Highlights
- This study evaluated whether an alcohol harm reduction intervention was associated with reduced interpersonal violence or engagement in sex work among female sex workers in Mombasa, Kenya.
- The alcohol harm reduction intervention was associated with statistically significant decreases in having been robbed or not paid as agreed to by a client immediately post-intervention, verbal abuse from paying partners immediately and 6 months post-intervention and physical violence from paying partners 6 months post-intervention.
- Those assigned to the alcohol intervention had significantly lower odds of engaging in sex work immediately and 6 months post-intervention.
- Findings demonstrate the potential for brief alcohol harm reduction interventions to positively influence the health and safety of female sex workers.
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.
Purchase full article at: http://goo.gl/Fimx7n
By:
Affiliations
University of North Carolina at Chapel Hill, Department of
Maternal and Child Health, Gillings School of Global Public Health, CB# 7445,
Rosenau Hall, Chapel Hill, NC 27599, United States
1Present address: HIV Center for Clinical
and Behavioral Studies, Columbia University and New York State Psychiatric
Institute, 1501 Riverside Drive, New York, NY 10032, United States.
More at: https://twitter.com/hiv insight
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