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Poly-drug use among female and male commercial sex workers visiting a drop in centre in Mombasa County, Kenya

Bibliographic Data

ID21263562
AuthorsKemunto Phyllys (Technical University of Mombasa), Onesmus Wanje Ziro (0000-0002-0271-2533, Technical University of Mombasa), George Kissinger (Technical University of Mombasa), Moses M Ngari (0000-0001-7149-5491, Pwani University), Nancy L M Budambula (0000-0001-8093-2702, University of Embu), Valentine Budambula (0000-0003-2852-3973, Technical University of Mombasa, corresponding author)
EditorsJoel Msafiri Francis
Year2022
Volume2
Issue11
Pagese0001247
Publication date2022-11-11
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenuePLOS Global Public Health (JOURNAL)
Journal identifiersISSN: 2767-3375 • E-ISSN: 2767-3375
PublisherPublic Library of Science (PLoS) (PUBLISHER)
DOI10.1371/journal.pgph.0001247
PMID36962634
OpenAlexW4308914201
LanguageEN
Citations received1
References cited34

The relationship between commercial sex work and drug use is complex and the two exacerbate each other. In Kenya, Mombasa County has one of the highest populations of drug users and commercial sex workers. Despite documentation of drug use among sex workers, most of the studies are based on self-reported history which is prone to social desirability and memory recall biases. It is in this context that we sought to establish actual drug use is this sub-population. A cross-sectional study was conducted to determine self-reported and confirmed drug use among 224 commercial sex workers accessing services at Mvita Drop-in. Actual drug use was determined qualitatively using 6 panel plus alcohol Saliva Test kit. The overall prevalence of self-reported and confirmed current use for at least one drug was 98% and 99% respectively. Regardless of the technique used, alcohol and tobacco products were the most consumed substances. Alcohol use increased significantly with age (P = 0.03). Risk of cigarette use and testing positive for cotinine was higher among those age 18 to 35 years compared to >35years at P = 0.001 and P = 0.002 respectively. Poly-drug use was common with 98% testing positive for more than one drug. The reason for drug use was sex work related pressure (88%) with 60% of the respondents reporting they cannot transact this business without drugs. Almost every commercial sex worker is a poly-drug user. We recommend targeted interventions for commercial sex workers

Cross-sectional study · Drug · Environmental health · Family medicine · Geography · Pathology · Population · Psychiatry · Psychological intervention · Sex work · Demography · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Sex work and related issues

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Unique citing works1
Citations per year1
Citation span2026 - 2026 (1)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 1
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