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

Published

Journal Article

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.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.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.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.

Full Text

Duke Authors

Cited Authors

  • Wechsberg, WM; Wu, L-T; Zule, WA; Parry, CD; Browne, FA; Luseno, WK; Kline, T; Gentry, A

Published Date

  • May 27, 2009

Published In

Volume / Issue

  • 4 /

Start / End Page

  • 11 -

PubMed ID

  • 19473505

Pubmed Central ID

  • 19473505

Electronic International Standard Serial Number (EISSN)

  • 1747-597X

International Standard Serial Number (ISSN)

  • 1747-597X

Digital Object Identifier (DOI)

  • 10.1186/1747-597X-4-11

Language

  • eng