title: Drinking reasons and alcohol problems by work venue among female sex workers in Guangxi, China.
abstract: OBJECTIVE
  Alcohol use is a key determinant of sexual risk behaviors, but pathways to alcohol use in the context of commercial sex still remain unclear. The present study explores reasons for drinking and their roles on alcohol use problems among female sex workers (FSWs) in different types of commercial sex venues.
  
  
  METHODS
  In 2009, a sample of 1,022 FSWs from Guangxi, China completed a survey containing a 10-item Alcohol Use Disorders Identification Test (AUDIT) and a 28-item measure of reasons for drinking. Factor analysis revealed five reasons for drinking: suppression, disinhibition, work requirement, sexual enhancement, and confidence booster.
  
  
  RESULTS
  All identified reasons except confidence booster appeared to be related to a higher tendency of developing alcohol use problems among FSWs. Types of commercial sex venues moderated the relationship between work requirement and alcohol use problems.
  
  
  CONCLUSIONS
  Alcohol-risk reduction interventions among this population need to provide them with alternative approaches to regulate emotions and modify their misconceptions about alcohol's sexual enhancing function. More attention is needed to FSWs' vulnerability to the negative influence of occupational drinking.
authors.affiliation: 1Wayne State University , Detroit, Michigan , USA.
authors.forename: Yiyun
authors.initials: Y
authors.lastname: Chen
authors.forename: Xiaoming
authors.initials: X
authors.lastname: Li
authors.forename: Zhiyong
authors.initials: Z
authors.lastname: Shen
authors.forename: Yuejiao
authors.initials: Y
authors.lastname: Zhou
authors.forename: Zhenzhu
authors.initials: Z
authors.lastname: Tang
mesh_terms: D000293:Adolescent; D000328:Adult; D000428:Alcohol Drinking / Q000523:psychology*; D002681:China; D005260:Female; D006801:Humans; D012309:Risk-Taking; D011477:Sex Work / Q000523:psychology*; D060386:Sex Workers / Q000523:psychology*; D012931:Social Environment; D055815:Young Adult
keywords: China; alcohol use problems; female sex workers; reasons for drinking; venue types