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      Key risk factors for substance use among female sex workers in Soweto and Klerksdorp, South Africa: A cross-sectional study

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          Abstract

          Introduction

          Sex workers in South Africa experience high levels of trauma and mental health issues, but little is known about their drug and alcohol use. This study assessed the prevalence of substance use and its key risk factors amongst female sex workers (FSWs) at two sites in South Africa.

          Methods

          Two cross-sectional studies were conducted, in Soweto and Klerksdorp, South Africa. Using respondent-driven sampling (RDS) 508 FSWs in Soweto and 156 in Klerksdorp were enrolled. A study-specific survey was used to collect social and demographic information, substance use, mental ill-health, and HIV status. Raw and RDS-adjusted data were analyzed using Chi-squared tests of association. Weighted and unweighted Poisson regression models were used to assess key risk factors for alcohol and drug use at both univariate and multivariate levels.

          Results

          Of the 664 FSWs, 56.2% were binge drinkers and 29.4% reported using drugs within the last year. Living in a home with regular food (RR: 1.2597, 95% CI: 1.1009–1.4413) and being HIV positive (RR: 1.1678, 95% CI: 1.0227–1.3334) were associated with a higher risk of binge drinking. Having symptoms suggestive of post-traumatic stress disorder (RR: 1.1803, 95% CI: 1.0025–1.3895) and past year physical/sexual abuse from either intimate (RR: 1.3648, 95% CI: 1.1522–1.6167) or non-intimate partners (RR: 1.3910, 95% CI: 1.1793–1.6407) were associated with a higher risk of drug use.

          Discussion

          In conclusion, our findings demonstrate a high prevalence of alcohol and drug use among FSWs in Soweto and Klerksdorp with site-specific contextual dynamics driving substance use. Site differences highlight the importance of tailoring site-specific substance use harm mitigation for this key population.

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          Most cited references53

          • Record: found
          • Abstract: found
          • Article: not found

          Research electronic data capture (REDCap)--a metadata-driven methodology and workflow process for providing translational research informatics support.

          Research electronic data capture (REDCap) is a novel workflow methodology and software solution designed for rapid development and deployment of electronic data capture tools to support clinical and translational research. We present: (1) a brief description of the REDCap metadata-driven software toolset; (2) detail concerning the capture and use of study-related metadata from scientific research teams; (3) measures of impact for REDCap; (4) details concerning a consortium network of domestic and international institutions collaborating on the project; and (5) strengths and limitations of the REDCap system. REDCap is currently supporting 286 translational research projects in a growing collaborative network including 27 active partner institutions.
            Bookmark
            • Record: found
            • Abstract: not found
            • Article: not found

            The CES-D Scale: A Self-Report Depression Scale for Research in the General Population

            L Radloff (1977)
              Bookmark
              • Record: found
              • Abstract: not found
              • Article: not found

              Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO Collaborative Project on Early Detection of Persons with Harmful Alcohol Consumption-II

                Bookmark

                Author and article information

                Contributors
                Role: Writing – original draftRole: Writing – review & editing
                Role: Formal analysisRole: Writing – original draft
                Role: Formal analysis
                Role: Writing – review & editing
                Role: Conceptualization
                Role: Conceptualization
                Role: Conceptualization
                Role: ConceptualizationRole: Data curationRole: MethodologyRole: Resources
                Role: ConceptualizationRole: Data curationRole: Writing – original draftRole: Writing – review & editing
                Role: Editor
                Journal
                PLoS One
                PLoS One
                plos
                PLoS ONE
                Public Library of Science (San Francisco, CA USA )
                1932-6203
                21 January 2022
                2022
                : 17
                : 1
                : e0261855
                Affiliations
                [1 ] Harvard Global Health Institute, Harvard University, Cambridge, Massachusetts, United States of America
                [2 ] Perinatal HIV Research Unit (PHRU), Faculty of Health Sciences, University of The Witwatersrand, Soweto, South Africa
                [3 ] School of Public Health, Faculty of Health Sciences, University of The Witwatersrand, Johannesburg, South Africa
                [4 ] Sabin Vaccine Institute, Washington, DC, United States of America
                [5 ] Department of Internal Medicine, Klerksdorp Tshepong Hospital Complex, University of The Witwatersrand, Matlosana, South Africa
                [6 ] Johns Hopkins University Center for TB Research, Baltimore, Maryland, United States of America
                [7 ] Department of Medicine, University of California San Diego, San Diego, California, United States of America
                [8 ] Johns Hopkins Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, United States of America
                [9 ] South African Medical Research Council, Cape Town, South Africa
                [10 ] African Potential Management Consultancy, Kyalami, South Africa
                Christiana Care/University of Delaware, UNITED STATES
                Author notes

                Competing Interests: The authors have declared that no competing interests exist.

                Author information
                https://orcid.org/0000-0003-1201-2204
                https://orcid.org/0000-0003-2809-3686
                Article
                PONE-D-21-22797
                10.1371/journal.pone.0261855
                8782394
                35061728
                57e8a26a-12f7-43ff-b418-5e20c68657b4
                © 2022 Yeo et al

                This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

                History
                : 13 July 2021
                : 10 December 2021
                Page count
                Figures: 0, Tables: 4, Pages: 18
                Funding
                Funded by: funder-id http://dx.doi.org/10.13039/100009041, national department of health;
                Award Recipient :
                Funded by: funder-id http://dx.doi.org/10.13039/100000943, albert and margaret alkek foundation;
                Award Recipient :
                Funded by: networking hiv/aids community of south africa
                Award ID: NAC-SW-2016-1
                Award Recipient :
                Funded by: uc san diego center for aids research international pilot grant application
                Award ID: 2P30AI036214-24
                Award Recipient :
                Funded by: funder-id http://dx.doi.org/10.13039/100004440, wellcome trust;
                Award ID: 214204/A/18/Z
                Award Recipient :
                The Soweto study was funded by the Medical Research Council of South Africa in terms of the National Health Scholars Programme from funds provided for the purpose of a PhD by the National Department of Health/Public Health Enhancement Fund to JC, https://www.samrc.ac.za/researchdevelopment. In addition, funding was received through The Albert Wessels’ Trust to JC. The Global Fund and Networking HIV/AIDS Community of South Africa (NACOSA) provided support to the project, NAC-SW-2016-1, awarded to JC. The Klerksdorp study was funded by UC San Diego Center for AIDS Research International Pilot Grant Application to NM and JC, (2P30AI036214-24). For the purpose of open access, the author has applied a CC BY public copyright license to any Author Accepted Manuscript version arising from this submission. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
                Categories
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                Custom metadata
                Data cannot be shared publicly because female sex workers are a highly vulnerable key population due to violence, stigma and the criminalised nature of the work. For this reason it is imperative that data collected from studies with female sex workers follow ethical considerations and account for the sensitive nature of the information. Datasets will be available upon request by contacting info@ 123456phru.co.za .

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