title: Alcohol use and sexual risks: use of the Alcohol Use Disorders Identification Test (AUDIT) among female sex workers in China.
abstract: The association between alcohol use and sexual risks among female sex workers (FSWs) has been insufficiently studied. This article reports a cross-sectional study of the relationship between alcohol use risk, measured by the Alcohol Use Disorders Identification Test (AUDIT), and sexual risk behaviors among 1,022 FSWs in Guangxi, China. Bivariate analysis showed that FSWs at higher AUDIT levels tended to have earlier sexual initiation, became involved in the sex trade at a younger age, and were more vulnerable to sex under the influence of alcohol. Multivariate analysis revealed an independent association of problem drinking with both unprotected sex and a history of sexually transmitted diseases (STDs). Alcohol use in commercial sex shall be considered as an occupational hazard that requires immediate intervention. Future longitudinal studies are needed to confirm the association between alcohol use and sexual risks among this most-at-risk population.
authors: Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA. yiychen@jhsph.edu
authors: Yiyun
authors: Y
authors: Chen
authors: Xiaoming
authors: X
authors: Li
authors: Chen
authors: C
authors: Zhang
authors: Yan
authors: Y
authors: Hong
authors: Yuejiao
authors: Y
authors: Zhou
authors: Wei
authors: W
authors: Liu
mesh_terms: D000428:Alcohol Drinking / Q000009:adverse effects / Q000453:epidemiology / Q000523:psychology*; D002681:China / Q000453:epidemiology; D017280:Condoms / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D016015:Logistic Models; D008403:Mass Screening; D015999:Multivariate Analysis; D009784:Occupational Diseases / Q000453:epidemiology / Q000517:prevention & control; D011569:Psychiatric Status Rating Scales; D012307:Risk Factors; D012309:Risk-Taking; D011477:Sex Work / Q000523:psychology; D060386:Sex Workers / Q000523:psychology* / Q000706:statistics & numerical data; D012725:Sexual Behavior / Q000187:drug effects / Q000523:psychology*; D012749:Sexually Transmitted Diseases / Q000453:epidemiology; D012931:Social Environment; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires