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Poly-drug use among female and male commercial sex workers visiting a drop in centre in Mombasa County, Kenya

The relationship between commercial sex work and drug use is complex and the two exacerbate each other. In Kenya, Mombasa County has one of the highest populations of drug users and commercial sex workers. Despite documentation of drug use among sex workers, most of the studies are based on self-rep...

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Autores principales: Phyllys, Kemunto, Ziro, Onesmus Wanje, Kissinger, George, Ngari, Moses, Budambula, Nancy L. M., Budambula, Valentine
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10045590/
https://www.ncbi.nlm.nih.gov/pubmed/36962634
http://dx.doi.org/10.1371/journal.pgph.0001247
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author Phyllys, Kemunto
Ziro, Onesmus Wanje
Kissinger, George
Ngari, Moses
Budambula, Nancy L. M.
Budambula, Valentine
author_facet Phyllys, Kemunto
Ziro, Onesmus Wanje
Kissinger, George
Ngari, Moses
Budambula, Nancy L. M.
Budambula, Valentine
author_sort Phyllys, Kemunto
collection PubMed
description The relationship between commercial sex work and drug use is complex and the two exacerbate each other. In Kenya, Mombasa County has one of the highest populations of drug users and commercial sex workers. Despite documentation of drug use among sex workers, most of the studies are based on self-reported history which is prone to social desirability and memory recall biases. It is in this context that we sought to establish actual drug use is this sub-population. A cross-sectional study was conducted to determine self-reported and confirmed drug use among 224 commercial sex workers accessing services at Mvita Drop-in. Actual drug use was determined qualitatively using 6 panel plus alcohol Saliva Test kit. The overall prevalence of self-reported and confirmed current use for at least one drug was 98% and 99% respectively. Regardless of the technique used, alcohol and tobacco products were the most consumed substances. Alcohol use increased significantly with age (P = 0.03). Risk of cigarette use and testing positive for cotinine was higher among those age 18 to 35 years compared to >35years at P = 0.001 and P = 0.002 respectively. Poly-drug use was common with 98% testing positive for more than one drug. The reason for drug use was sex work related pressure (88%) with 60% of the respondents reporting they cannot transact this business without drugs. Almost every commercial sex worker is a poly-drug user. We recommend targeted interventions for commercial sex workers.
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spelling pubmed-100455902023-03-29 Poly-drug use among female and male commercial sex workers visiting a drop in centre in Mombasa County, Kenya Phyllys, Kemunto Ziro, Onesmus Wanje Kissinger, George Ngari, Moses Budambula, Nancy L. M. Budambula, Valentine PLOS Glob Public Health Research Article The relationship between commercial sex work and drug use is complex and the two exacerbate each other. In Kenya, Mombasa County has one of the highest populations of drug users and commercial sex workers. Despite documentation of drug use among sex workers, most of the studies are based on self-reported history which is prone to social desirability and memory recall biases. It is in this context that we sought to establish actual drug use is this sub-population. A cross-sectional study was conducted to determine self-reported and confirmed drug use among 224 commercial sex workers accessing services at Mvita Drop-in. Actual drug use was determined qualitatively using 6 panel plus alcohol Saliva Test kit. The overall prevalence of self-reported and confirmed current use for at least one drug was 98% and 99% respectively. Regardless of the technique used, alcohol and tobacco products were the most consumed substances. Alcohol use increased significantly with age (P = 0.03). Risk of cigarette use and testing positive for cotinine was higher among those age 18 to 35 years compared to >35years at P = 0.001 and P = 0.002 respectively. Poly-drug use was common with 98% testing positive for more than one drug. The reason for drug use was sex work related pressure (88%) with 60% of the respondents reporting they cannot transact this business without drugs. Almost every commercial sex worker is a poly-drug user. We recommend targeted interventions for commercial sex workers. Public Library of Science 2022-11-11 /pmc/articles/PMC10045590/ /pubmed/36962634 http://dx.doi.org/10.1371/journal.pgph.0001247 Text en © 2022 Phyllys et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Phyllys, Kemunto
Ziro, Onesmus Wanje
Kissinger, George
Ngari, Moses
Budambula, Nancy L. M.
Budambula, Valentine
Poly-drug use among female and male commercial sex workers visiting a drop in centre in Mombasa County, Kenya
title Poly-drug use among female and male commercial sex workers visiting a drop in centre in Mombasa County, Kenya
title_full Poly-drug use among female and male commercial sex workers visiting a drop in centre in Mombasa County, Kenya
title_fullStr Poly-drug use among female and male commercial sex workers visiting a drop in centre in Mombasa County, Kenya
title_full_unstemmed Poly-drug use among female and male commercial sex workers visiting a drop in centre in Mombasa County, Kenya
title_short Poly-drug use among female and male commercial sex workers visiting a drop in centre in Mombasa County, Kenya
title_sort poly-drug use among female and male commercial sex workers visiting a drop in centre in mombasa county, kenya
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10045590/
https://www.ncbi.nlm.nih.gov/pubmed/36962634
http://dx.doi.org/10.1371/journal.pgph.0001247
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