ArticleDrug and alcohol dependence2016
The impact of violence on sex risk and drug use behaviors among women engaged in sex work in Phnom Penh, Cambodia.
Article in Drug and alcohol dependence, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Global Prevalence of Sexual Violence Among Cisgender Female Sex Workers: A Comprehensive Systematic Review and Meta-Analysis.Archives of sexual behavior · 2026Pooled it
- Client-Perpetrated Violence Experience Among Female Sex Worker in Guangdong, South China: Results from a Cross-Sectional Study.AIDS and behavior · 2023Trial
- Cluster randomized stepped-wedge trial of a multi-level HIV prevention intervention to decrease amphetamine-type stimulants and sexual risk in Cambodian female entertainment and sex workers.Drug and alcohol dependence · 2019Trial
- Trial
- Observational
- Association of gender-based violence with sexual and drug-related HIV risk among female sex workers who use drugs in Kazakhstan.International journal of STD & AIDS · 2023Article
- Protocol for a randomized controlled trial in Cambodian individuals with PTSD: Trauma-Informed Treatment Algorithms for Advancing Novel Outcomes (Project TITAN).Contemporary clinical trials · 2023Article
- Article
- "You need money to get high, and that's the easiest and fastest way:" A typology of sex work and health behaviours among people who inject drugs.The International journal on drug policy · 2021Article
- The Impact of the Coronavirus Disease (COVID-19) on the Health and Social Needs of Sex Workers in Singapore.Archives of sexual behavior · 2021Article
- Joint effects of alcohol and stimulant use disorders on self-reported sexually transmitted infections in a prospective study of Cambodian female entertainment and sex workers.International journal of STD & AIDS · 2021Article
- Experiences and challenges of Prostitute Women in Iran: A phenomenological qualitative study.Heliyon · 2020Article
- Syndemic Psychosocial Health Conditions Associated with Recent Client-Perpetrated Violence Against Female Entertainment and Sex Workers in Cambodia.Archives of sexual behavior · 2020Article
- Inconsistent Condom Use Among Female Sex Workers: Partner-specific Influences of Substance Use, Violence, and Condom Coercion.AIDS and behavior · 2020Article
- Who's that SMARTgirl? Reaching Cambodian Female Entertainment and Sex Workers with HIV Prevention Services.AIDS and behavior · 2020Article
- Patterns and Correlates of New Drug Initiation among Female Exotic Dancers: The Contribution of Occupational and Structural Risks.Substance use & misuse · 2020Article
- Risk factors of HIV infection among female entertainment workers in Cambodia: Findings of a national survey.PloS one · 2020Article
- Factors Influencing Unintended Pregnancies amongst Adolescent Girls and Young Women in Cambodia.International journal of environmental research and public health · 2019Article
- Understanding the Relationship Between Female Sex Workers and Their Intimate Partners: Lessons and Initial Findings From Participatory Research in North Karnataka, South India.Health education & behavior : the official publication of the Society for Public Health Education · 2018Article
- HIV treatment cascade among female entertainment and sex workers in Cambodia: impact of amphetamine use and an HIV prevention program.Addiction science & clinical practice · 2017Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
backgroundViolence, substance use, and HIV disproportionately impact female entertainment and sex workers (FESW), but causal pathways remain unclear.
methodsWe examined data from an observational cohort of FESW age 15-29 in Phnom Penh, Cambodia for associations between violence exposure and sexual risk and drug use. Validated measures of physical and sexual violence were assessed at baseline. Self-reported outcomes measured quarterly over the next 12-months included past month sexual partners, consistent condom use by partner type, sex while high, and amphetamine type stimulant (ATS) use. Biomarkers measured quarterly included prostate specific antigen (PSA) and urine toxicology. Generalized estimating equations were fit adjusting for age, education, marital status and sex work venue.
resultsOf 220 women, 48% reported physical or sexual violence in the preceding 12-months. Physical violence was associated with increased number of sex partners (adjusted incidence rate ratio [aIRR] 1.33; 95% CI: 1.04-1.71), greater odds of sex while high (adjusted odds ratio [aOR] 2.42; 95% CI: 1.10-5.33), increased days of ATS use (aIRR 2.74; 95% CI: 1.29-5.84) and increased odds of an ATS+ urine screen (aOR 2.80, 95%CI: 1.38-5.66). Sexual violence predicted decreased odds of consistent condom use with non-paying partners (aOR 0.24; 95% CI: 0.10-0.59) and greater odds of a PSA+ vaginal swab (aOR 1.83; 95% CI: 1.13-2.93).
conclusionsPhysical and sexual violence are prevalent among Cambodian FESW and associated with subsequent sexual risk and drug use behaviors. Clinical research examining interventions targeting structural and interpersonal factors impacting violence is needed to optimize HIV/AIDS prevention among FESW.
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