AIDS and behavior, 2023-01, Vol.27 (1), p.51-64
2023
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- Autor(en) / Beteiligte
- Titel
- Factors Associated with Exchange Sex Among Cisgender Persons Who Inject Drugs: Women and MSM—23 U.S. Cities, 2018
- Ist Teil von
- AIDS and behavior, 2023-01, Vol.27 (1), p.51-64
- Ort / Verlag
- New York: Springer US
- Erscheinungsjahr
- 2023
- Quelle
- MEDLINE
- Beschreibungen/Notizen
- Persons who inject drugs (PWID) and exchange sex face disproportionate HIV rates. We assessed prevalence of exchange sex (receiving money/drugs for sex from ≥ 1 male partner(s) during the past year) among cisgender PWID, separately for women and men with a history of sex with men (MSM). We examined factors associated with exchange sex, including sociodemographic characteristics, sexual and drug use behaviors, and healthcare access/utilization. Over one-third of the 4657 participants reported exchange sex (women: 36.2%; MSM: 34.8%). Women who exchanged sex (WES) were significantly more likely to test HIV-positive than other women. Men who exchanged sex with men (MESM) showed a similar trend. WES and MESM shared many characteristics, including being uninsured, experiencing recent homelessness, condomless sex, polydrug use, and receptive/distributive needle sharing. These findings highlight a need to strengthen prevention interventions and address structural determinants of HIV for WES and MESM, particularly PWID who exchange sex.
- Sprache
- Englisch
- Identifikatoren
- ISSN: 1090-7165, 1573-3254eISSN: 1573-3254DOI: 10.1007/s10461-022-03743-0Titel-ID: cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10208374
- Format
- –
- Schlagworte
- Acquired immune deficiency syndrome, AIDS, Behavior, Cisgender, Cities - epidemiology, Disease control, Drug abuse, Drug use, Drug Users, Drugs, Epidemics, Exchanging, Female, Gays & lesbians, Harm reduction, Health care access, Health Psychology, Health services, Hepatitis, HIV, HIV Infections - complications, HIV Infections - epidemiology, HIV Infections - prevention & control, Homeless people, Homelessness, Homosexuality, Male, Human immunodeficiency virus, Humans, Infectious Diseases, Male, Medicine, Medicine & Public Health, Men, Mens health, Original Paper, Prevention, Public Health, Risk-Taking, Sex, Sex industry, Sexual and Gender Minorities, Sexual Behavior, Sexually transmitted diseases, STD, Substance Abuse, Intravenous - complications, Substance Abuse, Intravenous - epidemiology, Women, Womens health, Workers