Evidence map›Paper›PMID 39867466›Full record

ArticleDrug and alcohol dependence reports2025

Intimate partner sexual violence is associated with unhealthy alcohol use among Kenyan women engaged in sex work.

Daniel Tolstrup, Sarah T Roberts, Ruth Deya, George Wanje, Juma Shafi, Jocelyn R James, Geetanjali Chander, R Scott McClelland, Susan M Graham

Abstract read
In one paragraph

Article in Drug and alcohol dependence reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Daniel TolstrupSchool of Medicine, University of Washington, Seattle, WA, USA.
Sarah T RobertsWomen's Global Health Imperative, RTI International, Berkeley, CA, USA.
Ruth DeyaDepartment of Medicine, University of Washington, Seattle, WA, USA.
George WanjeDepartment of Global Health, University of Washington, Seattle, WA, USA.
Juma ShafiInstitute of Tropical and Infectious Diseases, University of Nairobi, Nairobi, Kenya.
Jocelyn R JamesDepartment of Medicine, University of Washington, Seattle, WA, USA.
Geetanjali ChanderDepartment of Medicine, University of Washington, Seattle, WA, USA.
R Scott McClellandDepartment of Medicine, University of Washington, Seattle, WA, USA.
Susan M GrahamDepartment of Medicine, University of Washington, Seattle, WA, USA.

Funding

University of Washington/Fred Hutch Center for AIDS ResearchP30AI027757 · NIAID · UNIVERSITY OF WASHINGTON · PI CONNIE L CELUM · 1988 to 2026
$104.9M
VENEREAL DISEASET32AI007140 · NIAID · UNIVERSITY OF WASHINGTON · PI Julia Cook Dombrowski · 1985 to 2026
$19.4M
University of Washington Developmental AIDS Research Center for Mental Health (UW ARCH)P30MH123248 · NIMH · UNIVERSITY OF WASHINGTON · PI CHWASTIAK, LYDIA ANN · 2021 to 2024
$5.8M
The UW Medical Student Addiction Research (MedStAR) Program to Address Substance Use and Disorders in Urban and Rural Communities in Five Western StatesR25DA050985 · NIDA · UNIVERSITY OF WASHINGTON · PI Judith Tsui · 2020 to 2026
$2.6M
NIAID NIH HHS P30 AI027757NIAID NIH HHS T32 AI007140NIDA NIH HHS R25 DA050985NIMH NIH HHS P30 MH123248
6 · The paper itself

Abstract

Aim: Unhealthy alcohol use is often correlated with experiences of intimate partner violence (IPV). We investigated how different types of IPV (sexual, physical, emotional, and financial) were associated with unhealthy alcohol use among women engaged in sex work in Mombasa, Kenya. Methods: This cross-sectional study included 283 HIV-negative women who engaged in sex work recruited from an ongoing cohort study. Modified Poisson analysis was used to assess associations between recent (≤ 12 months) or past (> 12 months) experiences of sexual, physical, emotional, or financial IPV and unhealthy alcohol use defined as an Alcohol Use Disorders Identification Test score ≥ 8. Results: Among 283 participants, 34.6 % had unhealthy alcohol use. Physical (62.5 %), emotional (60.4 %), and financial (66.4 %) IPV occurred more frequently than sexual IPV (43.8 %). Adjusted risk ratios (ARR) for relationships between physical and financial IPV and unhealthy alcohol use were elevated but not statistically significant. Compared to participants who had not experienced sexual IPV, those who had experienced recent or past sexual IPV had an increased risk of unhealthy alcohol use (ARR 1.56, 95 % confidence interval [1.09, 2.23] and ARR 1.48, 95 % confidence interval [0.97, 2.25], respectively). Conclusion: Sexual IPV was associated with unhealthy alcohol use among Kenyan women who engage in sex work. Physical, emotional, and financial IPV were also highly prevalent in the study population, though not associated with unhealthy alcohol use. These findings affirm the potential benefit of providing integrated IPV and alcohol treatment services focused on recovery after experiences of IPV for this vulnerable population.

Indexed as

Alcohol use disorderIntimate partner violenceSex work

Identifiers

PMID39867466
PMCPMC11763861

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.