Correlates of Transactional Sex Among a Rural Population of People Who Inject Drugs

被引：28
|
作者：
Allen, Sean T. [1 ]
White, Rebecca Hamilton [1 ]
O'Rourke, Allison [2 ]
Ahmad, N. Jia [1 ]
Hazelett, Tim [3 ]
Kilkenny, Michael E. [3 ]
Sherman, Susan G. [1 ]
机构：
[1] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Hlth Behav & Soc, 624 N Broadway, Baltimore, MD 21205 USA
[2] George Washington Univ, Dept Psychol, DC Ctr AIDS Res, 2125 G St NW, Washington, DC 20052 USA
[3] Cabell Huntington Hlth Dept, 703 7th Ave, Huntington, WV 25701 USA
来源：
AIDS AND BEHAVIOR | 2020年 / 24卷 / 03期
关键词：
HIV; Transactional sex; Rural health; People who inject drugs; PARTNER VIOLENCE; SURVIVAL SEX; HIV RISK; WORKERS; PREVALENCE; INFECTION; WOMEN; POWER;
D O I：
10.1007/s10461-019-02612-7
中图分类号：
R1 [预防医学、卫生学];
学科分类号：
1004 ; 120402 ;
摘要：
In the United States, high rates of HIV infection among persons who engage in transactional sex are partially driven by substance use. Little is known about transactional sex among rural populations of people who inject drugs (PWID). Using data from a 2018 survey of 420 rural PWID in West Virginia, we used logistic regression to identify correlates of recent transactional sex (past 6 months). Most study participants were male (61.2%), white (83.6%), and reported having injected heroin (81.0%) in the past 6 months. Nearly one-fifth (18.3%) reported engaging in recent transactional sex. Independent correlates of transactional sex were: being female [adjusted odds ratio (aOR) 3.90; 95% CI 2.12-7.16]; being a sexual minority (aOR 3.07; 95% CI 1.60-5.87); being single (aOR 3.22; 95% CI 1.73-6.01); receptive syringe sharing (aOR 3.13; 95% CI 1.73-5.66); and number of injections per day (aOR 1.08; 95% CI 1.01-1.15). Rural PWID who engage in transactional sex are characterized by multiple vulnerabilities that increase their HIV risk.
引用
收藏
页码：775 / 781
页数：7
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