AIDS and Behavior

, Volume 15, Issue 2, pp 330–339

Risk Factors of Alcohol Problem Drinking Among Female Bar/Hotel Workers in Moshi, Tanzania: A Multi-level Analysis

  • Trong Thanh-Hoang Ao
  • Noel Sam
  • Ireen Kiwelu
  • Ajay Mahal
  • S. V. Subramanian
  • Grace Wyshak
  • Saidi Kapiga
Original Paper

DOI: 10.1007/s10461-010-9849-y

Cite this article as:
Ao, T.TH., Sam, N., Kiwelu, I. et al. AIDS Behav (2011) 15: 330. doi:10.1007/s10461-010-9849-y

Abstract

There is limited information on alcohol problem drinking, which has been associated with sexually transmitted infections (STIs), including HIV, among female bar/hotel workers in Africa. This paper aimed to identify the individual- and facility-level determinants of alcohol problem drinking in this setting. Problem drinking was defined based on the CAGE alcohol screening scale. Multi-level logistic regression was used to identify individual- and facility-level factors associated with problem drinking. About 37.3% of women (N = 1629) were classified as having probable or definite problem drinking. In multi-level analysis, main characteristics associated with problem drinking included: having 3–4 partners in the past 5 years compared to having 1–2, used a condom in the last sex comparing to non-use, history of transactional sex, having more pregnancies, and facilities whose employees do not live on the premises. Interventions which combine alcohol and sexual risk reduction counseling are urgently needed in this population.

Keywords

Risk factors Alcohol STI HIV Women Tanzania Multilevel analysis 

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Trong Thanh-Hoang Ao
    • 1
    • 7
  • Noel Sam
    • 2
  • Ireen Kiwelu
    • 3
  • Ajay Mahal
    • 4
  • S. V. Subramanian
    • 5
  • Grace Wyshak
    • 6
  • Saidi Kapiga
    • 1
  1. 1.Department of Epidemiology and Population HealthLondon School of Hygiene and Tropical MedicineLondonUK
  2. 2.Department of Clinical LaboratoryKilimanjaro Christian Medical CenterMoshiTanzania
  3. 3.Department of Research LaboratoryKilimanjaro Christian Medical CenterMoshiTanzania
  4. 4.School of Public Health and Prevention MedicineMonash UniversityMelbourneAustralia
  5. 5.Department of Society, Human Development, and HealthHarvard School of Public HealthBostonUSA
  6. 6.Departments of Biostatistics and Global Health and PopulationHarvard School of Public HealthBostonUSA
  7. 7.Mwanza Intervention Trials UnitMwanzaTanzania

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