The impact of an alcohol harm reduction intervention on interpersonal violence and engagement in sex work among female sex workers in Mombasa, Kenya: Results from a randomized controlled trial
Open accessAbstract
Aims To evaluate whether an alcohol harm reduction intervention was associated with reduced interpersonal violence or engagement in sex work among female sex workers (FSWs) in Mombasa, Kenya.Design Randomized controlled trial.Setting HIV prevention drop-in centers in Mombasa, Kenya.Participants 818 women 18 or older in Mombasa who visited HIV prevention drop-in centers, were moderate-risk drinkers and engaged in transactional sex in past six months (410 and 408 in intervention and control arms, respectively).Intervention 6 session alcohol harm reduction intervention.Comparator 6 session non-alcohol related nutrition intervention.Measurements In-person interviews were conducted at enrollment, immediately post-intervention and 6-months post-intervention. General linear mixed models examined associations between intervention assignment and recent violence (physical violence, verbal abuse, and being robbed in the past 30 days) from paying and non-paying sex partners and engagement in sex work in the past 30 days.Findings The alcohol intervention was associated with statistically significant decreases in physical violence from paying partners at 6 months post-intervention and verbal abuse from paying partners immediately post-intervention and 6-months post-intervention. Those assigned to the alcohol intervention had significantly reduced odds of engaging in sex work immediately post-intervention and 6-months post-intervention.Conclusions The alcohol intervention was associated with reductions in some forms of violence and with reductions in engagement in sex work among FSWs in Mombasa, Kenya.
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In adult female sex workers in Kenya, those assigned to the alcohol intervention had significantly reduced odds of engaging in sex work immediately post-intervention and 6-months post-intervention.
“Those assigned to the alcohol intervention had significantly reduced odds of engaging in sex work immediately post-intervention and 6-months post-intervention.”
From A scoping review of substance use brief interventions in Africa (2024) · cites this paper as [87]
In adult female sex workers in Kenya, the alcohol intervention was associated with statistically significant decreases in physical violence from paying partners at 6 months post-intervention and verbal abuse from paying partners immediately post-intervention and 6-months post-intervention.
“The alcohol intervention was associated with statistically significant decreases in physical violence from paying partners at 6 months post-intervention and verbal abuse from paying partners immediately post-intervention and 6-months post-intervention.”
From A scoping review of substance use brief interventions in Africa (2024) · cites this paper as [87]
Only three studies reported interventions longer than four sessions i.e., six (n = 2) and seven sessions (n = 1).
“Only three studies reported interventions longer than four sessions i.e., six (n = 2) [86,87] and seven sessions (n = 1) [92]).”
From A scoping review of substance use brief interventions in Africa (2024) · cites this paper as [87]
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- Authors
- Parcesepe, A. M., L′Engle, K. L., Martin, S. L., Green, S., Sinkele, W., Suchindran, C., Speizer, I. S., Mwarogo, P., & Kingola, N.
- Affiliations
- University of North Carolina at Chapel Hill (US)
- Family Health International 360 (US)
- International Centre for Reproductive Health Kenya (KE)
- Corresponding author
- Parcesepe, Angela M.
- Venue
- Drug and Alcohol Dependence
- Publisher
- Elsevier BV
- Published
- 2016-04
- Volume
- 161
- Pages
- 21-28
- ISSN
- 0376-8716 (ISSN-L)
- PMC
- PMC4936780
- OpenAlex
- W2250281843
- Cited by
- 56
- References
- 39
- Citations by year
- 2026: 5 · 2025: 2 · 2024: 4 · 2023: 4 · 2022: 7 · 2021: 4 · 2020: 5 · 2019: 18 · 2018: 2 · 2017: 5
- FWCI
- 23.77
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Drug and Alcohol Dependence (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- U.S. President’s Emergency Plan for AIDS Relief (KE09.0235)
- National Institute of Mental Health (T32MH019139, P30MH043520)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (P2CHD050924)
- Topics
- Social Sciences › Sociology and Political Science › Sex work and related issues
- Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Keywords
- alcohol harm reduction, female sex workers, interpersonal violence, transactional sex, physical violence, verbal abuse, HIV prevention, nutrition interventions, Mombasa
- MeSH terms
- Intimate Partner Violence, Adolescent, Adult, Alcohol Drinking, Female, Humans, Kenya, Sex Work, Sexual Partners, Violence, HIV Infections, Harm Reduction, Young Adult, Sex Workers
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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