Sexual Risk Behaviors, Alcohol Abuse, and Intimate Partner Violence Among Sex Workers in Mongolia: Implications for HIV Prevention Intervention Development

Overview

Journal J Prev Interv Community

Publisher Routledge

Specialties Health Services
Public Health

Date 2010 Apr 15

PMID 20391057

Citations 34

Authors

Susan S Witte

Altantsetseg Batsukh

Mingway Chang

Affiliations

Soon will be listed here.

Abstract

This study examines HIV/STI risk behaviors, alcohol abuse, intimate partner violence, and psychological distress among 48 female sex workers in Mongolia to inform the design of a gender-specific, HIV/STI prevention intervention for this population. Quantitative findings demonstrate that over 85% of women reported drinking alcohol at harmful levels; 70% reported using condoms inconsistently with any sexual partner; 83% reported using alcohol before engaging in sex with paying partners; and 38% reported high levels of depression. Focus group findings provide contextual support and narrative descriptions for the ways that poverty, alcohol abuse, interpersonal violence, and cultural norms that stigmatize and marginalize women are intertwined risk factors for STIs, including HIV, among these vulnerable women.

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Reducing Partner Violence Against Women who Exchange Sex and use Drugs through a Combination Microfinance and HIV Risk Reduction Intervention: A Cluster Randomized Trial.

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Does asset ownership influence sexual risk-taking behaviors among women engaged in sex work in Southern Uganda? A mediation analysis.

Nabayinda J, Kiyingi J, Kizito S, Nsubuga E, Nabunya P, Bahar O BMC Womens Health. 2022; 22(1):537.

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References

Saunders J, Aasland O, Babor T, De la Fuente J, Grant M . Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO Collaborative Project on Early Detection of Persons with Harmful Alcohol Consumption--II. Addiction. 1993; 88(6):791-804. DOI: 10.1111/j.1360-0443.1993.tb02093.x. View

Hagan J, Dulmaa N . Risk factors and prevalence of HIV and sexually transmitted infections among low-income female commercial sex workers in Mongolia. Sex Transm Dis. 2006; 34(2):83-7. DOI: 10.1097/01.olq.0000237670.59140.0f. View

Bandura A . Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev. 1977; 84(2):191-215. DOI: 10.1037//0033-295x.84.2.191. View

Ebright J, Altantsetseg T, Oyungerel R . Emerging infectious diseases in Mongolia. Emerg Infect Dis. 2004; 9(12):1509-15. PMC: 3034321. DOI: 10.3201/eid0912.020520. View

Amindavaa O, Kristensen S, Pak C, Khalzan D, Chultemsuren B, Randall A . Sexually transmitted infections among pregnant women attending antenatal clinics in Mongolia: potential impact on the Mongolian HIV epidemic. Int J STD AIDS. 2005; 16(2):153-7. DOI: 10.1258/0956462053057693. View

Wechsberg W, Luseno W, Lam W, Parry C, Morojele N . Substance use, sexual risk, and violence: HIV prevention intervention with sex workers in Pretoria. AIDS Behav. 2006; 10(2):131-7. DOI: 10.1007/s10461-005-9036-8. View

Wechsberg W, Lam W, Zule W, Bobashev G . Efficacy of a woman-focused intervention to reduce HIV risk and increase self-sufficiency among African American crack abusers. Am J Public Health. 2004; 94(7):1165-73. PMC: 1448416. DOI: 10.2105/ajph.94.7.1165. View

Wechsberg W, Luseno W, Lam W . Violence against substance-abusing South African sex workers: intersection with culture and HIV risk. AIDS Care. 2005; 17 Suppl 1:S55-64. DOI: 10.1080/09540120500120419. View

Exner T, Dworkin S, Hoffman S, Ehrhardt A . Beyond the male condom: the evolution of gender-specific HIV interventions for women. Annu Rev Sex Res. 2004; 14:114-36. View

10.

Cote A, Sobela F, Dzokoto A, Nzambi K, Asamoah-Adu C, Labbe A . Transactional sex is the driving force in the dynamics of HIV in Accra, Ghana. AIDS. 2004; 18(6):917-25. DOI: 10.1097/00002030-200404090-00009. View

11.

Tellez I, Altankhuu M, Vermund S, Gnann J, Hook E, Schwebke J . Hepatitis, syphilis, and HIV sentinel surveillance in Mongolia 1999-2000. Sex Transm Infect. 2002; 78(3):223-4. PMC: 1744456. DOI: 10.1136/sti.78.3.223-a. View

12.

Logan T, Cole J, Leukefeld C . Women, sex, and HIV: social and contextual factors, meta-analysis of published interventions, and implications for practice and research. Psychol Bull. 2002; 128(6):851-885. DOI: 10.1037/0033-2909.128.6.851. View

13.

Paone D, Cooper H, Alperen J, Shi Q, Des Jarlais D . HIV risk behaviours of current sex workers attending syringe exchange: the experiences of women in five US cities. AIDS Care. 1999; 11(3):269-80. DOI: 10.1080/09540129947910. View

14.

Dworkin S, Ehrhardt A . Going beyond "ABC" to include "GEM": critical reflections on progress in the HIV/AIDS epidemic. Am J Public Health. 2006; 97(1):13-8. PMC: 1716252. DOI: 10.2105/AJPH.2005.074591. View

15.

Grosskurth H, Gray R, Hayes R, Mabey D, Wawer M . Control of sexually transmitted diseases for HIV-1 prevention: understanding the implications of the Mwanza and Rakai trials. Lancet. 2000; 355(9219):1981-7. DOI: 10.1016/S0140-6736(00)02336-9. View

16.

Lyles C, Kay L, Crepaz N, Herbst J, Passin W, Kim A . Best-evidence interventions: findings from a systematic review of HIV behavioral interventions for US populations at high risk, 2000-2004. Am J Public Health. 2006; 97(1):133-43. PMC: 1716236. DOI: 10.2105/AJPH.2005.076182. View

17.

El-Bassel N, Witte S, Gilbert L, Wu E, Chang M, Hill J . The efficacy of a relationship-based HIV/STD prevention program for heterosexual couples. Am J Public Health. 2003; 93(6):963-9. PMC: 1447878. DOI: 10.2105/ajph.93.6.963. View