性工作者（FSW）中危险饮酒的患病率及其相关因素。
对参与一项简短性风险降低干预措施（Mujer Segura）的1089名女性性工作者进行调查，询问她们的性风险、物质使用情况及工作环境。根据酒精使用障碍测试（AUDIT-C）将参与者分为危险饮酒者或非危险饮酒者。采用逻辑回归模型来检验个体、环境和社区层面因素与危险饮酒之间的相关性。
92%的参与者报告在过去一个月内饮酒。在饮酒者（1001人）中，83%符合AUDIT-C危险饮酒标准。与危险饮酒独立相关的因素包括：过去一个月内使用毒品（调整比值比[AOR]=3.31；95%置信区间1.29-8.45）、吸烟（AOR=1.71；95%置信区间1.13-2.58）、担任酒吧女招待或舞蹈女招待（AOR=3.40；95%置信区间1.95-5.91）、在与客户发生性行为之前或期间饮酒（AOR=7.78；95%置信区间4.84-12.52），以及在边缘化指数较高的城市工作（AOR=1.07；95%置信区间1.04-1.11）。
研究结果支持公共卫生当局高度重视针对女性性工作者的酒精预防和治疗项目。
