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Abstract Alcohol use in commercial sex is highly prevalent globally and alcohol use in conjunction with sexual activity might increase the probability of risky behaviors, and.
In the current study, we explored individual and contextual factors associated with drinking alcohol before visiting female sex workers FSWs among male clients in Sichuan province, China.
A cross-sectional survey was conducted in Sichuan province, China. Over one-fifth As compared to those who reported not always drinking alcohol before having sex with FSWs, male clients who reported always drinking alcohol before having sex with FSWs had higher income, were more likely to have main sex partners, to drink alcohol daily, to report minor depressive symptoms and were more likely to visit FSWs with friends rather than by themselves.
Results from this study highlight the importance of addressing alcohol use among men who pay for sex in China. Future interventions should promote alcohol-related norms in reducing the harms associated with consuming alcohol.
Keywords: alcohol use, risky sexual behaviors, commercial sex, HIV, China Background Alcohol use is associated with a range of medical conditions such as heart disease, psychiatric illnesses, and injury [ 1 - 4 ]. Systematic reviews have found consistent associations of alcohol use with risky sexual behaviors, which place individuals at risk for HIV and other sexually transmitted infections [ 5 ]. Studies of alcohol's role in the transmission of HIV are of particular relevance in countries battling with HIV epidemic and with widely available alcohol and drinking norms that encourage hazardous use.