Correlates of Sex Trading among Drug-Involved Women in Committed Intimate Relationships: A Risk Profile |
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| Institution: | 1. Health Promotion & Health Behavior, College of Public Health and Human Sciences, School of Social and Behavioral Health Sciences, Oregon State University, Corvallis, Oregon;2. Health Systems and Interventions Research Branch, Healthcare Delivery Research Program, National Cancer Institute, National Institutes of Health, Rockville, Maryland;3. Tobacco Regulatory Science Program, Office of Disease Prevention, National Institutes of Health, Rockville, Maryland;4. Division of Cancer Control & Population Sciences, National Cancer Institute, National Institutes of Health, Rockville, Maryland;5. Office of the Director, Agency for Healthcare Research and Quality, Rockville, Maryland;1. School of Journalism & Mass Communication, University of Minnesota, Minneapolis, Minnesota;2. Department of Government, Wesleyan University, Middletown, Connecticut;3. Division of Health Policy & Management, University of Minnesota School of Public Health, Minneapolis, Minnesota;1. Emory University School of Medicine, Atlanta, Georgia;2. Winthrop University Medical Center, Rock Hill, South Carolina;3. Georgia Cancer Center for Excellence/AVON Foundation Comprehensive Breast Center, Grady Memorial Hospital, Atlanta, Georgia;4. Rollins School of Public Health, Emory University, Atlanta, Georgia;5. Winship Cancer Institute, Emory University, Atlanta, Georgia;1. State Key Lab for Turbulence and Complex Systems and College of Engineering, Peking University, Beijing 100871, China;2. Department of Engineering Mechanics, University of Nebraska-Lincoln, Lincoln, NE 68588-0526, USA |
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| Abstract: | BackgroundDespite a slight decline in new human immunodeficiency virus (HIV) infections in New York, marked increases and concentrated epidemics continue among subsets of the population, including women engaged in sex trading. We examined the prevalence and correlates of sex trading among 346 low-income, HIV-negative women in HIV-concordant intimate relationships.MethodsWomen and their long-term main partners were recruited to participate in an HIV prevention intervention. Baseline data were used in this article.FindingsOf the 346 women in the study, 28% reported sex trading during the prior 90 days. Multivariate analyses showed increased relative risk of sex trading by lifetime experience of severe intimate partner violence (IPV), drug, and alcohol use, and marginal significance for mental health hospitalization, partner drug dependency, and homelessness.ConclusionsThese findings suggest an urgent need for HIV prevention and intervention efforts targeted toward women in intimate relationships who trade sex for money or drugs, with an emphasis on IPV, mental health, history of incarceration, and substance abuse. |
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