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首页> 外文期刊>The International journal of drug policy >A venue analysis of predictors of alcohol use prior to sexual intercourse among female sex workers in Senggigi, Indonesia.
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A venue analysis of predictors of alcohol use prior to sexual intercourse among female sex workers in Senggigi, Indonesia.

机译：印度尼西亚圣吉吉的女性性工作者在性交之前进行过酒精使用预测指标的场所分析。

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BACKGROUND: Female sex workers' (FSWs') use of alcohol, a known disinhibitor to risk behaviour, has been largely understudied. Knowledge of how various sex work venues influence FSW's alcohol consumption before engaging in commercial sex is even rarer. Our analysis identifies those factors across three types of sex-work venues that predict alcohol use among FSWs prior to paid sexual intercourse with clients. Our data were collected through structured interviews with FSWs engaging in commercial sex in Senggigi Beach, Lombok Island in the eastern Indonesian province of West Nusa Tenggara. METHODS: Employing a cross-sectional and multilevel design, three categories of venues where FSWs meet clients in Senggigi were sampled: (1) discotheques and bars (freelance), (2) brothels, and (3) recreational enterprises such as karaoke establishments and massage parlors. The sample consisted of 115 women "nested" within 16 sex work venues. The FSWs reported on 326 clients interactions. RESULTS: Results show that FSWs consumed alcohol before commercial sex with 157 (48%) of the 326 clients interactions. Alcohol use varied by differences in HIV policies and services offered at the sex work venue, the FSW's educational level and age, and client characteristics. CONCLUSION: Alcohol use is common prior to sexual intercourse among FSWs and their clients in Senggigi, and the venue where FSWs meet their clients influences the women's alcohol use. Freelancers were likelier to use alcohol than those who work at brothels and recreational enterprises. Given the recognized links between alcohol use prior to sex and high risk behaviour, HIV prevention programmes that discourage alcohol use should be introduced to both women who engage in commercial sex and also sex-work venue managers, owners, and clients.
机译：背景：女性性工作者（FSW）对酒精的使用已被广泛研究，而酒精是已知的危险行为抑制剂。在从事商业性行为之前，对各种性工作场所如何影响FSW饮酒的知识更加罕见。我们的分析确定了三种类型的性工作场所中的那些因素，这些因素可以预测在与客户进行性交之前，性工作者中的饮酒情况。我们的数据是通过对印度尼西亚东部西努沙登加拉省龙目岛的Senggigi海滩从事商业性性行为的FSW进行结构化访谈而收集的。方法：采用横断面和多层设计，抽样了三类FSW与Senggigi的客户见面的场所：（1）迪斯科舞厅和酒吧（自由职业者），（2）妓院，以及（3）娱乐企业，例如卡拉OK场所和按摩室。样本由在16个性工作场所“嵌套”的115位女性组成。 FSW报告了326个客户交互。结果：结果表明，在326个客户互动中，性工作者在进行商业性行为之前饮酒，其中157人（占48％）。酒精使用会因性工作场所提供的艾滋病毒政策和服务，FSW的教育水平和年龄以及客户特征的不同而异。结论：在性工作者与他们的客户在圣吉吉进行性交之前，通常会先饮酒，而性工作者会见他们的顾客的场所会影响女性的饮酒。与在妓院和娱乐场所工作的自由职业者相比，自由职业者使用酒精的可能性更高。鉴于性行为之前饮酒与高风险行为之间的公认联系，应向从事商业性行为的女性以及性工作场所的管理人员，所有者和服务对象引入阻止饮酒的HIV预防计划。

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