Substance abuse, treatment needs and access among female sex workers and non-sex workers in Pretoria, South Africa

被引:43
作者
Wechsberg, Wendee M. [1 ,2 ,3 ]
Wu, Li-Tzy [2 ]
Zule, William A. [1 ]
Parry, Charles D. [4 ,5 ]
Browne, Felicia A. [1 ]
Luseno, Winnie K. [1 ]
Kline, Tracy [1 ]
Gentry, Amanda [3 ]
机构
[1] RTI Int, Res Triangle Inst, Subst Abuse Treatment Evaluat & Intervent Res Pro, Res Triangle Pk, NC 27709 USA
[2] Duke Univ, Sch Med, Duke Clin Res Inst, Dept Psychiat & Behav Sci, Durham, NC 27715 USA
[3] Univ N Carolina, Gillings Sch Global Publ Hlth, Chapel Hill, NC 27599 USA
[4] MRC, Alcohol & Drug Abuse Res Unit, ZA-7505 Tygerberg, Cape Town, South Africa
[5] Univ Stellenbosch, Dept Psychiat, ZA-7505 Tygerberg, Cape Town, South Africa
关键词
FETAL ALCOHOL SYNDROME; HIV; RISK; WOMEN; BEHAVIOR; EPIDEMIOLOGY; PREVENTION; COMMUNITY; VIOLENCE;
D O I
10.1186/1747-597X-4-11
中图分类号
R194 [卫生标准、卫生检查、医药管理];
学科分类号
摘要
Background: This study examined cross-sectional data collected from substance-using female sex workers (FSW) and non-sex workers (non-SW) in Pretoria, South Africa, who entered a randomized controlled trial. Methods: Women who reported alcohol use and recently engaging in sex work or unprotected sex were recruited for a randomized study. The study sample (N = 506) comprised 335 FSW and 171 female non-SW from Pretoria and surrounding areas. Self-reported data about alcohol and other drug use as well as treatment needs and access were collected from participants before they entered a brief intervention. Results: As compared with female non-SW, FSW were found to have a greater likelihood of having a past year diagnosis of alcohol or other drug abuse or dependence, having a family member with a history of alcohol or other drug abuse, having been physically abused, having used alcohol before age 18, and having a history of marijuana use. In addition, the FSW were more likely to perceive that they had alcohol or other drug problems, and that they had a need for treatment and a desire to go for treatment. Less than 20% of participants in either group had any awareness of alcohol and drug treatment programs, with only 3% of the FSW and 2% of the non-SW reporting that they tried but were unable to enter treatment in the past year. Conclusion: FSW need and want substance abuse treatment services but they often have difficulty accessing services. The study findings suggest that barriers within the South African treatment system need to be addressed to facilitate access for substance-using FSW. Ongoing research is needed to inform policy change that fosters widespread educational efforts and sustainable, accessible, woman-sensitive services to ultimately break the cycle for current and future generations of at-risk South African women.
引用
收藏
页数:11
相关论文
共 29 条
[1]  
[Anonymous], 2008, SACENDU RES BRIEF
[2]  
Babor T., 2003, ALCOHOL NO ORDINARY, V1st
[3]  
Centers for Disease Control and Prevention (CDC), 2003, MMWR Morb Mortal Wkly Rep, V52, P660
[4]   Behavioral studies of female sex workers in China: A literature review and recommendation for future research [J].
Hong, Yan ;
Li, Xiaoming .
AIDS AND BEHAVIOR, 2008, 12 (04) :623-636
[5]   The changing political economy of sex in South Africa: The significance of unemployment and inequalities to the scale of the AIDS pandemic [J].
Hunter, Mark .
SOCIAL SCIENCE & MEDICINE, 2007, 64 (03) :689-700
[6]  
Leggett T., 2001, SOC TRANSITION, V32, P101, DOI [10.1080/21528586.2001.10419034, DOI 10.1080/21528586.2001.10419034]
[7]   Correlates of HIV testing among South African women with high sexual and substance-use risk behaviours [J].
Luseno, Winnie K. ;
Wechsberg, Wendee M. .
AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV, 2009, 21 (02) :178-184
[8]   Epidemiology of fetal alcohol syndrome in a South African community in the Western Cape Province [J].
May, PA ;
Brooke, L ;
Gossage, JP ;
Croxford, J ;
Adnams, C ;
Jones, KL ;
Robinson, L ;
Viljoen, D .
AMERICAN JOURNAL OF PUBLIC HEALTH, 2000, 90 (12) :1905-1912
[9]   Diagnostic and Statistical Manual of Mental Disorders [J].
Mittal, Vijay A. ;
Walker, Elaine F. .
PSYCHIATRY RESEARCH, 2011, 189 (01) :158-159
[10]   Alcohol use and sexual behaviour among risky drinkers and bar and shebeen patrons in Gauteng province, South Africa [J].
Morojele, NK ;
Kachieng'a, MA ;
Mokoko, E ;
Nkoko, MA ;
Parry, CDH ;
Nkowane, AM ;
Moshia, KM ;
Saxena, S .
SOCIAL SCIENCE & MEDICINE, 2006, 62 (01) :217-227