2016
DOI: 10.1016/j.drugalcdep.2016.05.011
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High prevalence of unhealthy alcohol use and comparison of self-reported alcohol consumption to phosphatidylethanol among women engaged in sex work and their male clients in Cambodia

Abstract: Background In Cambodia, most of the female sex workers (FSW) work in venues where unhealthy alcohol use is ubiquitous and potentially contributing to the HIV epidemic. However, no accurate data exists. We compare self-reported unhealthy alcohol consumption to a biomarker of alcohol intake in Cambodian FSW and male clients, and determine factors associated with unhealthy alcohol use. Methods A cross-sectional study was conducted among FSW (n=100) and male clients (n=100) in entertainment and sex work venues i… Show more

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Cited by 16 publications
(31 citation statements)
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“…These themes were organized into the conceptual diagram represented above to highlight the complexity of force and autonomy related to alcohol use for FEWs in Cambodia. Themes within this conceptual model are supported by studies of FEWs in Cambodia, China and Indonesia where participants reported risky drinking at work (Chen et al, 2012(Chen et al, , 2015Couture et al, 2016;Safika et al, 2011;Zaller et al, 2014). Women who participated in the FGDs reported experiencing both external pressure to drink excess alcohol from clients, supervisors, peers and internal pressures to keep their jobs and to make more money through tips.…”
Section: Discussionmentioning
confidence: 81%
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“…These themes were organized into the conceptual diagram represented above to highlight the complexity of force and autonomy related to alcohol use for FEWs in Cambodia. Themes within this conceptual model are supported by studies of FEWs in Cambodia, China and Indonesia where participants reported risky drinking at work (Chen et al, 2012(Chen et al, , 2015Couture et al, 2016;Safika et al, 2011;Zaller et al, 2014). Women who participated in the FGDs reported experiencing both external pressure to drink excess alcohol from clients, supervisors, peers and internal pressures to keep their jobs and to make more money through tips.…”
Section: Discussionmentioning
confidence: 81%
“…Entertainment establishments such as karaoke TV bars (KTV), beer gardens and nightclubs employ over 38,000 female entertainment workers (FEWs) in Cambodia (NCHADS, 2017) and serve as the main locations where clients pursue flirtatious conversation, drinks and sometimes sexual activity in exchange for money (Couture et al, 2016;Hsu, Howerd, Torreinte, & Por, 2016). These venues are not considered brothels but have seen an increase in both clients and female sex workers since the formerly government-sanctioned brothel system became illegal, with the passing of a law intended to suppress human trafficking and sexual exploitation in 2008 (Maher et al, 2011;Rojanapithayakorn & Phalla, 2000;Wong et al, 2018).…”
Section: Introductionmentioning
confidence: 99%
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“…While there is not a lot of data on reported forced drinking among FEWs, some evidence from other studies can support our finding. A study on FEWs in China found that 57% of respondents had a high score on a risky drinking measure [19]. A study of sex workers in Cambodia found that 85% self-reported unhealthy alcohol consumption [18].…”
Section: Discussionmentioning
confidence: 99%