Original Paper

AIDS and Behavior

, Volume 17, Issue 2, pp 568-573

First online:

Factors Associated with Drinking Alcohol Before Visiting Female Sex Workers Among Men in Sichuan Province, China

  • Cui YangAffiliated withDepartment of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health Email author 
  • , Carl LatkinAffiliated withDepartment of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health
  • , Rongsheng LuanAffiliated withDepartment of Epidemiology, West China School of Public Health, Sichuan University
  • , Kenrad NelsonAffiliated withDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health

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Alcohol use in commercial sex is highly prevalent globally and alcohol use in conjunction with sexual activity might increase the probability of risky behaviors. In the current study, we explored individual and contextual factors associated with drinking alcohol before visiting female sex workers (FSWs) among 560 male clients in Sichuan province, China. A cross-sectional survey was conducted in Sichuan province, China. Over one-fifth (21.1 %) of the participants reported always using alcohol before having sex with FSWs. As compared to those who reported not always drinking alcohol before having sex with FSWs, male clients who reported always drinking alcohol before having sex with FSWs had higher income, were more likely to have main sex partners, to drink alcohol daily, to report minor depressive symptoms and were more likely to visit FSWs with friends rather than by themselves. Results from this study highlight the importance of addressing alcohol use among men who pay for sex in China. Future interventions should promote alcohol-related norms in reducing the harms associated with consuming alcohol.


Alcohol use Risky sexual behaviors Commercial sex HIV China


El uso de alcohol en el sexo comercial es globalmente muy prevalente y el uso de alcohol junto con la actividad sexual podrá aumentar la probabilidad de comportamientos riesgosos. En la investigación actual, exploramos factores individuales y contextuales relacionado con bebiendo alcohol antes de visitar trabajadores sexuales femeninas (TSFs) entre 560 clientes masculinos in la provincia Sichuan, China. Una encuesta transversal fue conducida en la provincia de Sichuan. Más de un quinto (21.1 %) de los participantes reportaron siempre consumiendo alcohol antes de tener relaciones sexuales con TSFs. Clientes masculinos quienes reportaron siempre tomar alcohol antes de tener relaciones sexuales tenían un ingreso más alto, eran más probable de tener principales parejas sexuales, de beber alcohol diariamente, reportaron síntomas de depresión, y eran más probable de visitar TSFs con amigos, en vez de solos. Estos resultados destacan la importancia de dirigir el uso de alcohol entre hombres que pagan por el sexo en China. Intervenciones en el futuro deberían de promover normas relacionados con el alcohol en la reducción de los daños asociados al consumo de alcohol.