ArticlePloS one2021
Determinants and consequences of heavy episodic drinking among female sex workers in Ethiopia: A respondent-driven sampling study.
Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 15 citations in OpenAlex.
- Recent HIV-1 infection and associated factors among newly diagnosed female sex workers in Ethiopia-2019 to 2022.AJOG global reports · 2026Article
- Intimate partner sexual violence is associated with unhealthy alcohol use among Kenyan women engaged in sex work.Drug and alcohol dependence reports · 2025Article
- Determinants of depressive and alcohol use disorders among female sex workers in Ethiopia: evidence from a national bio-behavioral survey, 2020.BMC psychiatry · 2024Article
- Epidemiology of alcohol use and alcohol use disorder among female sex workers in Mbeya City, Tanzania.PLOS global public health · 2024Article
- Lifetime and past-month alcohol use and related factors among female sex workers in Iran.Brain and behavior · 2023Article
- Determinants of sexually transmitted infections among female sex workers in Ethiopia: a count regression model approach.Frontiers in public health · 2023Article
- Harmful Alcohol Use and Associated Socio-Structural Factors among Female Sex Workers Initiating HIV Pre-Exposure Prophylaxis in Dar es Salaam, Tanzania.International journal of environmental research and public health · 2022Article
- History of Sex Work Is Associated with Increased Risk of Adverse Mental Health and Substance Use Outcomes in Transgender Adults.International journal of environmental research and public health · 2022Article
- Condom failure and pre-exposure prophylaxis use experience among female sex workers in Ethiopia: a qualitative study.BMC public health · 2022Article
- Barriers and facilitators for access and utilization of reproductive and sexual health services among Female Sex Workers in urban and rural Maharashtra, India.Frontiers in public health · 2022Article
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Authors and funding
5 authors at 3 institutions in 2 countries.
Funding
Abstract
backgroundFemale 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.
objectiveThe purpose of this study was to explore the determinants and consequences of HED among FSWs in Ethiopia.
methodsA 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.
resultsMost (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.
conclusionIn 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.
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