The Sex Industry, Alcohol and Illicit Drugs: implications for the spread of HIV infection

Plant, Moira; Plant, Martin; Peck, F B A David; Setters, B A Jo

doi:10.1111/j.1360-0443.1989.tb00551.x

Cited by 59 publications

(31 citation statements)

References 39 publications

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“…FSW-IDUs were almost seven times more likely to use illicit drugs before sex than other FSWs. This is troubling because sex work conducted under the influence of drugs has been associated with lower rates of condom use in other settings (Plant et al, 1989, Paone et al, 1999, de Graaf et al, 1995. In a study conducted in the United Kingdom (Gossop et al, 1995), FSWs' drug use was associated with having unprotected sex with clients in exchange for more money, which is not surprising since women suffering from withdrawal symptoms may be more likely to acquiesce to demands for unsafe sex to support their drug habit.…”

Section: Discussionmentioning

confidence: 98%

Correlates of injection drug use among female sex workers in two Mexico–U.S. border cities

Strathdee

Philbin

Semple

et al. 2008

Drug and Alcohol Dependence

192

193

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Objective: To characterize the overlap between injection drug use and sex work by women in Tijuana and Cd. Juarez, situated on the Mexico-U.S. border. Methods:FSWs aged ≥18 years who were not knowingly HIV-positive and reported having unprotected sex with ≥1 client in the prior two months underwent interviews and testing for HIV, syphilis gonorrhea and Chlamydia. Logistic regression identified factors associated with injecting drugs within the last month.Results: Of 924 FSWs, 18.0% had ever injected drugs. Among FSW-IDUs (N=114), prevalence of HIV, syphilis titers >1:8, gonorrhea and Chlamydia was significantly higher at 12.3%, 22.7%, 15.2% and 21.2% compared to 4.8%, 13.1%, 5.2% and 11.9% among other FSWs (N=810). FSWIDUs also had more clients in the past six months (median: 300 vs. 240, p=0.02). Factors independently associated with injecting drugs in the past month included living in Tijuana, being younger, being married/common-law, longer duration in the sex trade, speaking English, earning Corresponding Author and Reprint Requests: Thomas L. Patterson, PhD Department of Psychiatry (0680) University of California, San Diego 9500 Gilman Drive La Jolla, CA 92093-0680 Phone: 858-534-3354; Fax: 858-534-7723 E-mail: tpatterson@ucsd.edu. Contributors Drs. Patterson and Semple designed the behavioral intervention study (NIMH R01 MH065849), supervised data collection, and contributed to manuscript writing. Dr. Strathdee planned the analysis, assisted with interpreting results, and wrote the majority of the manuscript. Ms. Philbin and Ms. Pu conducted the analyses and assisted with interpreting results and writing the manuscript. Drs. de la Torre, Amaro, Magis, Salazar assisted with study design and interpreting results and revising the manuscript. Drs. Lozada, Staines, Martinez and Fraga supervised data collection and assisted with the manuscript. Ms. Orozovich supervised data collection and provided oversight of the intervention study. All authors contributed to and have approved the final manuscript. Conflict of InterestThe authors have no conflicts of interest to disclose.Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. Conclusions: FSW-IDUs had higher STI levels, engaged in riskier behaviors and were more vulnerable to having unsafe sex with clients compared to other FSWs, indicating that this subgroup is an important bridge population requiring focused prevention. NIH Public Access

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Section: Discussionmentioning

confidence: 98%

Correlates of injection drug use among female sex workers in two Mexico–U.S. border cities

Strathdee

Philbin

Semple

et al. 2008

Drug and Alcohol Dependence

192

193

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“…As a hidden and lucrative industry, commercial sex is increasing globally 20 and has social characteristics that tend to influence both drinking and smoking. [21][22][23] Brothels may serve as outlets which promote the sale and use of alcohol and tobacco products.…”

Section: Introductionmentioning

confidence: 99%

Alcohol consumption and cigarette smoking pattern among brothelbased female sex workers in two local government areas in Lagos state, Nigeria

Odukoya¹,

Sekoni²,

Onajole³

et al. 2013

Afr H. Sci.

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Background: Alcohol and tobacco use are known risk factors for non communicable diseases especially among women. Brothel based female sex workers may be at increased risk of exposure to these two substances. Objective: To assess the pattern of alcohol and tobacco use among female sex workers in two selected local government areas in Lagos state, Nigeria. Methods: A cross-sectional descriptive study was carried out among 323 brothel-based female sex workers in 39 consenting brothels. Data was collected by trained interviewers using a pretested structured questionnaire. Results: Majority (67.8%) were current drinkers with 89.5% of these having their most recent drink less than a week ago. Most of them (89%) consumed more than the reference limits for alcohol use among women. Up to 20.7% were current smokers with (92.5%) having their most recent cigarette less than a week ago. More than a third (37.4%) were heavy smokers while 19% were dual users. Current drinking was associated with current smoking. Smokers consumed significantly more units of alcohol than non-smokers. Conclusion: The prevalence of harmful alcohol use and cigarette smoking are very high among this group of female sex workers. Programs that address the use of these substances should be made available for these women.

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“…'7-24 Previous research has also documented associations between psychological distress and dependence on opiates25'26 and alcohol,27'28 both of which are also associated with sex trading. [29][30][31][32][33][34] Previous studies have also found associations between psychological distress and knowledge of HIV infection35-38 and the perception of risk for acquired immunodeficiency syndrome (AIDS).39…”

Section: Introductionmentioning

confidence: 99%

Sex trading and psychological distress among women recruited from the streets of Harlem.

El‐Bassel

Schilling²,

Irwin³

et al. 1997

Am J Public Health

161

114

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OBJECTIVES: This study examines the relationship between sex trading and psychological distress and the implications of that relationship for prevention of human immunodeficiency virus among a sample of young women recruited from the streets of Harlem. METHODS: Interviews were conducted with 346 predominantly drug-using women, aged 18 to 29 years, of whom 176 had exchanged sex for money or drugs in the previous 30 days and were categorized as "sex traders." Psychological distress was measured by using the Brief Symptom Inventory. RESULTS: Sex traders scored significantly higher than non-sex traders on the General Severity Index and on eight of the nine subscales of the Brief Symptom Inventory. Multivariate analysis indicated that after adjustments were made for age; ethnicity; pregnancy; recent rape; perceived risk for acquired immunodeficiency syndrome; current, regular crack use; and current, regular alcohol use, sex traders scored 0.240 units higher on the General Severity Index than non-sex traders. CONCLUSIONS: Poor mental health and drug dependence may under-mine the motivation and ability of these sex traders to adopt safer sex behavior. Therefore, interventions need to be integrated with mental health services and drug treatment to reduce risk behavior in this population.

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The Sex Industry, Alcohol and Illicit Drugs: implications for the spread of HIV infection

Cited by 59 publications

References 39 publications

Correlates of injection drug use among female sex workers in two Mexico–U.S. border cities

Correlates of injection drug use among female sex workers in two Mexico–U.S. border cities

Alcohol consumption and cigarette smoking pattern among brothelbased female sex workers in two local government areas in Lagos state, Nigeria

Sex trading and psychological distress among women recruited from the streets of Harlem.

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