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Sexualized Drug Use Among Female Sex Workers from Eight Cities in China: A Cross-Sectional Study

There is a rich literature on sexualized drug use (i.e., drug use before or during sex) for men who have sex with men but less data from female sex workers (FSW), particularly from low- and middle-income countries. We describe the sexual and reproductive health outcomes in FSW reporting sexualized d...

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Autores principales: Ong, Jason J., Xiong, Mingzhou, Tucker, Joseph D., Wang, Yajie, Smith, M. Kumi, Tang, Weiming, Fu, Hongyun, Zheng, Heping, Yang, Bin, Wang, Cheng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8594644/
https://www.ncbi.nlm.nih.gov/pubmed/34786656
http://dx.doi.org/10.1007/s10508-021-02117-2
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author Ong, Jason J.
Xiong, Mingzhou
Tucker, Joseph D.
Wang, Yajie
Smith, M. Kumi
Tang, Weiming
Fu, Hongyun
Zheng, Heping
Yang, Bin
Wang, Cheng
author_facet Ong, Jason J.
Xiong, Mingzhou
Tucker, Joseph D.
Wang, Yajie
Smith, M. Kumi
Tang, Weiming
Fu, Hongyun
Zheng, Heping
Yang, Bin
Wang, Cheng
author_sort Ong, Jason J.
collection PubMed
description There is a rich literature on sexualized drug use (i.e., drug use before or during sex) for men who have sex with men but less data from female sex workers (FSW), particularly from low- and middle-income countries. We describe the sexual and reproductive health outcomes in FSW reporting sexualized drug use. In 2019, we conducted a cross-sectional study in eight cities from seven provinces in China. We recruited FSW through community organizations working with sex workers and included those aged 18 years or above, exchanged sex at least once for money or goods in the past three months, and had traded sex for longer than a year. Multivariable logistic regression models were used. In total, 650 women participated: average age was 38.8 years (SD 10.2), 57.1% reported a monthly income over 5000 RMB ($USD 707), and 12.8% completed high school or above. Among participants, 65 (10.0%, 95% confidence interval (CI) 7.8–12.6) reported a history of sexualized drug use. Compared to FSW who never reported a history of sexualized drug use, FSW who reported a history of sexualized drug use had greater odds of working for a manager compared to being self-employed (adjusted odds ratio (AOR) 4.04, 95% CI 2.12–7.69), work in a sauna (AOR 2.43, 95% CI 1.09–5.41), charging a higher price for vaginal sex (AOR 2.15, 95% CI 1.14–4.06), and ever diagnosed with STIs (AOR 4.51, 95% CI 2.61–7.80). One in ten FSW reported sexualized drug use. Although they had similar risk profiles in terms of consistency of condom use and reproductive health outcomes, these women were more likely to report past STIs than those who reported no sexualized drug use. Health workers who work with substance users should devote attention to the sexual practices of their clients to make sure that they have safer sex.
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spelling pubmed-85946442021-11-16 Sexualized Drug Use Among Female Sex Workers from Eight Cities in China: A Cross-Sectional Study Ong, Jason J. Xiong, Mingzhou Tucker, Joseph D. Wang, Yajie Smith, M. Kumi Tang, Weiming Fu, Hongyun Zheng, Heping Yang, Bin Wang, Cheng Arch Sex Behav Original Paper There is a rich literature on sexualized drug use (i.e., drug use before or during sex) for men who have sex with men but less data from female sex workers (FSW), particularly from low- and middle-income countries. We describe the sexual and reproductive health outcomes in FSW reporting sexualized drug use. In 2019, we conducted a cross-sectional study in eight cities from seven provinces in China. We recruited FSW through community organizations working with sex workers and included those aged 18 years or above, exchanged sex at least once for money or goods in the past three months, and had traded sex for longer than a year. Multivariable logistic regression models were used. In total, 650 women participated: average age was 38.8 years (SD 10.2), 57.1% reported a monthly income over 5000 RMB ($USD 707), and 12.8% completed high school or above. Among participants, 65 (10.0%, 95% confidence interval (CI) 7.8–12.6) reported a history of sexualized drug use. Compared to FSW who never reported a history of sexualized drug use, FSW who reported a history of sexualized drug use had greater odds of working for a manager compared to being self-employed (adjusted odds ratio (AOR) 4.04, 95% CI 2.12–7.69), work in a sauna (AOR 2.43, 95% CI 1.09–5.41), charging a higher price for vaginal sex (AOR 2.15, 95% CI 1.14–4.06), and ever diagnosed with STIs (AOR 4.51, 95% CI 2.61–7.80). One in ten FSW reported sexualized drug use. Although they had similar risk profiles in terms of consistency of condom use and reproductive health outcomes, these women were more likely to report past STIs than those who reported no sexualized drug use. Health workers who work with substance users should devote attention to the sexual practices of their clients to make sure that they have safer sex. Springer US 2021-11-16 2022 /pmc/articles/PMC8594644/ /pubmed/34786656 http://dx.doi.org/10.1007/s10508-021-02117-2 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Original Paper
Ong, Jason J.
Xiong, Mingzhou
Tucker, Joseph D.
Wang, Yajie
Smith, M. Kumi
Tang, Weiming
Fu, Hongyun
Zheng, Heping
Yang, Bin
Wang, Cheng
Sexualized Drug Use Among Female Sex Workers from Eight Cities in China: A Cross-Sectional Study
title Sexualized Drug Use Among Female Sex Workers from Eight Cities in China: A Cross-Sectional Study
title_full Sexualized Drug Use Among Female Sex Workers from Eight Cities in China: A Cross-Sectional Study
title_fullStr Sexualized Drug Use Among Female Sex Workers from Eight Cities in China: A Cross-Sectional Study
title_full_unstemmed Sexualized Drug Use Among Female Sex Workers from Eight Cities in China: A Cross-Sectional Study
title_short Sexualized Drug Use Among Female Sex Workers from Eight Cities in China: A Cross-Sectional Study
title_sort sexualized drug use among female sex workers from eight cities in china: a cross-sectional study
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8594644/
https://www.ncbi.nlm.nih.gov/pubmed/34786656
http://dx.doi.org/10.1007/s10508-021-02117-2
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