Determinants and consequences of heavy episodic drinking among female sex workers in Ethiopia: A respondent-driven sampling study.

<h4>Background</h4>Female sex workers (FSW), due to their working conditions, have an increased likelihood of heavy episodic drinking (HED), which is associated with risky sexual behavior. Nevertheless the specific contribution of HED to risky sexual behavior among FSWs in Ethiopia is no...

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Autores principales:	Minilik Demissie Amogne, Anette Agardh, Ebba Abate, Jelaludin Ahmed, Benedict Oppong Asamoah
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/e4dcd0de97024f5e93a91d9aca2d4997
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spelling	oai:doaj.org-article:e4dcd0de97024f5e93a91d9aca2d49972021-12-02T20:11:12ZDeterminants and consequences of heavy episodic drinking among female sex workers in Ethiopia: A respondent-driven sampling study.1932-620310.1371/journal.pone.0252432https://doaj.org/article/e4dcd0de97024f5e93a91d9aca2d49972021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0252432https://doaj.org/toc/1932-6203<h4>Background</h4>Female sex workers (FSW), due to their working conditions, have an increased likelihood of heavy episodic drinking (HED), which is associated with risky sexual behavior. Nevertheless the specific contribution of HED to risky sexual behavior among FSWs in Ethiopia is not well documented for prevention activities.<h4>Objective</h4>The purpose of this study was to explore the determinants and consequences of HED among FSWs in Ethiopia.<h4>Methods</h4>A cross-sectional study using respondent-driven sampling was conducted among 4886 FSWs in 11 major towns in Ethiopia in 2014. A structured interview was performed, and data were examined using descriptive statistics and multiple logistic regression analyses.<h4>Results</h4>Most (66%) FSWs consumed alcohol, and the prevalence of HED was 29.1%. Compared to street-based FSWs, those who worked in bars/hotels and local drinking houses had 2.19 and 1.29 times higher odds of HED, respectively. FSWs who started selling sex when younger than 18 years (compared to those who started when older than 25 years) and those who were forced into selling sex had 1.48 and 2.91 times higher odds of HED, respectively. FSWs with more income from selling sex and FSWs who chewed khat reported increased odds of HED. Moreover, FSWs with experience of HED reported 1.27 and 1.44 times higher odds of physical beating and condom breakage/slippage, respectively. Furthermore, the population attributable risk fraction of HED among FSWs showed that 6.2% of physical beating and 8.9% of condom breakage/slippage could be attributed to HED.<h4>Conclusion</h4>In general, several factors increase the experience of HED, and HED in turn increases the likelihood of violence and condom breakage. These factors could inform programs and intervention activities among FSWs populations.Minilik Demissie AmogneAnette AgardhEbba AbateJelaludin AhmedBenedict Oppong AsamoahPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 5, p e0252432 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Minilik Demissie Amogne Anette Agardh Ebba Abate Jelaludin Ahmed Benedict Oppong Asamoah Determinants and consequences of heavy episodic drinking among female sex workers in Ethiopia: A respondent-driven sampling study.
description	<h4>Background</h4>Female sex workers (FSW), due to their working conditions, have an increased likelihood of heavy episodic drinking (HED), which is associated with risky sexual behavior. Nevertheless the specific contribution of HED to risky sexual behavior among FSWs in Ethiopia is not well documented for prevention activities.<h4>Objective</h4>The purpose of this study was to explore the determinants and consequences of HED among FSWs in Ethiopia.<h4>Methods</h4>A cross-sectional study using respondent-driven sampling was conducted among 4886 FSWs in 11 major towns in Ethiopia in 2014. A structured interview was performed, and data were examined using descriptive statistics and multiple logistic regression analyses.<h4>Results</h4>Most (66%) FSWs consumed alcohol, and the prevalence of HED was 29.1%. Compared to street-based FSWs, those who worked in bars/hotels and local drinking houses had 2.19 and 1.29 times higher odds of HED, respectively. FSWs who started selling sex when younger than 18 years (compared to those who started when older than 25 years) and those who were forced into selling sex had 1.48 and 2.91 times higher odds of HED, respectively. FSWs with more income from selling sex and FSWs who chewed khat reported increased odds of HED. Moreover, FSWs with experience of HED reported 1.27 and 1.44 times higher odds of physical beating and condom breakage/slippage, respectively. Furthermore, the population attributable risk fraction of HED among FSWs showed that 6.2% of physical beating and 8.9% of condom breakage/slippage could be attributed to HED.<h4>Conclusion</h4>In general, several factors increase the experience of HED, and HED in turn increases the likelihood of violence and condom breakage. These factors could inform programs and intervention activities among FSWs populations.
format	article
author	Minilik Demissie Amogne Anette Agardh Ebba Abate Jelaludin Ahmed Benedict Oppong Asamoah
author_facet	Minilik Demissie Amogne Anette Agardh Ebba Abate Jelaludin Ahmed Benedict Oppong Asamoah
author_sort	Minilik Demissie Amogne
title	Determinants and consequences of heavy episodic drinking among female sex workers in Ethiopia: A respondent-driven sampling study.
title_short	Determinants and consequences of heavy episodic drinking among female sex workers in Ethiopia: A respondent-driven sampling study.
title_full	Determinants and consequences of heavy episodic drinking among female sex workers in Ethiopia: A respondent-driven sampling study.
title_fullStr	Determinants and consequences of heavy episodic drinking among female sex workers in Ethiopia: A respondent-driven sampling study.
title_full_unstemmed	Determinants and consequences of heavy episodic drinking among female sex workers in Ethiopia: A respondent-driven sampling study.
title_sort	determinants and consequences of heavy episodic drinking among female sex workers in ethiopia: a respondent-driven sampling study.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/e4dcd0de97024f5e93a91d9aca2d4997
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Determinants and consequences of heavy episodic drinking among female sex workers in Ethiopia: A respondent-driven sampling study.

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