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The impact of an alcohol harm reduction intervention on interpersonal violence and engagement in sex work among female sex workers in Mombasa, Kenya: Results from a randomized controlled trial.

Abstract：

AIMS:To evaluate whether an alcohol harm reduction intervention was associated with reduced interpersonal violence or engagement in sex work among female sex workers (FSWs) in Mombasa, Kenya. DESIGN:Randomized controlled trial. SETTING:HIV prevention drop-in centers in Mombasa, Kenya. PARTICIPANTS:818 women 18 or older in Mombasa who visited HIV prevention drop-in centers, were moderate-risk drinkers and engaged in transactional sex in past six months (410 and 408 in intervention and control arms, respectively). INTERVENTION:6 session alcohol harm reduction intervention. COMPARATOR:6 session non-alcohol related nutrition intervention. MEASUREMENTS:In-person interviews were conducted at enrollment, immediately post-intervention and 6-months post-intervention. General linear mixed models examined associations between intervention assignment and recent violence (physical violence, verbal abuse, and being robbed in the past 30 days) from paying and non-paying sex partners and engagement in sex work in the past 30 days. FINDINGS:The alcohol intervention was associated with statistically significant decreases in physical violence from paying partners at 6 months post-intervention and verbal abuse from paying partners immediately post-intervention and 6-months post-intervention. Those assigned to the alcohol intervention had significantly reduced odds of engaging in sex work immediately post-intervention and 6-months post-intervention. CONCLUSIONS:The alcohol intervention was associated with reductions in some forms of violence and with reductions in engagement in sex work among FSWs in Mombasa, Kenya.

journal_name

Drug Alcohol Depend

journal_title

Drug and alcohol dependence

authors

Parcesepe AM,L Engle KL,Martin SL,Green S,Sinkele W,Suchindran C,Speizer IS,Mwarogo P,Kingola N

doi

10.1016/j.drugalcdep.2015.12.037

subject

Has Abstract

pub_date

2016-04-01 00:00:00

pages

21-8

eissn

0376-8716

issn

1879-0046

pii

S0376-8716(16)00031-4

journal_volume

161

pub_type

杂志文章,随机对照试验

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