Couture Marie-Claude, Page Kimberly, Sansothy Neth, Stein Ellen, Vun Mean Chhi, Hahn Judith A
Department of Population Health Sciences, School of Nursing and Health Professions, University of San Francisco, 2130 Fulton St., San Francisco, CA 94117, United States.
University of New Mexico Health Sciences Center, Dept. of Internal Medicine MSC 10 5550, 1 University of New Mexico, Albuquerque, NM 87131, United States.
Drug Alcohol Depend. 2016 Aug 1;165:29-37. doi: 10.1016/j.drugalcdep.2016.05.011. Epub 2016 May 21.
In Cambodia, most of the female sex workers (FSW) work in venues where unhealthy alcohol use is ubiquitous and potentially contributing to the HIV epidemic. However, no accurate data exists. We compare self-reported unhealthy alcohol consumption to a biomarker of alcohol intake in Cambodian FSW and male clients, and determine factors associated with unhealthy alcohol use.
A cross-sectional study was conducted among FSW (n=100) and male clients (n=100) in entertainment and sex work venues in Cambodia. Self-reported unhealthy alcohol use (AUDIT-C) was compared to phosphatidylethanol (PEth) positive (≥50ng/ml), a biomarker of alcohol intake. Sociodemographics data was collected. Correlates of self-reported unhealthy alcohol use and PEth positive were determined.
The prevalence of PEth positive in FSW was 60.0%. Self-reported unhealthy alcohol consumption was reported by 85.0% of the women. Almost all women (95.0%) testing PEth positive also reported unhealthy alcohol use. Prevalence of unhealthy alcohol consumption (self-report and PEth positive) was higher in FSW working in entertainment establishments compared to other sex work venues (p<0.01). Among male clients, 47.0% reported unhealthy alcohol consumption and 42.0% had a PEth positive. However, only 57.1% of male clients with PEth positive reported unhealthy alcohol use.
Unhealthy alcohol consumption is prevalent in Cambodian sex work settings. Self-reported unhealthy alcohol use is well reported by FSW, but less by male clients. These findings highlight the urgency of using accurate measures of unhealthy alcohol consumption and integrating this health issue into HIV prevention interventions.
在柬埔寨，大多数女性性工作者在酒精使用不健康现象普遍存在且可能助长艾滋病毒流行的场所工作。然而，尚无准确数据。我们将柬埔寨女性性工作者及其男性客户自我报告的不健康饮酒情况与酒精摄入量生物标志物进行比较，并确定与不健康饮酒相关的因素。
在柬埔寨的娱乐场所和性工作场所对100名女性性工作者和100名男性客户进行了一项横断面研究。将自我报告的不健康饮酒情况（AUDIT-C）与磷脂酰乙醇（PEth）阳性（≥50纳克/毫升）进行比较，后者是酒精摄入量的生物标志物。收集了社会人口统计学数据。确定了自我报告的不健康饮酒情况和PEth阳性的相关因素。
女性性工作者中PEth阳性的患病率为60.0%。85.0%的女性报告有自我报告的不健康饮酒情况。几乎所有PEth阳性检测的女性（95.0%）也报告有不健康饮酒情况。在娱乐场所工作的女性性工作者中，不健康饮酒的患病率（自我报告和PEth阳性）高于其他性工作场所（p<0.01）。在男性客户中，47.0%报告有不健康饮酒情况，42.0%的PEth呈阳性。然而，PEth阳性的男性客户中只有57.1%报告有不健康饮酒情况。
不健康饮酒在柬埔寨性工作环境中普遍存在。女性性工作者对自我报告的不健康饮酒情况报告良好，但男性客户报告较少。这些发现凸显了采用准确的不健康饮酒衡量方法并将这一健康问题纳入艾滋病毒预防干预措施的紧迫性。
