Pro-alcohol-use Social Environment and Alcohol Use Among Female Sex Workers in China: Beyond the Effects of Serving Alcohol
Overview
Public Health
Affiliations
The current study was designed to fill the literature gap by examining the roles of the pro-alcohol social environment in alcohol use among female sex workers (FSWs) in China. In this study, a total of 1,022 FSWs were recruited through community outreach from both alcohol-serving and nonalcohol-serving commercial sex venues in Guangxi, China. The pro-alcohol social environment was measured in four areas: institutional norms, institutional practices, risk perceptions and peer norms. The measures of the pro-alcohol social environment were significantly associated with the venues' alcohol-serving practices, with FSWs from those venues reporting a more positive pro-alcohol social environment than their counterparts from nonalcohol-serving venues. However, these pro-alcohol social environment measures were independently predictive of alcohol use after controlling for venues' alcoholserving practices and other demographic characteristics. Public health interventions need to target environmental-structural factors through altering pro-alcohol-use social norms and practices at both institutional and individual levels among FSWs in China.
Long J, Richardson B, Wanje G, Wilson K, Shafi J, Mandaliya K PLoS One. 2020; 15(11):e0242817.
PMID: 33232378 PMC: 7685481. DOI: 10.1371/journal.pone.0242817.
Zhang C, Li X, Liu Y, Zhou Y, Shen Z, Chen Y AIDS Educ Prev. 2018; 30(2):108-119.
PMID: 29688775 PMC: 6056313. DOI: 10.1521/aeap.2018.30.2.108.
Zhang C, Li X, Liu Y, Qiao S, Su S, Zhang L AIDS Care. 2016; 29(2):223-225.
PMID: 27454109 PMC: 6102057. DOI: 10.1080/09540121.2016.1211240.
Zhang C, Li X, Liu Y, Qiao S, Zhou Y, Tang Z BMC Public Health. 2016; 15:1223.
PMID: 27391948 PMC: 4674914. DOI: 10.1186/s12889-015-2561-0.
Reducing HIV Risks in the Places Where People Drink: Prevention Interventions in Alcohol Venues.
Pitpitan E, Kalichman S AIDS Behav. 2015; 20 Suppl 1:S119-33.
PMID: 26099244 PMC: 4689669. DOI: 10.1007/s10461-015-1116-9.