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Concurrent sexual and substance-use risk behaviours among female sex workers in Kenya's Coast Province : findings from a behavioural monitoring survey

SP Tegang, S Abdallah, G Emukule, Stanley Lüchters UGent, N Kingola, M Barasa, S Mucheke and P Mwarogo (2010) SAHARA J-JOURNAL OF SOCIAL ASPECTS OF HIV-AIDS. 7(4). p.10-16
abstract
While many studies confirm the association between HIV, alcohol and injecting drug use by female sex workers (FSWs), little is known about their use of marijuana, khat and other substances and the association of these substances with HIV, risky sexual behaviour, and sexual violence. To better understand this association, data were analysed from a cross-sectional, behavioural survey of 297 FSWs in Mombasa, a well-known tourist destination and the second largest port in Africa and capital city of the Coast Province in Kenya. Among the FSWs, lifetime use of different substances was reported by 91% for alcohol, 71% for khat, 34% for marijuana, and 6% for heroin, cocaine, glue or petrol. The majority (79%) used more than one substance, and multiple-substance use was reported by all respondents who ever used marijuana, heroin, cocaine, glue and petrol. The risk of HIV acquisition was perceived as medium to high by 41% of respondents, 75% of whom attributed this risk to multiple partners. Sexual violence was reported by 48% of respondents, and 30% indicated that this happened several times. Despite HIV prevention programmes targeting FSWs in Mombasa, most of them continue to engage in risky sexual behaviours. This suggests that harm reduction strategies for substance use should be coupled with efforts to promote consistent condom use and partner reduction.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
Africa., Kenya, substance use, female sex workers, KHAT, HIV, ALCOHOL-USE, TRANSMITTED INFECTIONS, VIOLENCE
journal title
SAHARA J-JOURNAL OF SOCIAL ASPECTS OF HIV-AIDS
Sahara J-J. Soc. Asp. HIV/AIDS
volume
7
issue
4
pages
10 - 16
Web of Science type
Article
Web of Science id
000284964200003
JCR category
PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
JCR impact factor
0.714 (2010)
JCR rank
93/114 (2010)
JCR quartile
4 (2010)
ISSN
1729-0376
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
2152824
handle
http://hdl.handle.net/1854/LU-2152824
alternative location
http://www.sahara.org.za/component/docman/cat_view/68-journal-issues/106-sahara-j-vol-7-no-4-december-2010.html
date created
2012-06-14 10:11:55
date last changed
2018-06-21 07:43:46
@article{2152824,
  abstract     = {While many studies confirm the association between HIV, alcohol and injecting drug use by female sex workers (FSWs), little is known about their use of marijuana, khat and other substances and the association of these substances with HIV, risky sexual behaviour, and sexual violence. To better understand this association, data were analysed from a cross-sectional, behavioural survey of 297 FSWs in Mombasa, a well-known tourist destination and the second largest port in Africa and capital city of the Coast Province in Kenya.
Among the FSWs, lifetime use of different substances was reported by 91\% for alcohol, 71\% for khat, 34\% for marijuana, and 6\% for heroin, cocaine, glue or petrol. The majority (79\%) used more than one substance, and multiple-substance use was reported by all respondents who ever used marijuana, heroin, cocaine, glue and petrol. The risk of HIV acquisition was perceived as medium to high by 41\% of respondents, 75\% of whom attributed this risk to multiple partners. Sexual violence was reported by 48\% of respondents, and 30\% indicated that this happened several times. Despite HIV prevention programmes targeting FSWs in Mombasa, most of them continue to engage in risky sexual behaviours. This suggests that harm reduction strategies for substance use should be coupled with efforts to promote consistent condom use and partner reduction.},
  author       = {Tegang, SP and Abdallah, S and Emukule, G and L{\"u}chters, Stanley and Kingola, N and Barasa, M and Mucheke, S and Mwarogo, P},
  issn         = {1729-0376},
  journal      = {SAHARA J-JOURNAL OF SOCIAL ASPECTS OF HIV-AIDS},
  keyword      = {Africa.,Kenya,substance use,female sex workers,KHAT,HIV,ALCOHOL-USE,TRANSMITTED INFECTIONS,VIOLENCE},
  language     = {eng},
  number       = {4},
  pages        = {10--16},
  title        = {Concurrent sexual and substance-use risk behaviours among female sex workers in Kenya's Coast Province : findings from a behavioural monitoring survey},
  url          = {http://www.sahara.org.za/component/docman/cat\_view/68-journal-issues/106-sahara-j-vol-7-no-4-december-2010.html},
  volume       = {7},
  year         = {2010},
}

Chicago
Tegang, SP, S Abdallah, G Emukule, Stanley Lüchters, N Kingola, M Barasa, S Mucheke, and P Mwarogo. 2010. “Concurrent Sexual and Substance-use Risk Behaviours Among Female Sex Workers in Kenya’s Coast Province : Findings from a Behavioural Monitoring Survey.” Sahara J-journal of Social Aspects of Hiv-aids 7 (4): 10–16.
APA
Tegang, S., Abdallah, S., Emukule, G., Lüchters, S., Kingola, N., Barasa, M., Mucheke, S., et al. (2010). Concurrent sexual and substance-use risk behaviours among female sex workers in Kenya’s Coast Province : findings from a behavioural monitoring survey. SAHARA J-JOURNAL OF SOCIAL ASPECTS OF HIV-AIDS, 7(4), 10–16.
Vancouver
1.
Tegang S, Abdallah S, Emukule G, Lüchters S, Kingola N, Barasa M, et al. Concurrent sexual and substance-use risk behaviours among female sex workers in Kenya’s Coast Province : findings from a behavioural monitoring survey. SAHARA J-JOURNAL OF SOCIAL ASPECTS OF HIV-AIDS. 2010;7(4):10–6.
MLA
Tegang, SP, S Abdallah, G Emukule, et al. “Concurrent Sexual and Substance-use Risk Behaviours Among Female Sex Workers in Kenya’s Coast Province : Findings from a Behavioural Monitoring Survey.” SAHARA J-JOURNAL OF SOCIAL ASPECTS OF HIV-AIDS 7.4 (2010): 10–16. Print.