title: Pro-alcohol-use social environment and alcohol use among female sex workers in China: beyond the effects of serving alcohol.
abstract: The current study was designed to fill the literature gap by examining the roles of the pro-alcohol social environment in alcohol use among female sex workers (FSWs) in China. In this study, a total of 1,022 FSWs were recruited through community outreach from both alcohol-serving and nonalcohol-serving commercial sex venues in Guangxi, China. The pro-alcohol social environment was measured in four areas: institutional norms, institutional practices, risk perceptions and peer norms. The measures of the pro-alcohol social environment were significantly associated with the venues' alcohol-serving practices, with FSWs from those venues reporting a more positive pro-alcohol social environment than their counterparts from nonalcohol-serving venues. However, these pro-alcohol social environment measures were independently predictive of alcohol use after controlling for venues' alcoholserving practices and other demographic characteristics. Public health interventions need to target environmental-structural factors through altering pro-alcohol-use social norms and practices at both institutional and individual levels among FSWs in China.
authors.affiliation: Rollins School of Public Health, Emory University, Atlanta, Georgia, US. cheng.zhang2@emory.edu
authors.forename: Chen
authors.initials: C
authors.lastname: Zhang
authors.forename: Xiaoming
authors.initials: X
authors.lastname: Li
authors.forename: Yan
authors.initials: Y
authors.lastname: Hong
authors.forename: Bonita
authors.initials: B
authors.lastname: Stanton
authors.forename: Yiyun
authors.initials: Y
authors.lastname: Chen
authors.forename: Yuejiao
authors.initials: Y
authors.lastname: Zhou
authors.forename: Wei
authors.initials: W
authors.lastname: Liu
mesh_terms: D000328:Adult; D000428:Alcohol Drinking / Q000009:adverse effects / Q000453:epidemiology* / Q000523:psychology; D000435:Alcoholic Intoxication / Q000150:complications / Q000453:epidemiology* / Q000523:psychology; D016009:Chi-Square Distribution; D002681:China / Q000453:epidemiology; D005260:Female; D006801:Humans; D010379:Peer Group; D012309:Risk-Taking; D060386:Sex Workers / Q000523:psychology / Q000706:statistics & numerical data*; D012931:Social Environment; D055815:Young Adult