142nd APHA Annual Meeting and Exposition

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Personal network correlates of amphetamine-type stimulant use among female sex workers in China

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Tuesday, November 18, 2014

Qun Zhao , School of Public Administration, Nanjing University of Information Science & Technology, Nanjing, China
Xiaoming Li, PhD , Department of Pediatrics, Pediatric Prevention Research Center, Wayne State University School of Medicine, Detroit, MI
Background: Amphetamine-type stimulant (ATS) use has increased in China and emerged as a significant problem among female sex workers (FSWs), potentially contributing to increased risk of HIV. We examined the influence of personal network factors in ATS use among FSWs in China.

Methods: A cross-sectional survey was administered among 1,022 FSWs (19% ATS use, 81% non-ATS use) recruited from 9 different types of commercial sex venues in Southwest China. Multivariate logistic regression using hierarchical combinations of candidate variables was used to analyze network factors for ATS use.

Results: ATS use was higher among younger women, unmarried, from rural areas, higher income, working in restaurant, mini hotel, streets (26.8%), in massage parlor, hair salon (26.3%), and in night club, KTV, bar, and dancing ball (29.5) compared to women working in sauna (17.4%). ATS use was less frequent for FSWs who living with family members (parents, husband, and child). In multivariate logistic regression analysis, ATS use was associated with emotional support from boyfriend/husband (aOR 1.17; 95% CI: 1.07–1.29) and friends/acquaintance (aOR 1.09; 95% CI: 1.00–1.17), and tangible support from boyfriend/husband (aOR 0.73; 95% CI: 0.54–1.00).

Conclusion: Findings highlight the importance of personal network factors in understanding ATS use among FSWs. Results also support the relevance of network-based interventions to change social context for ATS use, in terms of both enhancing pro-social influences and reducing exposure to ATS use.

Learning Areas:

Administer health education strategies, interventions and programs
Social and behavioral sciences

Learning Objectives:
Compare emotional and tangible support from female sex workers' social network. Develop network-based interventions to change social context for amphetamine-type stimulant use, especially among female sex workers.

Keyword(s): Behavioral Research, Asian and Pacific Islanders

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been the PI of the study from which the data are derived.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

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