title: Prevalence and Correlates of Hazardous Drinking among Female Sex Workers in 13 Mexican Cities.
abstract: OBJECTIVE
  To describe the prevalence and correlates of hazardous drinking among female sex workers (FSWs) at 13 sites throughout Mexico.
  
  
  METHODS
  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.
  
  
  RESULTS
  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).
  
  
  CONCLUSIONS
  Findings support the high prioritization by public health authorities of alcohol prevention and treatment programs for FSWs.
authors.affiliation: Department of Psychiatry, University of California, San Diego, La Jolla, CA, USA.
authors.forename: Shirley J
authors.initials: SJ
authors.lastname: Semple
authors.affiliation: Division of Global Public Health, Department of Medicine, University of California, San Diego, La Jolla, CA, USA.
authors.forename: Eileen V
authors.initials: EV
authors.lastname: Pitpitan
authors.affiliation: Department of Psychiatry, University of California, San Diego, La Jolla, CA, USA.
authors.forename: Claudia V
authors.initials: CV
authors.lastname: Chavarin
authors.affiliation: Division of Global Public Health, Department of Medicine, University of California, San Diego, La Jolla, CA, USA.
authors.forename: Steffanie A
authors.initials: SA
authors.lastname: Strathdee
authors.affiliation: Evaluation and Research Department, Mexican Foundation for Family Planning (Mexfam), Juárez 208, Tlalpan, Mexico, D.F. 14000, Mexico.
authors.forename: Rosa Icela
authors.initials: RI
authors.lastname: Zavala
authors.affiliation: Department of Psychiatry, University of California, San Diego, La Jolla, CA, USA.
authors.forename: Gregory A
authors.initials: GA
authors.lastname: Aarons
authors.affiliation: Department of Psychiatry, University of California, San Diego, La Jolla, CA, USA tpatterson@ucsd.edu.
authors.forename: Thomas L
authors.initials: TL
authors.lastname: Patterson
mesh_terms: D000328:Adult; D000428:Alcohol Drinking / Q000453:epidemiology / Q000523:psychology; D019973:Alcohol-Related Disorders / Q000453:epidemiology* / Q000523:psychology; D002947:Cities / Q000453:epidemiology; D005260:Female; D006801:Humans; D016015:Logistic Models; D008800:Mexico / Q000453:epidemiology; D015995:Prevalence; D060386:Sex Workers / Q000523:psychology* / Q000706:statistics & numerical data; D012907:Smoking / Q000453:epidemiology / Q000523:psychology; D047568:Unsafe Sex / Q000523:psychology / Q000706:statistics & numerical data